认知训练和穴位按摩对轻度认知功能障碍老年患者认知功能的影响研究  

Effects of Cognitive Training and Acupoint Massage on Cognitive Function of Elderly Patients with Mild Cognitive Impairment

作　　者：孙景贤[1] 曾慧[2] 潘露[2] 

机构地区：[1]南京中医药大学护理学院,江苏省南京市210023 [2]中南大学湘雅护理学院

出　　处：《中国全科医学》2016年第25期3108-3111,共4页Chinese General Practice

基　　金：湖南省自然科学基金资助项目(11JJ5057)

摘　　要：目的探讨认知训练和穴位按摩对轻度认知功能障碍(MCI)老年患者认知功能的影响。方法于2012年3月—2013年1月在湖南省长沙市望月湖社区选取MCI老年患者135例。采用随机数字表法,将纳入患者分为对照组、认知训练组、穴位按摩组,各45例。对照组接受社区常规服务,认知训练组在接受社区常规服务的基础上进行认知训练,穴位按摩组在接受社区常规服务的基础上进行穴位按摩。比较3组干预前和干预3、6个月后的简易智能精神状态检查量表(MMSE)评分和蒙特利尔认知评估量表(Mo CA,北京版)评分。结果共114例患者完成了干预,各组均为38例。3组完成干预患者性别、平均年龄、文化程度、个人月收入比较,差异无统计学意义(P>0.05)。干预后3、6个月,3组患者MMSE、Mo CA得分比较,差异有统计学意义(P<0.05);不同时间点比较,差异有统计学意义(P<0.05);干预效果与时间在MMSE、Mo CA得分上存在交互作用(P<0.05)。干预3、6个月后,认知训练组和穴位按摩组患者MMSE、Mo CA得分高于对照组,差异有统计学意义(P<0.05);而认知训练组和穴位按摩组患者MMSE、Mo CA得分比较,差异无统计学意义(P>0.05)。结论认知训练和穴位按摩均可有效改善MCI老年患者的认知功能。Objective To explore effects of cognitive training and acupoint massage on cognitive function of elderly patients with mild cognitive impairment（ MCI）. Methods 135 elderly patients with MCI were selected in Changsha Wangyuehu community of Hunan Province from March 2012 to January 2013. They were assigned to control group,cognitive training group and acupoint massage group by random table number method,each had 45 subjects. The control group received conventional community services, while the cognitive training group performed cognitive training and acupoint massage group conducted acupressure on the basis of conventional community services. Mini- Mental State Examination（ MMSE） and Montreal Cognitive Assessment（ Mo CA,Beijing version） scores of the three groups pre- intervention and 3 and 6 months post- intervention were compared. Results 114 patients had completed intervention with 38 in each group. Gender,average age,educational level and personal monthly income of patients who had completed intervention in the three groups were not significantly different（ P〉0. 05）. 3 and 6 months after intervention,scores of MMSE and Mo CA were significantly different（ P〈0. 05）; the different time points showed significant differences（ P〈0. 05）; there was interaction between intervention effects and time concerning scores of MMSE and Mo CA（ P〈0. 05）. 3 and 6 months after the intervention, scores of MMSE and Mo CA of patients in cognitive training group and acupoint massage group were significantly higher than those in control group（ P〈0. 05）; while scores of MMSE and Mo CA of patients in cognitive training group and acupoint massage group were not significantly different（ P〉0. 05）. Conclusion Cognitive training and acupoint massage can effectively improve cognitive functions of elderly patients with MCI.

关 键 词：轻度认知障碍 认知训练 穴位按压 认知功能 老年人 

分 类 号：R741[医药卫生—神经病学与精神病学]