摘要
目的观察传统耳穴疗法配合现代手指操对轻度认知障碍(MCI)患者认知功能的干预效果。方法将160例MCI患者随机分为干预组和对照组,干预组给予现代手指操配合耳穴疗法,对照组应用现代手指操,干预观察时间均为12个月。对两组患者进行中医辨证分型、MMSE、MoCA、HAMD和HIS量表评分。结果干预后,两组患者的脾肾亏虚证型、气血不足证型和淤阻脑络证型得分较干预前降低(P<0.01)。干预组中医辨证分型得分较干预前显著降低(P<0.01),且脾肾亏虚证型与气血不足证型得分低于对照组(P<0.01);干预组MMSE、MoCA量表得分较干预前显著提高(P<0.01);HAMD、HIS量表得分低于对照组(P<0.01);干预组总有效率显著高于对照组(95.00%VS78.75%),差异有统计学意义(P<0.05)。结论传统耳穴疗法配合现代手指操对MCI的干预方法具有操作简单、副作用小和易教学等优点,不仅能有效、安全地干预防治该病,而且对于进一步挖掘中医经络和穴位的临床应用价值以及社区推广"治未病"具有重要意义。
OBJECTIVE To observe the clinical efficiency of traditional auricular points and modern finger exercises on in MCI cognitive function.METHODS 160 MCI patients was assigned into experiment groupand control group.Traditional auricular points and modern finger exercises were implemented as intervention to the experiment group.Finger exercises was implemented as intervention to the control group.The observation time for the intervention was 12 months.The traditional Chinese medicine syndrome and the score of MMSE,MoCA,HAMD and HIS of these two groups were evaluated.RESULTS After the intervention,the scores of the syndrome of deficiency of spleen and kidney,the syndrome of deficiency of Qi and blood and the syndrome of blood stasis and collateralsof these two groups decreased(P<0.01).The scores of traditional Chinese medicine syndrome of experiment group decreased compared to the situation before the intervention,while the scores of the syndrome of deficiency syndrome of spleen and kidney and the syndrome of deficiency of Qi and blood of the experiment group were lower than the control group(P<0.01).The score of MMSE and MoCA of the experiment group was significantly increased compared to the situation before the intervention(P<0.01).The score of HAMD and HIS were lower than the control group(P<0.01).The efficiency of experiment group was significantly higher than the control group(95.00%VS78.75%),the difference had statistical significance.CONCLUSION The traditional auricular points and modern finger exerciseshadadvantages ineasy implements,less side-effect and easy to be taught.It could effectively and safely intervene the prevention and treatment for the disease,which had important significance on further excavate value of the clinical application and the implement of preventive treatment of disease in community.
作者
孙秀华
宋李冬
庄裴华
吴悦
SUN Xiu-hua;SONG Li-dong;ZHUANG Pei-hua(Zhangjiang Community Health Service Center,Pudong New Area,Shanghai,201210,China)
出处
《中国初级卫生保健》
2019年第2期72-73,82,共3页
Chinese Primary Health Care
基金
上海市浦东新区国家中医药发展综合改革试验区建设项目(PWZ-2016-20)
上海市浦东新区卫计委项目(PW2016C-1)
关键词
传统耳穴
现代手指操
MCI
轻度认知障碍
干预
traditional auricular point
modern finger exercises
MCI
mild cognitive impairment
intervention
