针康法治疗非痴呆型血管性认知功能损害的临床观察

摘要

Objective:To observe the clinically curative effect on non dementia vascular cognitive impairment by acupuncture and rehabilitation therapy.Mteh ods:90 patients were randomly divided into a rehabilitation group,a scalp cluster needling group and an acupuncture combined with rehabilitation group( scalp cluster acu- puncture combined with cognitive training ) with 30 cases in each group.Rehabilitation group was treated by cognitive training method;scalp cluster acupuncture group was treated by scalp cluster needling and the third group was treated by acupuncture combined with cognitive training method with a total of 8 weeks and then compare the improvement of cognitive function in three groups.Results:Among three groups after treatment,the MoCA total score in the acupuncture and rehabilitation group was significantly different compared with other two groups(P<0.05),and there was no significant difference between rehabilitation group and scalp cluster acu-puncture group(P>0.05);in the acupuncture and rehabilitation group , Visuospatial and executive capability, attention, language, orientation, there were significant differences in latency after treatment of memories ( P<0.05 ) .Conclusion:Acupuncture and rehabilitation treatment can improve cognitive function of patients much better and it is superior to single cognitive training and single scalp cluster acupuncture.%目的：观察针康法治疗非痴呆型血管性认知功能损害（VCIND ）的临床疗效。方法：将90例VCIND患者随机分为康复组、头穴丛刺组、针康组（头穴丛刺结合认知功能训练组），每组各30例。康复组采用认知功能训练法、头穴丛刺组采用于氏头穴丛刺法针刺治疗、针康组采用头穴丛刺结合认知功能训练法，共治疗8周，比较3组患者认知功能改善情况。结果：3组患者治疗后组间比较：针康组与康复组及头穴丛刺组的MoCA总评分有显著性差异（ P＜0．05），康复组和头穴丛刺组之间无明显差异（P＞0．05）；针康组中，视空间与执行能力、注意力、语言、延迟回忆、定向力方面治疗前后有显著性差异（ P＜0．05）。结论：针康法能较好改善VCIND患者的认知功能，且效果优于单纯的认知功能训练与单纯头穴丛刺组。