不同时程针刺干预血管性轻度认知障碍疗效观察  

Therapeutic Observation of Different Time-course Acupuncture on Vascular Mild Cognitive Impairment

作　　者：梁翠梅[1] 潘良[1] 胡慧[1] 邱新萍 孙颂歌 LIANG Cui-mei;PAN Liang;HU Hui;QIU Xin-ping;SUN Song-ge(Dongfang Hospital,Beijing University of Chinese Medicine,Beijing 100078,China;Beijing Hospital of Traditional Chinese Medicine Shunyi Hospital,Beijing 101300,China)

机构地区：[1]北京中医药大学东方医院,北京100078 [2]北京中医医院顺义医院,北京101300

出　　处：《上海针灸杂志》2018年第4期403-407,共5页Shanghai Journal of Acupuncture and Moxibustion

基　　金：首都医学发展基金资助项目(SF-2009-Ⅲ-16);北京中医药大学"新奥奖教奖学基金项目"优秀传承团队-杨甲三名家研究室

摘　　要：目的观察不同时程针刺干预血管性轻度认知障碍(VMCI)的临床疗效。方法将108例VMCI患者随机分为A、B组和对照组,A组和B组予针刺干预,A组每周治疗3次,共治疗10周;B组每周治疗2次,共治疗15周;对照组给予健康宣教。比较3组治疗前后蒙特利尔认知评估量表(Mo CA)评分改变以及临床疗效。结果治疗后A、B组Mo CA评分均较同组治疗前升高(P<0.01),对照组较治疗前降低(P<0.01),3组间比较存在显著性差异(P<0.01)。相同治疗时间及相同治疗次数A、B两组间Mo CA评分比较均无显著性差异(P>0.05)。A组治疗后总有效率为43.2%,B组为51.4%,两组比较差异无统计学意义(P>0.05)。6个月及9个月随访A组Mo CA评分与治疗前比较,差异无统计学意义(P>0.05),B组Mo CA评分均较治疗前增加(P<0.01)。结论针刺干预能有效增加VMCI患者Mo CA评分,每周2次既增加患者依从性,减少医疗资源的耗损,又提高远期疗效,是更优的时效性方案。Objective To observe the clinical efficacy of different time-course acupuncture in intervening vascular mild cognitive impairment(VMCI).Method A Total of 108 VMCI patients were randomized into group A,group B and a control group.Group A and group B were intervened by acupuncture.In group A,the treatment was given three times a week,for 10 weeks in total;twice a week,15 weeks in total in group B.The control group was intervened by health education.The change of Montreal Cognitive Assessment(MoCA)score before and after the treatment and the clinical efficacy were compared among the three groups.Result After the treatment,the MoCA scores in group A and group B were significantly increased(P<0.01),while the score in the control group was significantly decreased(P<0.01),and there were significant differences among the three groups(P<0.01).With the same course and session of treatment,there was no significant difference between group A and B in comparing the MoCA score(P>0.05).The total effective rate was 43.2%in group A,51.4%in group B,and there was no significant difference between the two groups(P>0.05).The 6-month and 9-month follow-up studies showed that the MoCA scores in group A were insignificantly different from the score before the treatment(P>0.05),while the scores in group B were significantly increased compared to the score before the treatment(P<0.01).Conclusion Acupuncture can effectively increase the MoCA score of VMCI patients.Treatment at twice a week not only increases the compliance of patients,decreases the consumption of medical resources and enhances the long-term clinical efficacy,but also is a more time-efficient scheme.

关 键 词：针刺疗法 电针 认知障碍 MoCA评分 时效性 远期疗效 

分 类 号：R246.6[医药卫生—针灸推拿学]