本文關(guān)鍵詞：于氏頭針與醒腦開竅針法治療非癡呆型血管性認(rèn)知障礙的臨床療效對(duì)比觀察　出處：《黑龍江中醫(yī)藥大學(xué)》2017年碩士論文　論文類型：學(xué)位論文

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【摘要】：目的本課題旨在探究于氏頭針與醒腦開竅針法在治療非癡呆型血管性認(rèn)知障礙(Vascular cognitive impairment not dementia,VCIND)的臨床療效,為針灸治療本病提供新的思路和線索及兩種針法的推廣應(yīng)用提供臨床依據(jù)。方法根據(jù)簡(jiǎn)單隨機(jī)數(shù)字表法,將符合納入標(biāo)準(zhǔn)的96例病例分為于氏頭針組和醒腦開竅組,每組48例。于氏頭針組按于氏頭穴分區(qū)法取額區(qū)、患側(cè)顳區(qū),每區(qū)5針,頭針長(zhǎng)留針8小時(shí),每2小時(shí)捻針一次,針刺每日1次,每周6次,休息一天,一周為一療程,共治療4個(gè)療程,隨訪3個(gè)月;醒腦開竅組取水溝、內(nèi)關(guān)、三陰交、百會(huì)、四神聰、四白、風(fēng)池、完骨、天柱、神門、太沖、豐隆等穴,各穴行針30秒,留針30分鐘,配合常規(guī)基礎(chǔ)治療,針刺上午、下午各一次,每周6次,休息一天,一周為一療程,共治療4個(gè)療程,隨訪3個(gè)月。觀察治療前后兩組患者M(jìn)oCA和ADL的評(píng)分情況。利用SPSS 20.0統(tǒng)計(jì)軟件對(duì)數(shù)據(jù)進(jìn)行統(tǒng)計(jì)與分析。結(jié)果(1)ADL評(píng)分的比較:組內(nèi)比較,兩組治療后與治療前比較,均有統(tǒng)計(jì)學(xué)意義(p0.05);組間比較,治療后組間比較,無(wú)統(tǒng)計(jì)學(xué)意義。(2)MoCA量表總分方面,組內(nèi)比較:兩組治療后與治療前比較,均有統(tǒng)計(jì)學(xué)意義(p0.05);組間比較:治療后組間比較,無(wú)統(tǒng)計(jì)學(xué)意義(p0.05)。(3)MoCA量表分項(xiàng)比較:①視空間執(zhí)行力方面,組內(nèi)比較:于氏頭針組治療后與治療前比較,無(wú)統(tǒng)計(jì)學(xué)意義(p0.05);醒腦開竅組治療后與治療前比較,有統(tǒng)計(jì)學(xué)意義(p0.05),組間比較:治療后組間比較,醒腦開竅組有統(tǒng)計(jì)學(xué)意義(p0.05)。②命名力方面,組內(nèi)比較:于氏頭針組治療后與治療前比較,統(tǒng)計(jì)學(xué)意義(p0.05);醒腦開竅組治療后與治療前比較,無(wú)統(tǒng)計(jì)學(xué)意義(p0.05),組間比較:治療后組間比較,于氏頭針組有統(tǒng)計(jì)學(xué)意義(p0.05)。③注意力方面,組內(nèi)比較:組內(nèi)比較:兩組治療后與治療前比較,均有統(tǒng)計(jì)學(xué)意義(p0.05);組間比較:治療后組間比較,無(wú)統(tǒng)計(jì)學(xué)意義(p0.05)。④語(yǔ)言力方面,組內(nèi)比較:兩組治療后與治療前比較,均無(wú)統(tǒng)計(jì)學(xué)意義(p0.05),組間比較:治療后組間比較,無(wú)統(tǒng)計(jì)學(xué)意義(p0.05)。⑤抽象力方面,組內(nèi)比較:兩組治療后與治療前比較,均無(wú)統(tǒng)計(jì)學(xué)意義(p0.05),組間比較:治療后組間比較,無(wú)統(tǒng)計(jì)學(xué)意義(p0.05)。⑥延遲記憶力方面,組內(nèi)比較:兩組治療后與治療前比較,均無(wú)統(tǒng)計(jì)學(xué)意義(p0.05),組間比較:治療后組間比較,無(wú)統(tǒng)計(jì)學(xué)意義(p0.05)。⑦定向力方面,組內(nèi)比較:于氏頭針組治療后與治療前比較,統(tǒng)計(jì)學(xué)意義(p0.05);醒腦開竅組治療后與治療前比較,無(wú)統(tǒng)計(jì)學(xué)意義(p0.05),組間比較:治療后組間比較,于氏頭針組有統(tǒng)計(jì)學(xué)意義(p0.05)(4)兩種針法有效率比較:于氏頭針組總有效率89.13%,醒腦開竅組總有效率86.95%,組間無(wú)顯著性差異。結(jié)論(1)兩種針法可以明顯改善患者的認(rèn)知功能和日常生活能力且療效相當(dāng)。(2)兩種針法對(duì)患者不同的認(rèn)知障礙癥狀改善不同,于氏頭針法在改善命名力、語(yǔ)言力、定向力方面優(yōu)于醒腦開竅法;醒腦開竅針法在改善視空間執(zhí)行力方面優(yōu)于于氏頭針法,兩者在改善注意力方面作用相當(dāng)。
[Abstract]:The purpose of this paper aims to explore and Yu's Scalp Acupuncture Acupuncture in the treatment of VCIND (Vascular cognitive impairment not dementia, VCIND) the clinical efficacy of acupuncture treatment of this disease to provide the promotion and application of new ideas and clues and two kinds of acupuncture to provide clinical evidence. Methods according to the simple random digital table, 96 cases were divided into the scalp needle group and the Xingnao opening group, with 48 cases in each group. Yu's scalp acupuncture group according to Yu's scalp partition law of frontal and ipsilateral temporal areas, each area 5 needle, scalp acupuncture needle for 8 long hours, every 2 hours the time, acupuncture 1 times a day, 6 times a week, a day of rest, a week for a course of treatment, a total of 4 courses of treatment, follow-up 3 months; XNKQ group, Neiguan, Sanyinjiao, Shuigou, Baihui, Sishencong, Sibai, Fengchi, Wanggu, Tianzhu, Shenmen, Taichong and Fenglong points, each point of needle needle for 30 minutes, 30 seconds, with routine treatment, acupuncture, morning and afternoon, 6 times a week and the rest of the day, a week for a course of treatment, a total of 4 courses of treatment, follow-up of 3 months. The scores of MoCA and ADL in the two groups of patients were observed before and after treatment. SPSS 20 statistical software is used to make statistics and analysis of the data. Results (1) comparison of ADL scores: there was statistically significant difference between the two groups after treatment, compared with those before treatment (P0.05). There was no statistical difference between the two groups after treatment. (2) the total score of MoCA scale was compared between two groups: there was a statistical difference between the two groups after treatment and before treatment (P0.05). There was no significant difference between the two groups after treatment: there was no statistical difference between the two groups (P0.05). (3) MoCA scale item: visual spatial ability, group comparison: Yu's scalp acupuncture group were compared before and after treatment, no statistical significance (P0.05); comparison of XNKQ group before and after treatment, there was statistical significance (P0.05), comparison between groups: after treatment between two groups there was statistical significance, XNKQ group (P0.05). (2) naming power, compared with the group: the comparison between the scalp acupuncture group and the treatment group was statistically significant (P0.05). There was no significant difference between the Xingnao Kai Qiao group and the treatment group before treatment (P0.05). There was a significant difference between the two groups after treatment: there was a statistically significant difference between the two groups after treatment (P0.05). (3) attention group, intra group comparison: intra group comparison: there was a statistical difference between the two groups after treatment compared with that before treatment (P0.05). There was no significant difference between the two groups after treatment (P0.05). There was no statistically significant difference between the two groups in terms of language strength. There was no significant difference between the two groups after treatment (P0.05). There was no significant difference between the two groups after treatment (P0.05). In terms of abstraction power, there was no significant difference between the two groups after treatment: compared with those before treatment, there was no significant difference between the two groups (P0.05). There was no significant difference between the two groups after treatment (P0.05). The delayed memory, within group comparison: the two groups before and after treatment, there was no statistical significance (P0.05), comparison between groups: after treatment between the two groups, no statistical significance (P0.05). The directional force, group comparison: Yu's scalp acupuncture group after treatment compared with before treatment, statistically significant (P0.05); comparison of XNKQ group before and after treatment, no statistical significance (P0.05), comparison between groups: after treatment between the two groups, Yu's scalp acupuncture group was statistically significant ((P0.05) 4) two kinds of acupuncture efficiency comparison: Yu's scalp acupuncture group total effectiveness 89.13%, XNKQ group was 86.95%, there was no significant difference between groups. Conclusion (1) the two kinds of needling methods can obviously improve the cognitive function and daily life ability of the patients with the same curative effect. (2) two kinds of acupuncture therapy on cognitive impairment in patients with different symptoms improved, Yu's scalp acupuncture in improving the language naming force, force, directional force is better than that of xingnaokaiqiao; xingnaokaiqiao acupuncture in improving the visual spatial ability is superior to the head's acupuncture, both in improving the role of considerable attention.
【學(xué)位授予單位】：黑龍江中醫(yī)藥大學(xué)
【學(xué)位級(jí)別】：碩士
【學(xué)位授予年份】：2017
【分類號(hào)】：R246.6

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