原絡(luò)通經(jīng)針法治療輕度認(rèn)知障礙臨床觀察

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1、原絡(luò)通經(jīng)針法治療輕度認(rèn)知障礙臨床觀察文章編號：0255?2930(2007)"?0810?03中圖分類號：R246.1文獻(xiàn)標(biāo)識碼：A臨床研究［摘要］目的：觀察原絡(luò)通經(jīng)針法治療輕度認(rèn)知障礙的臨床療效，尋找中醫(yī)治療輕度認(rèn)知障礙的有效方法。方法：將60例患者隨機(jī)分為針刺組(30例)與藥物組(30例)。針刺組采用原絡(luò)通經(jīng)針法針刺治療，穴取百會、膻中、關(guān)元、神門等,藥物組采用口服小劑量鹽酸多奈哌齊(安理申2.5mg)o觀察治療前后2組臨床記憶量表各項(xiàng)指標(biāo)積分及記憶商(MQ)的變化情況，并用MQ增值情況判斷臨床療效。結(jié)果：治療30天后針刺組的記憶商、指向記憶、圖像自由回憶

2、、無意義圖形再認(rèn)及人像特點(diǎn)聯(lián)系回憶的記憶分值均較治療前明顯提高(P0.05),其余各項(xiàng)均較治療前明顯提高(P0.05)o針刺組記憶療效優(yōu)良率為80.0%,藥物組為76.7%,2組記憶療效比較差異無顯著性意義(P>0.05)o結(jié)論：原絡(luò)通經(jīng)針法可以改善輕度認(rèn)知障礙患者的記憶功能。［主題詞］譙妄，癡呆，遺忘，認(rèn)識障礙/針灸療法；通絡(luò)；記憶/針灸效應(yīng)；@原絡(luò)通經(jīng)針法ClinicalobservationonYuanluoTongjingneedlingmethodfortreatmentofmildcognitiveimpairmentSUNYuarvzhengLH

3、,ZHUPeng-yuO1,ZHANGMiaoDI,ZHANGYanD2(1.AffiliatedSecondHospitalofHeilongjiangUniversityofTCM,Harbin150001,China;2.TheFirstAffiliatedHospitalofHarbinMedicalUniversity)ABSTRACTObjectiveToobservetherapeuticeffectofYuanluoTongjingneedlingmethodfortreatmentofmildcognitiveimpairmentandsea

4、rchforaneffectivetherapyofTCMformildcognitiveimpairment.MethodsSixtycaseswererandomlydividedintoanobservationgroupandacontrolgroup,30casesineachgroup?TheobservationgroupweretreatedbyYuanluoTongjingneedlingmethodwithBaihui(GV20),Danzhong(CV17),Guanyuan(CV4),Shenmen(HT7),etc.selected,

5、andthecontrolgroupbyoraladministrationofAricept,2.5mg.Changesofscoresofallindexesinclinicalmemoryscaleandmemoryquotient(MQ)beforeandaftertreatmentwereinvestigatedinthetwogroups,andclinicaltherapeuticeffectswereassessedbyusingMQincreasingvalues?ResultsAftertreatmentfor30days,thescore

6、sofmemoryquotient,directionmemory,picturefreememory,re-cognitionofno-significantpictureformsandassociatedmemoryofhumanpicturecharacteristicssignificantlyincreased(P0.05).Thegoodrateformemoryeffectwas80.0%intheobservationgroupand76.7%inthecontrolgroupwithnosignificantdiffereneebetwee

7、nthetwogroups(P>0.05).ConclusionYuanluoTongjingneedlingmethodcanimprovememoryabilityofthepatientofmildcognitiveimpairment.KEYWORDSDelirium,Dementia,Amnestic,CognitiveDisorders/amther;DredgingCollaterals;Memory/ameff;@YuanluoTongjingNeedlingMethod老年人輕度認(rèn)知功能障礙(mildcognitiveimpairment,M

8、CI)是介于正常衰老和阿爾茨海默病(A