头穴丛刺及认知训练对血管性认知障碍影响的临床观察

Effect of Cluster Needling of Scalp Point Combined with Cognitive Training on Vascular Cognitive Impairment

目的:观察头穴丛刺法联合认知训练治疗血管性认知障碍的疗效。方法:选取血管性认知障碍患者60例,随机分为治疗组及对照组。两组患者均给予吡拉西坦口服、常规治疗及运动疗法、作业疗法(认知疗法)治疗;治疗组在对照组治疗方法基础上给予头穴丛刺疗法。于治疗前、治疗12周后采用CDT、BBS、MMSE评分对两组患者认知障碍程度进行评定。结果:治疗前2组患者CDT、BBS、MMSE评分组间差异均无统计学意义(P>0.05);经12周治疗后,发现治疗组BBS、MMSE治疗后与治疗前比较有显著差异(P<0.01),对照组MMSE评分与治疗前比较有统计学意义(P<0.05);治疗组CDT评分与治疗前比较有统计学意义(P<0.05);治疗组与对照组之间治疗后MMSE、BBS评分比较有显著差异(P<0.05)。结论:头穴丛刺法联合认知训练可改善血管性认知损害程度,从而值得临床推广、应用。

Objective ： To observe the effect of the therapy of cluster needling of scalp point combined with cognitive train- ing on vascular cognitive impairment. Method：60 patients of vascular cognitive impairment were chosen and they were divided into a treatment group and a control group. All patients were treated with oral piracetam, conventional treatment, PT,OT and cognitive train;Based on the treatment of the control group, treatment group used cluster needling of scalp point. Evaluation was conducted before the treatment and after treatment of 12 weeks, using the CDT, BBS, MMSE to e- valuate cognitive level. Results：There was no significant difference between the treatment group and the control group ac- cording to CDT, BBS, MMSE score before the treatment;there was significant differences according to BBS, MMSE in the treatment group compared with those before treatment（ P 〈 0.01 ） ;there was statistical differences of MMSE in the control group compared with those before treatment（P 〈 0.05 ） ;there was significant differences of MMSE and BBS between the treatment group and the control group after treatment （ P 〈 0.05 ）. Conclusion ： The therapy of cluster needling of scalp point combined with cognitive training can improve the level of vascular cognitive impairment, which deserves further clinical application.