头穴丛刺联合认知训练治疗血管性认知障碍临床观察  

Clinical Observations on the Efficacy of Scalp Point Cluster Needling plus Cognitive Training in Treating Vascular Cognitive Disorder

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

机构地区：[1]沧州市中西医结合医院,沧州061001

出　　处：《上海针灸杂志》2013年第10期819-821,共3页Shanghai Journal of Acupuncture and Moxibustion

基　　金：沧州市科学技术研究与发展指导计划(10ZD113)

摘　　要：目的观察头穴丛刺联合认知训练治疗血管性认知功能障碍的疗效。方法共选取血管性认知功能障碍患者60例,采用随机数字表法将其分为治疗组和对照组。两组患者均常规给予吡拉西坦口服及一般康复、作业、认知疗法治疗;治疗组在对照组治疗方法基础上给予头穴丛刺治疗。分别于治疗前、治疗8星期后采用简明神经心理学测验量表进行认知功能评价。结果治疗前两组患者神经心理学测验结果组间差异均无统计学意义(P>0.05);经8星期治疗后,两组患者MMSE评分较治疗前明显改善(P<0.05),同时在其他神经心理学测验方面,治疗组注意力、记忆力、视空间结构能力有明显改善(P<0.05),在记忆力方面,治疗组与对照组治疗后比较差异具有统计学意义(P<0.05)。结论头穴丛刺联合认知训练可较好改善脑血管病患者认知障碍程度,改善患者生活质量。Objective To investigate the efficacy of scalp point cluster needling plus cognitive training in treating vascular cognitive disorder. Method A total of sixty patients with vascular cognitive disorder were enrolled and allocated, using a random number table, to treatment and control groups. Both groups received oral administration of piraeetam, general rehabilitation, occupational therapy and cognitive therapy. The treatment group received scalp point cluster needling as well. Cognitive function was assessed using the mini-mental state examination （MMSE） before and after eight weeks of treatment. Result There were no statistically significant pre-treatment differences in neuropsychological test results between the two groups （P〉O.05）. After eight weeks of treatment, the MMSE score increased significantly in both groups compared with before treatment （P〈O.05） and meanwhile, other neuropsyehological test items： attention, memory and the visual spatial constructional ability improved significantly in the treatment group （P〈0.05）; there was a statistically significant post-treatment differences in memory between the treatment and control groups （P〈 0.05）. Conclusion Scalp point cluster needling plus cognitive training can better reduce cognitive disorder and improve the quality of life in cerebrovascular disease patients.

关 键 词：针刺 认知障碍 痴呆 血管性 丛刺 认知疗法 神经心理学测验 针药并用 

分 类 号：R246.6[医药卫生—针灸推拿学]