于氏头针与醒脑开窍针法治疗非痴呆型血管性认知障碍的临床疗效对比观察

发布时间：2017-12-28 21:35

本文关键词：于氏头针与醒脑开窍针法治疗非痴呆型血管性认知障碍的临床疗效对比观察　出处：《黑龙江中医药大学》2017年硕士论文　论文类型：学位论文

【摘要】：目的本课题旨在探究于氏头针与醒脑开窍针法在治疗非痴呆型血管性认知障碍(Vascular cognitive impairment not dementia,VCIND)的临床疗效,为针灸治疗本病提供新的思路和线索及两种针法的推广应用提供临床依据。方法根据简单随机数字表法,将符合纳入标准的96例病例分为于氏头针组和醒脑开窍组,每组48例。于氏头针组按于氏头穴分区法取额区、患侧颞区,每区5针,头针长留针8小时,每2小时捻针一次,针刺每日1次,每周6次,休息一天,一周为一疗程,共治疗4个疗程,随访3个月;醒脑开窍组取水沟、内关、三阴交、百会、四神聪、四白、风池、完骨、天柱、神门、太冲、丰隆等穴,各穴行针30秒,留针30分钟,配合常规基础治疗,针刺上午、下午各一次,每周6次,休息一天,一周为一疗程,共治疗4个疗程,随访3个月。观察治疗前后两组患者MoCA和ADL的评分情况。利用SPSS 20.0统计软件对数据进行统计与分析。结果(1)ADL评分的比较:组内比较,两组治疗后与治疗前比较,均有统计学意义(p0.05);组间比较,治疗后组间比较,无统计学意义。(2)MoCA量表总分方面,组内比较:两组治疗后与治疗前比较,均有统计学意义(p0.05);组间比较:治疗后组间比较,无统计学意义(p0.05)。(3)MoCA量表分项比较:①视空间执行力方面,组内比较:于氏头针组治疗后与治疗前比较,无统计学意义(p0.05);醒脑开窍组治疗后与治疗前比较,有统计学意义(p0.05),组间比较:治疗后组间比较,醒脑开窍组有统计学意义(p0.05)。②命名力方面,组内比较:于氏头针组治疗后与治疗前比较,统计学意义(p0.05);醒脑开窍组治疗后与治疗前比较,无统计学意义(p0.05),组间比较:治疗后组间比较,于氏头针组有统计学意义(p0.05)。③注意力方面,组内比较:组内比较:两组治疗后与治疗前比较,均有统计学意义(p0.05);组间比较:治疗后组间比较,无统计学意义(p0.05)。④语言力方面,组内比较:两组治疗后与治疗前比较,均无统计学意义(p0.05),组间比较:治疗后组间比较,无统计学意义(p0.05)。⑤抽象力方面,组内比较:两组治疗后与治疗前比较,均无统计学意义(p0.05),组间比较:治疗后组间比较,无统计学意义(p0.05)。⑥延迟记忆力方面,组内比较:两组治疗后与治疗前比较,均无统计学意义(p0.05),组间比较:治疗后组间比较,无统计学意义(p0.05)。⑦定向力方面,组内比较:于氏头针组治疗后与治疗前比较,统计学意义(p0.05);醒脑开窍组治疗后与治疗前比较,无统计学意义(p0.05),组间比较:治疗后组间比较,于氏头针组有统计学意义(p0.05)(4)两种针法有效率比较:于氏头针组总有效率89.13%,醒脑开窍组总有效率86.95%,组间无显著性差异。结论(1)两种针法可以明显改善患者的认知功能和日常生活能力且疗效相当。(2)两种针法对患者不同的认知障碍症状改善不同,于氏头针法在改善命名力、语言力、定向力方面优于醒脑开窍法;醒脑开窍针法在改善视空间执行力方面优于于氏头针法,两者在改善注意力方面作用相当。
[Abstract]:The purpose of this paper aims to explore and Yu's Scalp Acupuncture Acupuncture in the treatment of VCIND (Vascular cognitive impairment not dementia, VCIND) the clinical efficacy of acupuncture treatment of this disease to provide the promotion and application of new ideas and clues and two kinds of acupuncture to provide clinical evidence. Methods according to the simple random digital table, 96 cases were divided into the scalp needle group and the Xingnao opening group, with 48 cases in each group. Yu's scalp acupuncture group according to Yu's scalp partition law of frontal and ipsilateral temporal areas, each area 5 needle, scalp acupuncture needle for 8 long hours, every 2 hours the time, acupuncture 1 times a day, 6 times a week, a day of rest, a week for a course of treatment, a total of 4 courses of treatment, follow-up 3 months; XNKQ group, Neiguan, Sanyinjiao, Shuigou, Baihui, Sishencong, Sibai, Fengchi, Wanggu, Tianzhu, Shenmen, Taichong and Fenglong points, each point of needle needle for 30 minutes, 30 seconds, with routine treatment, acupuncture, morning and afternoon, 6 times a week and the rest of the day, a week for a course of treatment, a total of 4 courses of treatment, follow-up of 3 months. The scores of MoCA and ADL in the two groups of patients were observed before and after treatment. SPSS 20 statistical software is used to make statistics and analysis of the data. Results (1) comparison of ADL scores: there was statistically significant difference between the two groups after treatment, compared with those before treatment (P0.05). There was no statistical difference between the two groups after treatment. (2) the total score of MoCA scale was compared between two groups: there was a statistical difference between the two groups after treatment and before treatment (P0.05). There was no significant difference between the two groups after treatment: there was no statistical difference between the two groups (P0.05). (3) MoCA scale item: visual spatial ability, group comparison: Yu's scalp acupuncture group were compared before and after treatment, no statistical significance (P0.05); comparison of XNKQ group before and after treatment, there was statistical significance (P0.05), comparison between groups: after treatment between two groups there was statistical significance, XNKQ group (P0.05). (2) naming power, compared with the group: the comparison between the scalp acupuncture group and the treatment group was statistically significant (P0.05). There was no significant difference between the Xingnao Kai Qiao group and the treatment group before treatment (P0.05). There was a significant difference between the two groups after treatment: there was a statistically significant difference between the two groups after treatment (P0.05). (3) attention group, intra group comparison: intra group comparison: there was a statistical difference between the two groups after treatment compared with that before treatment (P0.05). There was no significant difference between the two groups after treatment (P0.05). There was no statistically significant difference between the two groups in terms of language strength. There was no significant difference between the two groups after treatment (P0.05). There was no significant difference between the two groups after treatment (P0.05). In terms of abstraction power, there was no significant difference between the two groups after treatment: compared with those before treatment, there was no significant difference between the two groups (P0.05). There was no significant difference between the two groups after treatment (P0.05). The delayed memory, within group comparison: the two groups before and after treatment, there was no statistical significance (P0.05), comparison between groups: after treatment between the two groups, no statistical significance (P0.05). The directional force, group comparison: Yu's scalp acupuncture group after treatment compared with before treatment, statistically significant (P0.05); comparison of XNKQ group before and after treatment, no statistical significance (P0.05), comparison between groups: after treatment between the two groups, Yu's scalp acupuncture group was statistically significant ((P0.05) 4) two kinds of acupuncture efficiency comparison: Yu's scalp acupuncture group total effectiveness 89.13%, XNKQ group was 86.95%, there was no significant difference between groups. Conclusion (1) the two kinds of needling methods can obviously improve the cognitive function and daily life ability of the patients with the same curative effect. (2) two kinds of acupuncture therapy on cognitive impairment in patients with different symptoms improved, Yu's scalp acupuncture in improving the language naming force, force, directional force is better than that of xingnaokaiqiao; xingnaokaiqiao acupuncture in improving the visual spatial ability is superior to the head's acupuncture, both in improving the role of considerable attention.
【学位授予单位】：黑龙江中医药大学
【学位级别】：硕士
【学位授予年份】：2017
【分类号】：R246.6

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