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中国人民解放军总医院老年心血管病研究所
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创刊人 王士雯
总编辑 范利
副总编辑 陈韵岱
执行主编 叶大训
编辑部主任 王雪萍
ISSN 1671-5403
CN 11-4786
创刊时间 2002年
出版周期 月刊
邮发代号 82-408
友情链接
针刺对主观认知下降的干预研究
Effects of acupuncture treatment on subjective cognitive decline
投稿时间:2018-12-03  修订日期:2018-12-03
DOI:
中文关键词:  针刺;主观认知下降;认知功能;神经心理学量表
英文关键词:Acupuncture; Subjective cognitive decline; Cognitive function; Neuropsychological scale
基金项目:国家自然科学基金项目(面上项目,重点项目,重大项目)
作者单位E-mail
周平 北京中医医院针灸科 hzyyzp@126.com 
闫超群 北京中医医院针灸科 yanchaoqun857@126.com 
胡尚卿 北京中医药大学 39522965@qq.com 
金美林 北京中医药大学 my1004ve@naver.com 
邵佳凯 首都医科大学北京中医医院 785347789@qq.com 
王丽琼 北京中医药大学 lcz623780@126.com 
石广霞 北京中医医院 shiguangxia2008@126.com 
刘存志 北京中医药大学 lcz623780@126.com 
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中文摘要:
      目的 观察“调和气血,补心益智”针刺法对主观认知下降人群(SCD)认知功能的调节作用。方法 将28例SCD受试者按就诊顺序随机分为针刺组和空白对照组各14例。两组受试者在治疗期间均予内科常规治疗,针刺组在常规治疗基础上采用“调和气血,补心益智”针刺法进行为期3个月的针刺治疗,空白对照组进行为期3个月的等待治疗。观察两组受试者治疗前和治疗结束后主观认知下降量表(SCD-Q)、简易智能精神状态量表(MMSE)、动物词语流畅性量表(AFT)、听觉词语学习测验量表(AVLT-H)、形状连线测验A和B量表(TMT A-B) 评分以及神经心理学量表综合Z分数的变化情况。结果 与治疗前相比,针刺组SCD-Q量表、MMSE量表、AVLT-H量表和AFT量表均有显著改善(P<0.01,P<0.05),而TMT A-B量表无明显变化(P>0.05)。对照组MMSE量表评分有下降趋势(P<0.05),其余指标均无明显变化(P>0.05)。与对照组比较,针刺组的SCD-Q量表、MMSE量表、AFT量表和神经心理学量表综合Z分数改善更为明显(P<0.01,P<0.05),TMT A-B量表评分无明显组间差异(P>0.05)。结论 “调和气血、补心益智”针刺法能够明显减少SCD人群对自身认知功能的抱怨,对SCD人群的记忆功能和言语功能具有较好的调节作用,但对执行功能未见明显影响。
英文摘要:
      Objective To observe the effect of acupuncture on cognitive function of people with subjective cognitive decline. Methods 28 SCD subjects were randomly divided into acupuncture group and blank control group, respectively. The two groups of subjects were treated with conventional medical treatment during the treatment period. The treatment group was treated with acupuncture on the basis of conventional treatment, and the control group was treated with waiting treatment for 3 months. The changes of SCD-Q, MMSE, AFT, AVLT-H, TMT A-B and Z score of global neuropsychology scale were observed before and after treatment. Results Compared with before treatment, the scales score all of SCD-Q, MMSE, AVLT-H and AFT were significantly improved (P < 0.01, P < 0.05), while the scales score TMT A-B both showed no significant changes (P > 0.05). The MMSE of control group showed a downward trend (P < 0.05), while the other indexes showed no significant changes (P > 0.05). Compared with the control group, the Z score of global neuropsychological scale, SCD-Q, MMSE and AFT was significantly improved (P < 0.01, P < 0.05) in the acupuncture group, while there was no significant difference between the two groups in TMT A-B(P > 0.05). Conclusion The acupuncture treatment can significantly reduce the complaint of SCD on their own cognitive function, and has a good regulating effect on the memory function and speech function of SCD, but has no obvious influence on the executive function.
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