调神益智针刺法治疗轻度认知功能障碍疗效观察

Observation on the Therapeutic Effect of Tiao Shen Yi Zhi Acupuncture for Mild Cognitive Impairment

目的观察调神益智针刺法治疗轻度认知功能障碍的临床疗效。方法将50例轻度认知功能障碍患者随机分为治疗组和对照组,每组25例。两组均采用常规基础治疗,治疗组采用调神益智针刺法(头针配合体针)治疗,对照组采用常规针刺治疗。观察两组治疗前后简易智力状态检查量表(MMSE)评分、蒙特利尔认知量表(Mo CA)评分、日常生活能力量表(ADL)评分和韦氏记忆量表延迟故事回忆(DSR)评分的变化情况,并比较两组临床疗效。结果治疗组总有效率为83.3%,对照组为69.6%,两组比较差异具有统计学意义(P<0.05)。两组治疗后MMSE评分、Mo CA评分及DSR评分与同组治疗前比较,差异均具有统计学意义(P<0.01,P<0.05)。治疗组治疗后MMSE评分、Mo CA评分及DSR评分与对照组比较,差异均具有统计学意义(P<0.05)。结论调神益智针刺法配合常规治疗是一种治疗轻度认知功能障碍的有效方法,可提高患者生活质量。

Objective To observe the clinical efficacy of Tiao Shen Yi Zhi （for regulating the mind and benefiting the intelligence） acupuncture in treating mild cognitive impairment.Method Fifty mild cognitive impairment patients were randomly allocated to a treatment group and a control group, 25 cases each. In addition to the basic treatment, the treatment group received Tiao Shen Yi Zhi acupuncture （scalp acupuncture plus body acupuncture） and the control group was intervened by routine acupuncture. The Mini-mental State Examination Table （MMSE）, Montreal Cognitive Assessment （MoCA）, Activities of Daily Living （ADL）, and delayed story recall （DSR） from Wechsler Memory Scale （WMS-Ⅲ） were observed in the two groups before and after the treatment. The therapeutic effects were compared between the two groups.Result The total efficacy rate was 83.3% in the treatment group versus 69.6% in the control group. The MMSE scores, MoCA scores and DSR scores were significantly changed after intervention in the two groups （P〈0.01,P〈0.05）. After treatment, the MMSE scores, MoCA scores and DSR scores in the treatment group were significantly different from that in the control group （P〈0.05）. Conclusion Tiao Shen Yi Zhi acupuncture with common medical treatment is an effective method for mild cognitive impairment, and it can improve the quality of life.