针康法治疗非痴呆型血管性认知功能损害的临床观察

目的：观察针康法治疗非痴呆型血管性认知功能损害（VCIND ）的临床疗效。方法：将90例VCIND患者随机分为康复组、头穴丛刺组、针康组（头穴丛刺结合认知功能训练组），每组各30例。康复组采用认知功能训练法、头穴丛刺组采用于氏头穴丛刺法针刺治疗、针康组采用头穴丛刺结合认知功能训练法，共治疗8周，比较3组患者认知功能改善情况。结果：3组患者治疗后组间比较：针康组与康复组及头穴丛刺组的MoCA总评分有显著性差异（ P＜0．05），康复组和头穴丛刺组之间无明显差异（P＞0．05）；针康组中，视空间与执行能力、注意力、语言、延迟回忆、定向力方面治疗前后有显著性差异（ P＜0．05）。结论：针康法能较好改善VCIND患者的认知功能，且效果优于单纯的认知功能训练与单纯头穴丛刺组。

Efficacy of Acupuncture Combined with Rehabilitation on Non Dementia Vascular Cognitive Impairment

Objective：To observe the clinically curative effect on non dementia vascular cognitive impairment by acupuncture and rehabilitation therapy.Mteh ods：90 patients were randomly divided into a rehabilitation group,a scalp cluster needling group and an acupuncture combined with rehabilitation group（ scalp cluster acu- 〈br〉 puncture combined with cognitive training ） with 30 cases in each group.Rehabilitation group was treated by cognitive training method;scalp cluster acupuncture group was treated by scalp cluster needling and the third group was treated by acupuncture combined with cognitive training method with a total of 8 weeks and then compare the improvement of cognitive function in three groups.Results：Among three groups after treatment,the MoCA total score in the acupuncture and rehabilitation group was significantly different compared with other two groups（P〈0.05）,and there was no significant difference between rehabilitation group and scalp cluster acu-puncture group（P〉0.05）;in the acupuncture and rehabilitation group , Visuospatial and executive capability, attention, language, orientation, there were significant differences in latency after treatment of memories （ P〈0.05 ） .Conclusion：Acupuncture and rehabilitation treatment can improve cognitive function of patients much better and it is superior to single cognitive training and single scalp cluster acupuncture.