于氏头针丛刺治疗轻度认知功能障碍的临床疗效观察

发布时间：2018-04-17 15:24

本文选题：轻度认知功能障碍 + 于氏头针　；参考：《黑龙江中医药大学》2017年硕士论文

【摘要】：目的:观察针刺于氏头针额区和项区对轻度认知功能障碍患者的认知功能及日常生活能力的影响,为治疗轻度认知功能障碍提供临床和理论依据。方法:通过随机分组的方法将纳入的60例患者分为治疗组和对照组,每组30例患者,其中男性患者26例,女性患者34例。年龄均在50-70岁内,病程均在4-10个月内。治疗组采取针刺于氏头针额区和项区配合口服安理申,额区和项区各针刺5针,留针6小时,期间每隔两小时捻转一次,每次捻针3-5min,直至出针。对照组单纯口服安理申。两组患者均连续治疗30天,十天为一个疗程,每经过一个疗程后休息一天,共三个疗程。两组患者在治疗前后分别用MMSE、MOCA指数对患者认知情况进行评估并且治疗前后用Barthel量表对患者的日常生活能力进行评估。结果:1.两组患者治疗后与治疗前相比,两组的MMSE和MOCA总评分均有提高并且组内比较差异显著(P0.05);两组患者治疗后的MMSE和MO CA总评分组间差异显著(P0.05),说明治疗组疗效明显优于对照组。2.治疗组总有效率为8 6.6 7%,对照组总有效率为5 3.3 3%,组间比较差异显著。结论:1、丛刺于氏头针结合药物组与单纯药物组治疗前后相比日常生活活动能力(改良Bath el量表)无明显改善。2、丛刺于氏头针额区和项区结合药物治疗MCI的疗效明显优于单纯药物组。3、丛刺于氏头针额区和项区可明显改善认知功能障碍患者的认知功能。
[Abstract]:Objective: To observe the effect of acupuncture on the area and the frontal region's scalp acupuncture effects on cognitive dysfunction in patients with mild cognitive and daily life ability, and provide theoretical basis for clinical treatment of mild cognitive impairment. Methods: through the method of randomly divided 60 cases of patients were included and divided into treatment group and control group, 30 patients in each group, including 26 cases of male patients and 34 female patients. The age at the age of 50-70, in the course of 4-10 months. The treatment group adopt acupuncture and in area of frontal region's scalp acupuncture combined with oral Aricept, acupuncture and frontal area 5 needle, the needle for 6 hours, every two hours during a twisting every time, the 3-5min, until the needle. The control group was treated with Aricept. Two groups were treated continuously for 30 days, ten days for a course of treatment, each after a period of rest after a day, a total of three courses. Two groups of patients were with MMSE before and after treatment, MOCA The number of patients' perception and evaluation before and after treatment with Barthel scale on the ability of daily life of patients were evaluated. Results: 1. compared to the two groups of patients before and after treatment, two groups of MMSE and MOCA total scores were increased and group difference was significant (P0.05); MMSE and MO scores of CA group the difference between the two groups after treatment significantly (P0.05), the effect of the treatment group was significantly better than the control group.2. treatment group, the total effective rate was 86.67%, control group total effective rate was 53.33%, significant difference between the two groups. Conclusion: 1. The cluster needling of scalp acupuncture combined with Yu's drug group and simple drug group before and after treatment compared to the daily ADL (modified Bath scale EL) no significant improvement in.2, and the region's scalp acupuncture acupuncture curative effect of combined therapy of frontal region MCI was higher than that of single drug group.3, and in the area of Acupuncture's scalp acupuncture can significantly improve the cognitive dysfunction of frontal region Cognitive function of the patient.

【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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