头穴丛刺联合认知功能康复训练治疗血管性认知功能障碍的临床研究

目的 观察头穴丛刺法联合认知训练治疗血管性认知障碍的疗效.方法 选取2010年3月至2013年10月间在我院治疗的血管性认知障碍患者120例,采用随机数字表法将其分为治疗组及对照组.两组患者均给予吡拉西坦口服、常规治疗及运动疗法、作业疗法（认知疗法）治疗;治疗组在对照组治疗方法基础上给予头穴丛刺疗法.于治疗前、治疗12周后采用MMSE、WMS评分对两组患者认知障碍程度进行评定化.结果 治疗前两组患者MMSE、WMS评分组间差异均无统计学意义（P＞0.05）;经12周治疗后,发现治疗组治疗后WMS与治疗前比较有显著差异（P＜0.01）,对照组WMS评分与治疗前比较有统计学意义（P＜0.05）;治疗组与对照组之间治疗后WMS评分比较有显著差异（P＜0.01）,治疗组MMSE总分较治疗前比较有统计学意义（P＜0.05）.结论 头穴丛刺法联合认知训练可改善血管性认知损害程度,从而值得临床推广、应用。

Clinical Study on Combined Cognitive Rehabilitation Training in Treatment of Vascular Cognitive Impairment of Cluster Needling of Scalp Acupuncture

Objective To observe the curative effect of scalp acupuncture combined with cognitive training in the treatment of vas- cular cognitive impairment. Methods From 2010 March to 2013 October, 120 patients with vascular cognitive impairment were selected in this hospital,were randomly divided into treatment group and control group. Two groups of patients were given the Laci Staw oral, conventional treatment and physical therapy, occupational therapy（ cognitive therapy）treatment;the treatment group in the control group was given based on the treatment of scalp acupuncture therapy. Before treatment, 12 weeks after the treatment, the patients in the two groups were assessed on the degree of cognitive impairment in MMSE, WMS score. Results The difference between the two groups be- fore treatment, scores of patients in the MMSE group, WMS showed no statistical significance（ P 〉 0.05 ） ; after 12 weeks of treatment, the treatment group was found after WMS compared with before treatment were significantly different （ P 〈 0.01 ）, the control group compared with before treatment WMS score was statistically significant（ P 〈 0.05 ）between the treatment group and control group; after treatment, WMS score were significantly different（ P 〈 0.01 ） ,the total scores of MMSE than before treatment in treatment group were statistically significant（P 〈 0.05 ）. Conclusion Cluster scalp acupuncture combined with cognitive training can improve the degree of vascular cognitive impairment ,which is worth the clinical promotion, application.