针刺心肾经原穴治疗轻度认知功能障碍的临床观察

发布时间：2018-09-08 07:29

【摘要】：目的：观察以针刺心肾经原穴对轻度认知功能障碍的治疗作用,寻求一种治疗轻度认知功能障碍的更加有效的配穴方法。 方法：将66例轻度认知功能障碍的患者随机分为治疗组(33例)和对照组(33例),治疗组取双侧心肾经原穴配合常规取穴加口服安理申(盐酸多奈哌齐)进行治疗,对照组采用常规取穴加口服安理申(盐酸多奈哌齐)进行治疗。两组治疗前后均采用简易智力状态检查量表(MMSE)、蒙特利尔认知量表(MoCA)进行评分检测。 结果：(1)治疗组和对照组患者治疗前后MoCA量表评分和MMSE量表评分比较均存在有极显著差异(P0.01),提示两组治疗轻度认知功能障碍均有较好疗效。 (2)治疗组患者治疗后MMSE量表评分和MoCA量表评分与对照组患者治疗后MMSE量表评分和MoCA量表评分相比存在显著差异(P0.05),提示治疗组较对照组治疗轻度认知功能障碍疗效更为显著。 (3)治疗组与对照组治疗方案都能显著改善轻度认知功能障碍患者的临床症候,但治疗组总疗效,与对照组总疗效相比较,经卡方检验,有统计学意义(P0.05),提示治疗组疗效明显优于对照组,针刺心肾经原穴可以明显改善轻度认知功能障碍患者的临床症状。 结论： 1、针刺心肾经原穴可以改善轻度认知功能障碍患者的临床症状。 2、针刺心肾经原穴可以作为治疗轻度认知功能障碍的一种更加有效配穴万法。
[Abstract]:Objective: to observe the therapeutic effect of acupuncture on mild cognitive dysfunction and to find a more effective method for the treatment of mild cognitive dysfunction. Methods: 66 patients with mild cognitive impairment were randomly divided into treatment group (n = 33) and control group (n = 33). The control group was treated with routine acupoint extraction and oral administration of Donepezil hydrochloride. (MMSE), Montreal Cognitive scale (MoCA) was used in both groups before and after treatment. Results: (1) the scores of MoCA scale and MMSE scale were significantly different between the treatment group and the control group before and after treatment (P0.01), which indicated that the two groups had better curative effect on mild cognitive impairment. The scores of MMSE and MoCA after treatment were significantly different from those of the control group (P0.05), suggesting that the treatment group was more effective than the control group in the treatment of mild cognitive impairment. (3) both the treatment group and the control group can significantly improve the clinical symptoms of patients with mild cognitive impairment. But the total curative effect of the treatment group, compared with the total curative effect of the control group, was statistically significant by chi-square test (P0.05), indicating that the therapeutic effect of the treatment group was significantly better than that of the control group, and the clinical symptoms of patients with mild cognitive dysfunction could be significantly improved by acupuncture at the original point of the heart and kidney meridians. Conclusion: 1. Acupuncture at the original point of Xinshen meridian can improve the clinical symptoms of patients with mild cognitive impairment. 2Acupuncture of the original point of Xinshen Meridian can be used as a more effective method for the treatment of mild cognitive dysfunction.
【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】：2012
【分类号】：R749.1

【参考文献】

相关期刊论文 前10条

1 马涛;“三脑六头九神穴”治疗血管性痴呆83例[J];安徽中医临床杂志;2001年06期

2 崔杨;韩雪梅;邢影;徐忠信;杨宏;;缺血性脑血管病轻度认知障碍MoCA与MMSE评估的比较及分析[J];吉林大学学报(医学版);2010年05期

3 史洪润;何峰;窦伟;黄炳亮;李新民;范维玲;陆丽芳;;针刺井穴对血管性痴呆患者临床干预的疗效分析[J];第四军医大学学报;2009年07期

4 周晓平;程旺毅;何锦添;陈尚杰;李红;吴健文;张家维;;调神通络针刺法对血管性轻度认知障碍患者的影响[J];广西中医药;2008年02期

5 李智杰;梅红彬;;天地精丸治疗轻度认知障碍的临床研究[J];湖北中医杂志;2007年10期

6 邓常青;肖苏红;葛金文;季安国;;补阳还五汤对沙土鼠脑缺血再灌注损伤的影响[J];湖南中医学院学报;1992年02期

7 彭勇;罗晓佳;陈晓平;李龙心;万里艳;何森;陈小妮;吴凯;;高血压病患者PPARγ2基因Pro12Ala多态性与认知功能障碍的关系研究[J];四川大学学报(医学版);2010年06期

8 谭佩珍,杨期东,谭兴林,徐东华,龙先瑜,凡哲江;何首乌治疗血管性痴呆的疗效观察[J];河南医药信息;2002年12期

9 王改勤,张荣英;降脂复聪丸治疗血管性痴呆100例[J];医药论坛杂志;2003年07期

10 薛敏;魏菁;;高血压患者认知功能及危险因素的分析[J];解放军护理杂志;2007年12期

，

本文编号：2229814