调神通络针刺法对脑梗死轻度认知障碍患者的3MS及CSS的影响  

THE EFFECT OF ACUPUNCTURE REGULATING MIND AND SMOOTH MERIDIAN ON PATIENTS WITH MILD COGNITIVE IMPAIRMENT AFTER CEREBRAL INFARCTION

作　　者：周晓平[1] 陈尚杰[2] 李红[3] 张家维[3] 

机构地区：[1]广州医学院荔湾医院,广东广州510170 [2]深圳市宝安区人民医院,广东深圳518101 [3]广东省中医院,广东广州510120

出　　处：《现代医院》2012年第3期12-14,共3页Modern Hospitals

基　　金：广东省中医药局科研课题(编号:2060064)

摘　　要：目的比较调神通络针刺法和中风常规针剌法治疗脑梗死后轻度认知障碍的疗效。方法将60例脑梗死后轻度认知障碍患者设定随机数字表,按1:1比例均匀分组,命名为A组(中风常规针刺法)和B组(调神通络针刺法)。调神通络针刺法取穴:风府、百会、神庭、本神、素髎、内关、后溪、阳陵泉、太溪;中风常规针刺法取穴:颞三针、肩髃、曲池、合谷、足三里、阳陵泉、太冲。观察疗效指标(3MS、CSS)以及安全性指标。对治疗结果采用意向性分析法(ITT)。结果 A、B组各有2例脱落。调神通络针刺法能明显提高认知功能(p<0.01),而常规针刺组不能提高认知功能(p>0.05),调神通络针刺法优于常规针刺组(P<0.05);两组治疗前后CSS积分差异都有非常显著性差异(p<0.01),但两组之间无明显的差异。以上两组均未出现严重不良现象。结论调神通络针剌法能明显改善脑梗死轻度认知障碍的认知功能,对神经缺损功能程度改善和中风常规针刺法相当。Objective To compare the effects of the acupuncture method of regulating mind and smooth meridian and the ordinary acupuncture method on mild cognitive impairment after cerebral infarction. Methods According to the study principle of randomized, 60 cases with mild cognitive impairment（MCI） after cerebral infarction were set random number tables, divided into two groups by the proportion of 1 ： 1 uniformly. They were named as A group （ The ordinary acupuncture method）, B group （ The acupuncture method of regulating mind and smooth meridian）. The acupuncture method of regulating mind and smooth meridian is to acupuncture Fengfu （Dul6）, Baihui （DU20）, Suliao （DU25）, shenting （DU24）, Benshen （ GB13 ）, Neignan （ PC6）, Houxi （ SI3 ）, Yanglingquan （ GB34）, and Taixi （ KI3 ）. The ordinary acupuncture method whieh aeupuneture Temporal three needle, Jianyu （ LI15 ）, Quehi （ LI11 ）, Hegn （ LI4 ）, Zusardi （ ST36 ）, Yanglingquan （GB34）, Taichong （LR3） was used. The efficacy （3MS,CSS）and safety indicators were observed. Intent -to -treat （I＇IT） analysis was used. Results 2 cases were dropped respectively in A group and B group. The acupuncture method of regulating mind and smooth meridian can significantly improve the cognitive function （p 〈 O. 01 ）, but the ordinary acupuncture method can＇t （p 〉 0. 05）. Two acupuncture methods earl significantly improve CSS in patients （p 〈 0. O1 ）, but there is not statisti- cally significant between the two acupuncture methods （p 〉 0. 05 ）. There weren＇t bad reactions. Conclusion The acupunc- ture method of regulating mind and smooth meridian can significantly improve the cognitive function of patients with mild cog- nitive impairment after cerebral infarction.

关 键 词：脑梗死 针灸疗法 认知功能障碍 调神通络 

分 类 号：R277.733.1[医药卫生—中医学]