基于中医体质辨识观察针灸对轻度认知障碍的影响

Observation of the Effect of Acupuncture-moxibustion on Mild Cognitive Impairment Based on Constitution Differentiation of Traditional Chinese Medicine

目的基于中医体质辨识,观察针灸治疗轻度认知障碍的临床疗效。方法将80例轻度认知障碍患者随机分为治疗组和对照组,每组40例。治疗组根据患者体质进行针灸治疗,对照组采用口服尼莫地平片治疗。连续治疗3个月后,观察两组治疗前后《中医体质分类与判定》量表评分及简易智能精神状态检查量表(MMSE)评分的变化情况,并比较两组临床疗效。结果治疗组治疗后体质转化分及MMSE评分与对照组比较,差异均具有统计学意义(P<0.05)。治疗组总有效率为87.2%,对照组为65.8%,两组比较差异具有统计学意义(P<0.05)。结论基于中医体质辨识,针灸疗法可以精准地改善不同体质轻度认知障碍患者的认知功能损害,纠正其认知偏颇状态。

Objective To observe the clinical efficacy of acupuncture-moxibustion in treating mild cognitive impairment based on constitution differentiation of traditional Chinese medicine(TCM).Method Eighty patients with mild cognitive impairment were randomized into a treatment group and a control group,40cases each.The treatment group was intervened by acupuncture-moxibustion according to their constitution,while the control group received oral administration of Nimodipine tablets.After successive3-month treatment,changes in the scores of Classification and Diagnosis of Constitution of Traditional Chinese Medicine and Mini-Mental State Examination(MMSE)were observed.The clinical efficacies of the two groups were also compared.Result After the treatment,the constitution and MMSE scores of the treatment group were significantly different from those of the control group(P<0.05).The total effective rate was87.2%in the treatment group versus65.8%in the control group,and the between-group difference was statistically significant(P<0.05).Conclusion Based on the constitution differentiation of TCM,acupuncture-moxibustion can precisely improve mild cognitive impairment in patients with different constitutions,and correct their cognitive bias.