辨经刺井配合颞三针对早期血管性认知障碍患者P300的影响  

Impacts of acupuncture at Jing-well points on the differentiated meridians and temple-three-needle therapy on P300 of patients with early vascular cognitive impairment

作　　者：李飞[1] 蔡荣林[2] 翟亮[2] 高康[2] 杨骏[2] 

机构地区：[1]安徽中医药大学第二附属医院三病区,合肥230038 [2]安徽省中医院针灸科

出　　处：《中国针灸》2013年第9期784-788,共5页Chinese Acupuncture & Moxibustion

基　　金：国家自然科学基金项目:81001558;国家中医药管理局重点学科--针灸学科开放基金项目:2011zjxk 005;安徽省2011年度重点科研项目:11070403041

摘　　要：目的:观察辨经刺井配合颞三针对脑卒中患者轻度认知功能障碍的疗效。方法:将73例脑卒中患者随机分为针刺组(37例)和常规组(36例),选取体检健康的老人20例作为对照组。针刺组在内科常规治疗基础上采用辨经刺井法配合颞三针治疗,常规组除给予内科常规治疗外不采取其他任何治疗,对照组不采取任何干预措施。采用Neuroscan Nuamps脑电记录分析系统测定事件相关电位P300,并观察两组治疗前后简易智能精神状态量表(MMSE)评分。结果:治疗后,针刺组患者P300潜伏期缩短、波幅增高及MMSE评分增加(P<0.05,P<0.01);常规组患者P300潜伏期、波幅及MMSE评分与治疗前相比均无明显变化(均P>0.05);与常规组相比,针刺组P300潜伏期、波幅及MMSE评分均有明显改善(P<0.05,P<0.01)。结论:辨经刺井配合颞三针治疗可以明显改善轻度认知功能障碍患者认知功能。Objective To observe the efficacy on post-stroke mild cognitive impairment （MCI） treated with acu- puncture at Jing-well points on the differentiated meridians and temple-three-needle therapy. Methods Seventy- three of stroke patients were randomized into an acupuncture group （37 cases） and a conventional treatment group （36 cases）. Twenty healthy aged people in physical examination were collected as a control group. In the acupunc- ture group, on the basis of the conventional treatment of internal medication, the acupuncture at Jing-well points on the differentiated meridians and temple-three-needle therapy were applied. In the conventional treatment group, no any therapy was used except the conventional treatment of internal medication. In the control group, no any in- tervention was adopted. Neuroscan Nuamps electroencephalogram recording analysis system was used to determine the event-related potentials P300, and the amplitude and mini mental state examination （MMSE） score was ob- served before and after treatment in both groups. Results After treatment, in the acupuncture group, P300 latent stage was shortened, and the amplitude and the score of MMSE were increased （P〈0.05 ,P〈0.01）. In the con- ventional treatment group, above indices were not changed obviously as compared with that before treatment （all P〉0.05）. Compared with the conventional treatment group, the differences in P300 latent stage, amplitude and MMSE score were remarkable in the acupuncture group （P〈0.05,P〈0.01）. Conclusion The acupuncture at Jing-wellpoints on the differentiated meridians and temple-three-needle therapy improves the cognitive function of the patients with MCI.

关 键 词：早期血管性认识障碍 针刺疗法 穴 井(五输) 颞三针 P300 认知功能 

分 类 号：R246.1[医药卫生—针灸推拿学]