【摘要】：目的：觀察以針刺心腎經(jīng)原穴對輕度認知功能障礙的治療作用,尋求一種治療輕度認知功能障礙的更加有效的配穴方法。 方法：將66例輕度認知功能障礙的患者隨機分為治療組(33例)和對照組(33例),治療組取雙側(cè)心腎經(jīng)原穴配合常規(guī)取穴加口服安理申(鹽酸多奈哌齊)進行治療,對照組采用常規(guī)取穴加口服安理申(鹽酸多奈哌齊)進行治療。兩組治療前后均采用簡易智力狀態(tài)檢查量表(MMSE)、蒙特利爾認知量表(MoCA)進行評分檢測。 結(jié)果：(1)治療組和對照組患者治療前后MoCA量表評分和MMSE量表評分比較均存在有極顯著差異(P0.01),提示兩組治療輕度認知功能障礙均有較好療效。 (2)治療組患者治療后MMSE量表評分和MoCA量表評分與對照組患者治療后MMSE量表評分和MoCA量表評分相比存在顯著差異(P0.05),提示治療組較對照組治療輕度認知功能障礙療效更為顯著。 (3)治療組與對照組治療方案都能顯著改善輕度認知功能障礙患者的臨床癥候,但治療組總療效,與對照組總療效相比較,經(jīng)卡方檢驗,有統(tǒng)計學意義(P0.05),提示治療組療效明顯優(yōu)于對照組,針刺心腎經(jīng)原穴可以明顯改善輕度認知功能障礙患者的臨床癥狀。 結(jié)論： 1、針刺心腎經(jīng)原穴可以改善輕度認知功能障礙患者的臨床癥狀。 2、針刺心腎經(jīng)原穴可以作為治療輕度認知功能障礙的一種更加有效配穴萬法。
[Abstract]:Objective: to observe the therapeutic effect of acupuncture on mild cognitive dysfunction and to find a more effective method for the treatment of mild cognitive dysfunction. Methods: 66 patients with mild cognitive impairment were randomly divided into treatment group (n = 33) and control group (n = 33). The control group was treated with routine acupoint extraction and oral administration of Donepezil hydrochloride. (MMSE), Montreal Cognitive scale (MoCA) was used in both groups before and after treatment. Results: (1) the scores of MoCA scale and MMSE scale were significantly different between the treatment group and the control group before and after treatment (P0.01), which indicated that the two groups had better curative effect on mild cognitive impairment. The scores of MMSE and MoCA after treatment were significantly different from those of the control group (P0.05), suggesting that the treatment group was more effective than the control group in the treatment of mild cognitive impairment. (3) both the treatment group and the control group can significantly improve the clinical symptoms of patients with mild cognitive impairment. But the total curative effect of the treatment group, compared with the total curative effect of the control group, was statistically significant by chi-square test (P0.05), indicating that the therapeutic effect of the treatment group was significantly better than that of the control group, and the clinical symptoms of patients with mild cognitive dysfunction could be significantly improved by acupuncture at the original point of the heart and kidney meridians. Conclusion: 1. Acupuncture at the original point of Xinshen meridian can improve the clinical symptoms of patients with mild cognitive impairment. 2Acupuncture of the original point of Xinshen Meridian can be used as a more effective method for the treatment of mild cognitive dysfunction.
【學位授予單位】：黑龍江中醫(yī)藥大學
【學位級別】：碩士
【學位授予年份】：2012
【分類號】：R749.1

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