耳穴压丸法联合耳穴按摩法治疗轻度认知障碍的临床研究

目的观察耳穴压丸法联合耳穴按摩法治疗轻度认知障碍的临床疗效,寻求治疗轻度认知障碍简单、经济的治疗方法。方法选择2018年4—10月在佛山市南海福利中心居住的轻度认知障碍患者60例,采用随机对照方法将患者分为治疗组和对照组各30例。在给予高血压、高血糖、高血脂等原发病基础治疗的同时,治疗组给予耳穴压丸法联合耳穴按摩法治疗,对照组给予健康教育。记录比较2组患者入组时、治疗1个月及3个月后日常生活活动能力量表(ADL)评分、简易精神状态量表(MMSE)评分。结果治疗组治疗1个月、3个月后ADL评分均明显低于治疗前及同期对照组(P均<0.05),且治疗3个月后明显低于治疗1个月后(P均<0.05);MMSE评分均明显高于治疗前及同期对照组(P均<0.05),且治疗3个月后明显高于治疗1个月后(P均<0h05)。对照组治疗1个月、3个月后ADL评分、MMSE评分与治疗前比较差异均无统计学意义(P均>0.05)。结论耳穴压丸法联合耳穴按摩法可改善轻度认知障碍患者的日常生活能力和认知能力,是经济有效的治疗轻度认知障碍的外治方法。

Clinical study on auricular acupoint pressure with beans combined with auricular massage on mild cognitive impairment

Objective It is to observe the clinical curative effect of auricular acupoint pressure with beans combined with auricular massage on mild cognitive impairment on mild cognitive impairment,and to seek a simple and economical treatment for mild cognitive impairment.Methods Sixty patients with mild cognitive impairment who lived in Nanhai Welfare Center of Foshan City from April to October 2018 were selected,and the patients were divided into a treatment group and a control group of 30 cases by randomized controlled method.Along with the basic treatment of primary diseases such as hypertension,hyperglycemia,and hyperlipidemia,the treatment group was given auricular pressure with beans combined with auricular massage,and the control group was given health education.The scores of the activity of daily life(ADL)scale,mini mental state scale(MMSE)were recorded and compared in the two groups before treatment and after 1 and 3 months of treatment.Results The ADL scores in the treatment group after 1 month and 3 months of treatment were significantly lower than those before treatment and in the control group during the same period(P<0.05),and the scores after 3 months of treatment were significantly lower than those after 1 month of treatment(P<0.05);The MMMSE scores in the treatment group after 1 month and 3 months of treatment were significantly higher than those before treatment and in the control group during the same period(P<0.05),and the scores after 3 months of treatment were significantly higher than those after 1 month of treatment(P<0.05).There was no significant difference in the ADL score and MMMSE score between the control group after treatment for 1 month and 3 months(P>0.05).Conclusion Auricular acupoint pressure with beans combined with auricular massage can improve the daily living ability and cognitive ability of patients with mild cognitive impairment,and it is a cost-effective external treatment method for mild cognitive impairment.