头穴丛刺及认知训练对非痴呆型血管性认知损害的影响  

Effects on Non-dementia Vascular Cognitive Impairment with the Treatment of Scalp Acupuncture and Cognitive Training

作　　者：白晶[1] 李宝栋[1] 田守森[1] 田雯艳[1] 戈杰英[1] 白金君[1] 

机构地区：[1]沧州中西医结合医院,河北沧州061001

出　　处：《按摩与康复医学》2013年第9期75-77,共3页Chinese Manipulation and Rehabilitation Medicine

基　　金：沧州市科学技术研究与发展指导计划课题,编号：10ZD113

摘　　要：目的：观察头穴丛刺法联合认知训练治疗非痴呆型血管性认知损害的疗效。方法：我院非痴呆型血管性认知损害患者60例，采用随机数字表法分为治疗组及对照组。两组患者均予吡拉西坦口服、常规治疗及运动疗法、作业疗法（认知疗法），治疗组另予头穴丛刺疗法；采用蒙特利尔认知评估量表（MontrealCognitiveAssessment，MoCA）评定两组患者认知障碍程度，应用事件相关电位评测认知功能变化。结果：治疗后两组MoCA评分、P300潜伏期均较治疗前明显改善（P〈0．05），且治疗组优于对照组（P〈0．05）。结论：头穴丛刺疗法联合认知训练可以改善非痴呆型血管性认知损害程度，提高患者生活质量，值得-临床推广。Objective： To observe the effects of scalp acupuncture and cognitive training treating nondementia vascular cognitive impairment. Meth ods： 60 patients with nondementia vascular cognitive impairment in our hospital were randomly divided into treatment group and control group with a method of random digits table. Patients of two groups were given oral piracetam, conventional therapy, cinesiatrics and occupational therapy （cogni tive therapy）, treatment group were additionally treated with scalp acupuncture; Montreal Cognitive Assessment（MoCA） and eventrelated potential were used to evaluate degree of cognitive impairment and changes in cognitive function of two groups. Results： MoCA scores and P300 latency of two groups after the treatment were significantly superior to those before the treatment （P〈0.05）, and treatment group was better than control group （P〈0.05）. Conclusion： Scalp acupuncture and cognitive training can improve nondementia vascular cognitive impairment and life quality of patients, being worthy of clinical promotion.

关 键 词：非痴呆型血管性认知损害 头穴丛刺 认知训练 MOCA 事件相关电位 

分 类 号：R274.1[医药卫生—中医骨伤科学]