五脏俞麦粒灸对无痴呆型血管性认知障碍患者MoCA评分的影响
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R246.6

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杭州市科技局科技计划资助项目 (2015KJJ14)


Moxibustion with Seed-sized Moxa Cone on Wuzangshu Acupoin ts Has Effect on the Score of MoCA in Patien ts with Vascular Cognitive Impairment with No Dementia
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    摘要:

    目的:观察五脏俞麦粒灸对髓海不足型无痴呆型血管性认知障碍(VCIND)患者蒙特利尔认知评价量表(MoCA)评分的影响。方法:将61例患者随机分为麦粒灸组、西药组,有效纳入患者共60例(麦粒灸组脱落1例),每组30例。麦粒灸组取心俞、肾俞穴分别施麦粒灸,配穴取顶中线、额中线、顶旁1线、足三里、三阴交、悬钟、太溪,配穴采取常规针刺方法,每天治疗1次,每周连续治疗5天;西药组予吡拉西坦片口服;2组均以4周为1疗程,共治疗2疗程;治疗后比较2组患者MoCA评分。结果:治疗后,2组患者MoCA总评分均较治疗前明显升高,与治疗前比较,差异有统计学意义( P <0.05);且麦粒灸组MoCA总评分升高较西药组更显著( P <0.05)。治疗后,麦粒灸组患者语言、视空间与执行能力、记忆与延迟记忆、定向能力评分较较治疗前明显升高( P <0.05);而命名、注意、抽象等项目评分与治疗前比较变化不大( P >0.05)。西药组视空间与执行能力、记忆与延迟记忆评分较治疗前明显升高( P <0.05);其余各项评分治疗前后变化不大( P >0.05)。治疗后组间比较,麦粒灸组患者语言评分升高优于西药组( P <0.05)。结论:五脏俞麦粒灸治疗VCIND可有效改善患者MoCA评分,且对患者语言能力改善效果优佳。

    Abstract:

    Objective:To observe the effect of moxibustion with seed-sized moxa cone on Wuzangshu acupoints on the score of Montreal cognitive assessment(MoCA)in patients with vascular cognitive impairment with no dementia(VCIND)of m arrow sea insufficiency type.Methods:Divided 61 cases of patients into the group of moxibustion with seed-sized moxa cone and the western medicine group randomly.There was one case of abscission in the group of moxibustion with seed-sized moxa cone.Hence,60 cases of patients were effectively enrolled in total,30 cases in each group.The group of moxibustion with seed-sized moxa cone adopted moxibustion with seed-sized moxa cone on BL15(Xinshu)and BL23(Shenshu)respectively.The adjunct acupoints were selected as MS5(middle line of vertex),MS1(middle line of forehead),MS8(lateral line 1 of vertex), ST36(Zusanli), SP6(Sanyinjiao), GB39(Xuanzhong)and KI3(Taixi).The above adjunct acupoints were treated by routine acupuncture once a day for five consecutive days every w eek.The western medicine group was treated with oral administration of piracetam tablets.The two groups were treated for two courses,four weeks being one course.After treatment,compared scores of MoCA in the two groups.Results:After treatment,total scores of MoCA in the two groups were increased obviously when compared with those before treatment,the difference being significant( P <0.05),and the score of MoCA in the group ofmoxibustion with seed-sized moxa cone was increased more obviously than that in the western medicine group( P <0.05).After treatment,scores of languages,visual-spatial and executive ability,memory and delayed memory,and orientation ability of patients in the group of moxibustion with seed-sized moxa cone were increased obviously when compared with those before treatment( P <0.05),w hereas there was no significant difference in the comparisons of the scores of naming,attention and abstraction before and after treatment( P >0.05).Scores of the visual-spatialand executive ability as wellas the memory and delayed memory in the western medicine group were increasedobviously when compared with those before treatment( P <0.05),while there was no significant difference in the comparisons of other scores( P >0.05).The score of languages in the group ofmoxibustion with seed-sized moxa cone was increased more significantly than that in the western medicine group( P <0.05).Conclusion:The therapy ofmoxibustion with seed-sized moxa cone for VCIND can improve the score of MoCA of patients effectively and achieve an optim al effect in improving their language ability.

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宋涛,李丽萍.五脏俞麦粒灸对无痴呆型血管性认知障碍患者MoCA评分的影响[J].新中医,2018,50(9):188-191

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  • 在线发布日期: 2018-09-04
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