调神益智针治疗脑梗死后轻度认知障碍

刘佳琳1，郑健刚1，张杰1，胡亚才2

(1.天津中医药大学第一附属医院针灸科，天津 300193；2.天津中医药大学，天津 300193)

摘要：目的观察“调神益智”针刺法对脑梗死后轻度认知障碍患者的临床疗效。方法将120例脑梗死后的血管性认知障碍患者随机分为2组，对照组予口服尼莫地平，治疗组予“调神益智”针刺治疗;比较2组治疗后蒙特利尔认知评估和日常生活能力评价。结果12周后记忆评分针刺组(31.9±2.9),西药组(30.9±2.5)；FAQ量表得分针刺组(17±0.830)，西药组(18±0.720)，针刺组评分显著低于药物组(P<0.01)。结论“调神益智”针刺法能明显改善血管性认知障碍患者的神经功能和生活质量。

关键词：脑梗死;认知障碍;针灸疗法;认知评估;日常生活能力评价

DOI:10.13463/j.cnki.jlzyy.2015.08.028

中图分类号：R246.6文献标志码： A

文章编号：1003-5699(2015)08-0847-02

基金项目:国家中医药管理局(JDZX2012139)。

作者简介:刘佳琳(1975-)，女，硕士，主要从事针灸治疗脑血管病研究。

收稿日期:(责任编辑：赵玉芝2014-11-16)

*通信作者:胡亚才,电话-18722110556,电子邮箱-huyacai@sohu.com

The curative effect of “Tiaoshen Yizhi” acupuncture in treating mild

cognitive impairment after cerebral infarction

LIU Jialin1,ZHENG Jiangang1,ZHANG Jie1,HU Yacai2

(1.Tianjin university of traditional Chinese medicine the first affiliated hospital of traditional Chinese medicine

acupuncture,Tianjin 300193,China;

2.Tianjin university,Tianjin 300193,China)

Abstract:ObjectiveTo observe on the clinical efficacy of the “Tiaoshen Yizhi” acupuncture therapy on patients with mild cognitive impairment after cerebral infarction.Methods120 patients with VCI after cerebral infarction were randomly divided into two groups.The control group was given oral administration of nimodipine,while the treatment group "Tiaoshen Yizhi" acupuncture therapy.Then compare the Montreal cognitive and the daily ability of the two groups.ResultsAfter 12 weeks,the memory score of acupuncture group was 31.9±2.9 and that of western medicine group was 30.9±2.5.FAQ score of acupuncture group was 17±0.83 and that of the western medicine group was 18±0.72,with the former significantly lower than the later(P<0.01).Conclusion“Tiaoshen Yizhi” acupuncture therapy can significantly improve the neurological function and quality of life of the VCI patients.

Keywords:cerebral infarction;cognitive impairment;acupuncture therapy;cognitive assessment;assessment of daily ability

血管性认知障碍(vascular cognitive impairment，VCI)是指在缺血性、出血性及急性或慢性缺血缺氧性脑卒中引起脑组织损害基础上，产生的高级神经认知功能障碍为主的一组临床综合征。随着社会的老龄化，脑血管病的多发，血管性认知障碍的发病率呈逐年上升趋势[1]，严重影响老年人的生存质量。目前西药主要为尼莫地平，但药物治疗[2]副作用多且作用缓慢。本课题通过临床随机对照试验评价“调神益智”针刺法对血管性认知障碍的临床疗效及安全性，旨在为临床治疗血管性认知障碍提供一种可靠、有效的治疗方法。

1资料与方法

1.1一般资料120例患者均来源于天津中医药大学第一附属医院针灸科,按照随机分配方案分为针刺组、西药组(尼莫地平),各60例。……