艾灸督脈組穴治療輕度認(rèn)知功能障礙療效觀察

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1、上海針灸雜志2010年11月第29卷第11期·695·文章編號(hào):1005-0957(2010)11-0695-03·臨床研究·艾灸督脈組穴治療輕度認(rèn)知功能障礙療效觀察1211朱才豐,楊駿,費(fèi)愛(ài)華,俞紅五(1.安徽中醫(yī)學(xué)院附屬針灸醫(yī)院,合肥230061;2.安徽中醫(yī)學(xué)院第一附屬醫(yī)院,合肥230032)【摘要】目的根據(jù)神經(jīng)心理學(xué)量表,觀察艾灸督脈穴位治療輕度認(rèn)知功能障礙的療效。方法通過(guò)神經(jīng)心理學(xué)量表評(píng)定,將符合輕度認(rèn)知功能障礙診斷的60例患者隨機(jī)分為治療組和對(duì)照組,每組30例。治療組采用艾灸治療,對(duì)照組采用

2、藥物治療。兩組均在治療前后進(jìn)行神經(jīng)心理學(xué)量表評(píng)定,并進(jìn)行治療前后及兩組間對(duì)比。結(jié)果神經(jīng)心理學(xué)量表MMSE、MoCA與ADL評(píng)分,兩組治療后均高于同組治療前(P＜0.05),治療組MMSE、MoCA與ADL積分改善優(yōu)于對(duì)照組(P＜0.05)。結(jié)論艾灸督脈組穴對(duì)改善輕度認(rèn)知功能障礙患者的認(rèn)知功能有獨(dú)特優(yōu)勢(shì),是一種有效的治療方法?！娟P(guān)鍵詞】艾灸;認(rèn)知障礙;神經(jīng)心理學(xué)測(cè)驗(yàn);針灸療法【中圖分類號(hào)】R246.6【文獻(xiàn)標(biāo)志碼】Adoi:10.3969/j.issn.1005-0957.2010.11.6951Obse

3、rvationsontheEfficacyofMoxibustiononDuMeridianPointsinTreatingMildCognitiveImpairmentZHUCai-feng,211YANGJun,FEIAi-hua,YUHong-wu.1.AcupunctureHospitalAffiliatedtoAnhuiUniversityofTraditionalChineseMedicine,Hefei230061,China;2.FirstHospitalAffiliatedtoAnhu

4、iUniversityofTraditionalChineseMedicine,Hefei230032,China[Abstract]ObjectiveToassesstheefficacyofmoxibustiononDumeridianpointsintreatingmildcognitiveimpairmentusingneuropsychologicalscales.MethodsSixtypatientsdiagnosedwithmildcognitiveimpairmentusingneur

5、opsychologicalscaleswererandomlyallocatedtotreatmentandcontrolgroups,30caseseach.Thetreatmentgroupreceivedmoxibustionandthecontrolgroup,medication.Evaluationwasmadeusingneuropsychologicalscalesinbothgroupsaftertreatment.Acomparisonwasmadebetweenpretreatm

6、entandposttreatmentandbetweenthetwogroups.ResultsNeuropsychologicalscales-MMSEandMoCAscoresandtheADLscorewerehigheraftertreatmentthanbeforeinbothgroups(P＜0.05).TheMMSE,MoCAandADLscoresimprovedmoreinthetreatmentgroupthaninthecontrolgroup(P＜0.05).Conclusio

7、nMoxibustiononDumeridianpointshasaspecialadvantageinimprovingcognitivefunctioninpatientswithmildcognitiveimpairment.Itisaneffectivetreatment.[Keywords]Moxibustion;Cognitiveimpairment;Neuropsychologicaltest;Acupunctureandmoxibustion輕度認(rèn)知功能損害(mildcognitivei

8、mpairment,2009年10月安徽中醫(yī)學(xué)院附屬針灸醫(yī)院門診或住院MCI)指有記憶障礙和(或)輕度的其他認(rèn)知功能障礙,患者,按隨機(jī)數(shù)字表法分為治療組和對(duì)照組,每組30但個(gè)體的社會(huì)職業(yè)或日常生活功能未受影響,亦不能例。治療組中男17例,女13例;平均年齡(69±7)歲;由已知的醫(yī)學(xué)或神經(jīng)精神疾病解釋,是介于正常老化平均受教育年限(7.90±3.62)年;病程最短3.5個(gè)月,[1]與輕度癡呆之間的一種臨床狀態(tài)。MCI轉(zhuǎn)化為癡呆的最長(zhǎng)9月,平