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《内经》心神学-通行使道在眼科的临床应用 被引量:4
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作者 李慧丽 王辉武 《中国中医药现代远程教育》 2020年第8期113-116,共4页
"五脏六腑,心为之主"。使道者,心神旨令之通道也,畅通则五脏六腑、四肢百骸均安。中医学通行使道有其独特的方法,在辨证前提下,八法皆可通,凡具有解表、行气、活血、疏肝、开窍等作用,以恢复气、血、津、液、五脏六腑、四肢... "五脏六腑,心为之主"。使道者,心神旨令之通道也,畅通则五脏六腑、四肢百骸均安。中医学通行使道有其独特的方法,在辨证前提下,八法皆可通,凡具有解表、行气、活血、疏肝、开窍等作用,以恢复气、血、津、液、五脏六腑、四肢百骸的正常生理功能,都可以达到通行使道的目的;凡能散、能行、能通、可动之药,均可起到散郁通行使道的作用,通畅"使道"在沟通机体神、气、形三者及维持生命过程和防治疾病中有着重要的作用。《内经》强调"治病必求于本",整体辨证在眼病辨识中具有相当重要的地位,中医眼科临床灵活运用中医学的整体观念"辨证求因,审因论治"、"通行使道",在眼病的防与治中起着非常重要的作用。故我们认为医家之能,唯通使道者也。 展开更多
关键词 《内经》 心神学 通行使道 眼科
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《黄帝内经》心神学治疗TAO的临床应用 被引量:1
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作者 景域 李慧丽 +2 位作者 陈进强 杨娇 王辉武 《中国中医眼科杂志》 2022年第9期727-730,共4页
甲状腺相关性眼病(TAO)是甲状腺自身免疫疾病引的慢性、多系统损害性疾病,在造成眼球运动障碍、眼睑退缩、眼球突出、视力损害的同时,也给患者生理、心理等带来巨大负担,且发病率位居成人眼眶疾病首位。中医将本病归属于“鹘眼凝睛”“... 甲状腺相关性眼病(TAO)是甲状腺自身免疫疾病引的慢性、多系统损害性疾病,在造成眼球运动障碍、眼睑退缩、眼球突出、视力损害的同时,也给患者生理、心理等带来巨大负担,且发病率位居成人眼眶疾病首位。中医将本病归属于“鹘眼凝睛”“鱼目不夜”等范畴,常以疏肝、化痰、祛瘀、散结等治法为主,在中医辨证论治和整体观念理论指导下治疗本病,虽取得了不错的疗效,但仍有部分患者疗效欠佳。本课题组以《黄帝内经》心神学说为理论指导,在疾病各阶段以“通法”为纲领,将药物治疗与超药物疗法有机结合,以达到通心神使道的目的,临床治疗中取得了较好的疗效。 展开更多
关键词 甲状腺相关性眼病 《黄帝内经》 心神学
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全国名中医王辉武教授治疗郁病经验研究
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作者 李慧丽 郭彤 +1 位作者 王辉武 王淑美 《中西医结合慢性病杂志》 2024年第1期75-79,共5页
心身疾病在中医属于郁病,其发病率逐年上升,因其易复发、难治愈的特点成为了医学界面临的难题,严重影响患者的生活质量。针对临床中“病郁交杂”但“重病轻郁”的现状,首届全国名中医王辉武教授在深入研究《黄帝内经》核心理念的基础上... 心身疾病在中医属于郁病,其发病率逐年上升,因其易复发、难治愈的特点成为了医学界面临的难题,严重影响患者的生活质量。针对临床中“病郁交杂”但“重病轻郁”的现状,首届全国名中医王辉武教授在深入研究《黄帝内经》核心理念的基础上,创新性地提出了“郁乃心病”“久病皆郁”的学术思想,认为“郁”不应仅局限于肝,而是心神之病的实质表现,且久病之人往往生“郁”;治郁必须通畅心神,总结出以“三黄一桂,通心之最”为代表的用药经验,结合超药物疗法,为中医临床诊疗疑难久病提供了新的指导思想和治疗策略。 展开更多
关键词 《黄帝内经》 心神学 郁病 名医经验
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Influence of gut microbiota on neuropsychiatric disorders 被引量:24
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作者 María Carmen Cenit Yolanda Sanz Pilar Codoner-Franch 《World Journal of Gastroenterology》 SCIE CAS 2017年第30期5486-5498,共13页
The last decade has witnessed a growing appreciation of the fundamental role played by an early assembly of a diverse and balanced gut microbiota and its subsequent maintenance for future health of the host. Gut micro... The last decade has witnessed a growing appreciation of the fundamental role played by an early assembly of a diverse and balanced gut microbiota and its subsequent maintenance for future health of the host. Gut microbiota is currently viewed as a key regulator of a fluent bidirectional dialogue between the gut and the brain(gut-brain axis). A number of preclinical studies have suggested that the microbiota and its genome(microbiome) may play a key role in neurodevelopmental and neurodegenerative disorders. Furthermore, alterations in the gut microbiota composition in humans have also been linked to a variety of neuropsychiatric conditions, including depression, autism and Parkinson's disease. However, it is not yet clear whether these changes in the microbiome are causally related to such diseases or are secondary effects thereof. In this respect, recent studies in animals have indicated that gut microbiota transplantation can transfer a behavioral phenotype, suggesting that the gut microbiota may be a modifiable factor modulating the development or pathogenesis of neuropsychiatric conditions. Further studies are warranted to establish whether or not the findings of preclinical animal experiments can be generalized to humans. Moreover, although different communication routes between the microbiota and brain have been identified, further studies must elucidate all the underlying mechanisms involved. Such research is expected to contribute to the design of strategies to modulate the gut microbiota and its functions with a view to improving mental health, and thus provide opportunities to improve the management of psychiatric diseases. Here, we review the evidence supporting a role of the gut microbiota in neuropsychiatric disorders and the state of the art regarding the mechanisms underlying its contribution to mental illness and health. We also consider the stages of life where the gut microbiota is more susceptible to the effects of environmental stressors, and the possible microbiota-targeted intervention strategies that could improve health status and prevent psychiatric disorders in the near future. 展开更多
关键词 MICROBIOTA MICROBIOME DYSBIOSIS Brain-gut axis Mental health Psychiatric conditions
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Neuropsychological alterations in hepatitis C infection:The role of inflammation 被引量:3
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作者 Marco Senzolo Sami Schiff +4 位作者 Cristina Maria D’Aloiso Chiara Crivellin Evangelos Cholongitas Patrizia Burra Sara Montagnese 《World Journal of Gastroenterology》 SCIE CAS CSCD 2011年第29期3369-3374,共6页
About 50% of patients with hepatitis C virus(HCV)infection complain of neuropsychiatric symptoms,"brain fog",weakness,fatigue,and exhibit some degree of quality of life impairment,irrespective of the severit... About 50% of patients with hepatitis C virus(HCV)infection complain of neuropsychiatric symptoms,"brain fog",weakness,fatigue,and exhibit some degree of quality of life impairment,irrespective of the severity of liver disease.Since the first observation of HCV-related cognitive deficits,10 studies have been published that have evaluated neuropsychiatric performance in patients with HCV infection and different degrees of hepatic impairment.Unfortunately,these have often included patients with cirrhosis,patients who had acquired the infection through previous intravenous drug misuse,who had a history of relatively recent treatment with interferon,or were on psychoactive medication.In addition,different neuropsychological batteries and tests that explored different cognitive domains were used,which makes the results of the studies difficult to compare.Finally,limited information is available on the pathogenesis of HCV-related cognitive impairment.Cerebral and/or systemic inflammation may be important players but their potential role has not been substantiated by experimental data.The present review outlines the available evidence of the presence of cognitive impairment in patients with HCV infection,with a focus on the potential relationship with cerebral and/or systemic inflammation. 展开更多
关键词 Cognitive alterations Hepatitis C virus INFLAMMATION
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平衡针法联合磁振热治疗腰椎间盘突出症随机平行对照研究 被引量:5
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作者 刘翠豹 《实用中医内科杂志》 2013年第2S期125-126,共2页
[目的]观察平衡针法联合磁振热治疗腰椎间盘突出症疗效。[方法]使用随机平行对照方法,将96例住院患者按随机数字表法随机分为两组。对照组48例平衡针法前额中央点腰痛穴,针尖向下平刺30mm;肩关节腋外线中点臀痛穴,针尖向腋窝方向斜刺30m... [目的]观察平衡针法联合磁振热治疗腰椎间盘突出症疗效。[方法]使用随机平行对照方法,将96例住院患者按随机数字表法随机分为两组。对照组48例平衡针法前额中央点腰痛穴,针尖向下平刺30mm;肩关节腋外线中点臀痛穴,针尖向腋窝方向斜刺30mm~40mm;肩关节肩峰与腕关节横纹连线中点膝痛穴,直刺30mm~40mm;掌侧腕横纹中央踝痛穴,直刺10mm~15mm;足背第一、二趾骨结构前凹陷中头痛穴,直刺30mm~40mm;针刺下针快准、直刺不留针,患者感受到针感即停止刺入,1次/d。治疗组48例行磁振热治疗,20min/次,1次/d,平衡针法治疗同对照组。连续治疗7d为1疗程。观测临床症状、不良反应。连续治疗2疗程,判定疗效。[结果]治疗组痊愈31例,显效15例,有效2例,无效0例,总有效率100.00%;对照组痊愈12例,显效23例,有效3例,无效12例,总有效率79.16%,治疗组疗效优于对照组(P<0.05)。[结论]①平衡针法治疗腰椎间盘突出症,止痛效果明显,但需长期坚持治疗。②平衡针法联合磁振热治疗腰椎间盘突出症疗效显著、稳定、见效快,值得推广应用。 展开更多
关键词 腰椎间盘突出症 平衡针法 磁振热 心神调控 神经调控 随机平行对照研究
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Functional dyspepsia:Are psychosocial factors of relevance? 被引量:50
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作者 Sandra Barry Timothy G Dinan 《World Journal of Gastroenterology》 SCIE CAS CSCD 2006年第17期2701-2707,共7页
The pathogenesis of Functional Dyspepsia (FD) remains unclear, appears diverse and is thus inadequately understood. Akin to other functional gastrointestinal disorders, research has demonstrated an association betwe... The pathogenesis of Functional Dyspepsia (FD) remains unclear, appears diverse and is thus inadequately understood. Akin to other functional gastrointestinal disorders, research has demonstrated an association between this common diagnosis and psychosocial factors and psychiatric morbidity. Conceptualising the relevance of these factors within the syndrome of FD requires application of the biopsychosocial model of disease. Using this paradigm, dysregulation of the reciprocal communication between the brain and the gut is central to symptom generation, interpretation and exacerbation. Appreciation and understanding of the neurobiological correlates of various psychological states is also relevant. The view that psychosocial factors exert their influence in FD predominantly through motivation of health care seeking also persists. This appears too one-dimensional an assertion in light of the evidence available supporting a more intdnsic aetiological link. Evolving understanding of pathogenic mechanisms and the heterogeneous nature of the syndrome will facilitate effective management. Co-morbid psychiatric illness warrants treatment with conventional therapies. Acknowledging the relevance of psychosocial variables in FD, the degree of which is subject to vadation, has implications for assessment and management. Available evidence suggests psychological therapies may benefit FD patients particularly those with chronic symptoms. The rationale for use of psychotropic medications in FD is apparent but the evidence base to support the use of antidepressant pharmacotherapy is to date limited. 展开更多
关键词 Functional dyspepsia Psychosocial factors PSYCHIATRY PATHOPHYSIOLOGY
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Electrophysiological evidence of P2X2 receptor expression in the neurons of intracardiac and paratracheal ganglia 被引量:1
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作者 马蓓 倪鑫 +1 位作者 韩红 BURNSTOCK Geoffrey 《Journal of Medical Colleges of PLA(China)》 CAS 2006年第3期137-142,共6页
Objective: To investigate the expression of P2X receptors on rat intracardiac and paratracheal ganglion neurons. Methods: For preparation of intracardiac neurons, hearts were excised, the atria were separated and th... Objective: To investigate the expression of P2X receptors on rat intracardiac and paratracheal ganglion neurons. Methods: For preparation of intracardiac neurons, hearts were excised, the atria were separated and the medial region containing intracardiac ganglia was isolated and cut into pieces. For preparation of paratracheal neurons, the tracheas were removed and the superficial membranous layer containing paratracheal ganglia was rapidly isolated. Intracardiac and paratracheal ganglion neurons were dissociated after digestion by collagenase and trypsin. Whole-cell patch clamp recording was used to identify the pharmacological properties of P2X receptors in cultured neurons. Results:Neurons from these two ganglia responded to ATP with a rapidly activating, sustained inward current, αβ-meATP failed to evoke any re- sponses in paratracheal ganglion neurons while a few of intracardiac ganglion neurons responded to αβ- meATP with a tiny sustained inward current. ADP and UTP had no effect on intracardiac neurons. Lowering pH potentiated ATP responses in neurons from these two ganglia whereas increasing pH inhibited ATP responses. Co-application of Zn^2+ potentiated ATP responses in intracardiac and paratracheal ganglion neurons. Conclusion: The receptor subtypes involved in intracardiac and paratracheal ganglia appear to be homomeric P2X2, while heteromeric P2X2/3 could not be completely excluded from intracardiac neurons. 展开更多
关键词 P2X receptor INTRACARDIAC paratracheal parasympathetic ganglion
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Neo-Empiricism and Intentionality
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作者 Steven Gamboa 《Journal of Philosophy Study》 2012年第2期81-91,共11页
A revival of empiricist theories in cognitive psychology, neuropsychology, and philosophy has been led by figures such as Antonio Damasio (1994), Lawrence Barsalou (1999), George Lakoff (1987), and Jesse Prinz ... A revival of empiricist theories in cognitive psychology, neuropsychology, and philosophy has been led by figures such as Antonio Damasio (1994), Lawrence Barsalou (1999), George Lakoff (1987), and Jesse Prinz (2002; 2004). Their work has served to connect familiar empiricist approaches to thought and reason with contemporary cognitive psychology and neuroscience. The work of Prinz is of special philosophical significance since it aims to bring together the work of neo-empirically minded theorists in the cognitive and neuro-sciences with main themes found in contemporary philosophical theories of intentionality and reference. In this paper, I examine Prinz's efforts to synthesize a neo-empiricist theory of concepts with contemporary semantic theories of reference and intentionality. In part one, I analyze Prinz's approach in some depth. In part two, I raise a question concerning the origins of intentionality. Specifically, I am interested in examining the minimum cognitive prerequisites for intentionality within Prinz's theory of perception-based representation. In part three, I raise a problem case for Prinz's account of the requirements for intentionality, and propose an adjustment in Prinz's account to meet the challenge of the objection. 展开更多
关键词 neo-empiricism concepts INTENTIONALITY OBJECTIVITY Jesse Prinz Tyler Burge
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Financial Decision-Making: The Roles of Intuition, Heuristics, and Impulses
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作者 James A. Howard 《Journal of Modern Accounting and Auditing》 2013年第12期1596-1610,共15页
This paper will add to an evolving new paradigm for financial decision-making by exploring the important roles that intuition, heuristics, and impulses play as a bridge between how the conscious and unconscious can wo... This paper will add to an evolving new paradigm for financial decision-making by exploring the important roles that intuition, heuristics, and impulses play as a bridge between how the conscious and unconscious can work together more effectively in making better decisions. Historically, the roles of financial/accounting theory and cognitive psychology have been extensively studied and documented in attempting to explain individual financial decision-making. More recently, neuroscience has made substantial contributions to learning how prospective financial decisions and outcomes affect brain activity and observed decision-making behavior. The evidence from neuroscience indicates that up to 90% of our decisions are initiated at the unconscious level, which is only beginning to be investigated in a systematic manner. Integrating these findings from multiple disciplines, including recent contributions from neuroscience, has many implications, not only with respect to personal and corporate financial decisions and how markets work, but also as an essential component in the tool box of the general decision maker. 展开更多
关键词 financial decision-making HEURISTICS INTUITION IMPULSES cognitive psychology NEUROSCIENCE
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Reality of evidence-based practice in palliative care
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作者 Claire Visser Gina Hadley Bee Wee 《Cancer Biology & Medicine》 SCIE CAS CSCD 2015年第3期193-200,共8页
There has been a paradigm shift in medicine away from tradition, anecdote and theoretical reasoning from the basic sciences towards evidence-based medicine(EBM). In palliative care however, statistically significant b... There has been a paradigm shift in medicine away from tradition, anecdote and theoretical reasoning from the basic sciences towards evidence-based medicine(EBM). In palliative care however, statistically significant benefits may be marginal and may not be related to clinical meaningfulness. The typical treatment vs. placebo comparison necessitated by ‘gold standard' randomised controlled trials(RCTs) is not necessarily applicable. The complex multimorbidity of end of life care involves considerations of the patient's physical, psychological, social and spiritual needs. In addition, the field of palliative care covers a heterogeneous group of chronic and incurable diseases no longer limited to cancer. Adequate sample sizes can be difficult to achieve, reducing the power of studies and high attrition rates can result in inadequate follow up periods. This review uses examples of the management of cancer-related fatigue and death rattle(noisy breathing) to demonstrate the current state of EBM in palliative care. The future of EBM in palliative care needs to be as diverse as the patients who ultimately derive benefit. Non-RCT methodologies of equivalent quality, validity and size conducted by collaborative research networks using a ‘mixed methods approach' are likely to pose the correct clinical questions and derive evidencebased yet clinically relevant outcomes. 展开更多
关键词 Palliative care evidence-based medicine (EBM) MULTIMORBIDITY clinical meaningfulness
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Research on mental health benefits of sports development of college students
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作者 Xiao Zheng 《International Journal of Technology Management》 2014年第1期87-89,共3页
The issue of students' mental health has become a common concern for the students, parents, universities and even the society. Using literature to analyze the causes and types of students' psychological barriers and... The issue of students' mental health has become a common concern for the students, parents, universities and even the society. Using literature to analyze the causes and types of students' psychological barriers and to explain the impacts of sports on the mental health of students, the writer considers that sports can not only improve the body' s healthy state of college students, but also improve their mental health and play a very significant role in treating students' mental illness. 展开更多
关键词 mental health sports development college students.
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Therapeutic efficacy observation on electroacupuncture for Alzheimer's disease 被引量:3
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作者 彭静 罗亮 +1 位作者 徐丽 陈曦 《Journal of Acupuncture and Tuina Science》 CSCD 2015年第3期171-174,共4页
Objective:To observe the effect of electroacupuncture (EA) for Alzheimer’s disease (AD). Methods:A total of 30 eligible cases were treated by needling Shenting (GV 24), Baihui (GV 20), Dazhui (GV 14), Fen... Objective:To observe the effect of electroacupuncture (EA) for Alzheimer’s disease (AD). Methods:A total of 30 eligible cases were treated by needling Shenting (GV 24), Baihui (GV 20), Dazhui (GV 14), Fengfu (GV 16), Mingmen (GV 1) and Yongquan (KI 1). Upon arrival of qi, the G6805-II electric stimulator was connected to Shenting (GV 24) and Baihui (GV 20) (one pair), to Dazhui (GV 14) and Fengfu (GV 16) (one pair) and to bilateral Yongquan (KI 1) (one pair) for 25 min, using continuous wave at the frequency of 2-100 Hz and voltage of 2-4 V. With a tolerable intensity, the EA was conducted once a day for 10 d (one treatment course). There was a 3-day interval between two courses. After three courses, the therapeutic efficacies were evaluated using the mini-mental state examination (MMSE), revised Hasegawa dementia scale (HDS-R), activities of daily living (ADL) and neurological function defect scale (NFDS). Results:After EA treatment, the MMSE and HDS-R scores were significantly increased (P〈0.01) and the ADL and NFDS scores were significantly decreased (P〈0.01). Conclusion:EA is effective for AD and can improve the overall intelligence and repair neurologic deficits in AD patients. 展开更多
关键词 Acupuncture Therapy ELECTROACUPUNCTURE Alzheimer Disease Cognition Disorders Activities of Daily Living NEUROPSYCHOLOGY
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Influence of Acupuncture-moxibustion Treatment on Cognition Disorder 被引量:1
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作者 朱才丰 杨骏 +2 位作者 费爱华 俞红五 邓樱 《Journal of Acupuncture and Tuina Science》 2012年第4期218-222,共5页
Objective: To observe the influence of acupuncture-moxibustion treatment on patients with mild cognition disorder. Methods: Sixty patients with mild cognition disorder were randomly divided into a treatment group an... Objective: To observe the influence of acupuncture-moxibustion treatment on patients with mild cognition disorder. Methods: Sixty patients with mild cognition disorder were randomly divided into a treatment group and a control group, with 30 cases in each group. Acupuncture-moxibustion treatment was used in the treatment group, while Western medicine was taken by the patients in the control group. The differences of intra-group and inter-group comparisons were assessed by 3 measurement scales including Mini-mental State Examination (MMSE), Activity of Daily Living (ADL) and Montreal Cognitive Assessment (MoCA). Results: After treatment, the MMSE, MoCA and ADL scores of both groups were higher than those before treatment (P〈0.05). The MMSE, MoCA and ADL scores of the treatment group have more noticeable improvement than those of the control group (P〈0.05). Conclusion: Acupuncture-moxibustion treatment can effectively improve cognitive function of the patients with mild cognitive impairment. 展开更多
关键词 Acupuncture-moxibustion Therapy Indirect Moxibustion Suspended Moxibustion Governor Vessel Cognition Disorders Neuropsychological Tests
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Clinical study on Jin's three-needle therapy for post-stroke cognitive impairment 被引量:9
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作者 Yao Rui Gong Zun-ke Zhang Kai-wei 《Journal of Acupuncture and Tuina Science》 CSCD 2020年第1期40-46,共7页
Objective:To observe the clinical efficacy of Jin's three-needle therapy on post-stroke cognitive impairment(PSCI)and the effect on neuroelectrophysiology(event-related potentials).Methods:A total of 60 PSCI patie... Objective:To observe the clinical efficacy of Jin's three-needle therapy on post-stroke cognitive impairment(PSCI)and the effect on neuroelectrophysiology(event-related potentials).Methods:A total of 60 PSCI patients were selected and divided into a treatment group and a control group according to the method of random number table,with 30 cases in each group.The patients in the control group received routine treatment while the patients in the treatment group received additional Jin's three-needle therapy.The treatment for both groups lasted four weeks.Mini-mental state examination(MMSE)and Montreal cognitive assessment(MoCA)scores as well as amplitude and latency of potential 300(P300)were adopted to compare the between-group results before and after treatment.Results:Before treatment,there were no significant differences(all P>0.05)in MMSE and MoCA scores,P300 latency and P300 amplitude between the two groups.After 4 weeks of treatment,the MMSE and MoCA scores and P300 amplitudes were improved in both groups,and the P300 latencies became shorter.The results showed significant intra-group and between-group differences(all P<0.05).Conclusion:Based on the routine treatment,Jin's three-needle therapy is effective for PSCI.The mechanism is probably through its regulation on the patients'neuroelectrophysiology. 展开更多
关键词 Acupuncture Therapy Jin's Three-needle Scalp Stimulation Areas Post-stroke Syndrome Cognitive Dysfunction Neuropsychological Scale Psychiatric Status Rating Scales Event-related Potential P300
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