五脏俞麦粒灸联合耳穴压豆改善非痴呆型血管性认知障碍患者认知障碍的临床研究

林燕 许燕飞 潘菁菁

[摘要] 目的 探討五脏俞麦粒灸联合耳穴压豆应用于非痴呆型血管性认知障碍治疗中对其认知功能的改善作用。方法 按照随机数字表法对2018年3月至2019年6月杭州市中医院针灸康复科收治对象进行分组，将本次研究纳入的108例非痴呆型血管性认知障碍用1～108数字进行编号，其中1～54号为对照组，55～108号为观察组，由医护人员随机抽取。对照组实施常规治疗和干预;观察组于对照组基础上采用五脏俞麦粒灸联合耳穴压豆治疗。于干预2个月后评价两组患者认知功能、中医证候积分、临床疗效及日常生活活动能力。 结果 观察组干预2个月后认知功能MoCA评分为（27.25±2.36）分，明显高于对照组（25.98±1.72）分，且两组干预后MoCA评分明显高于干预前，差异具有统计学意义（P<0.05）。观察组干预2个月后中医证候积分明显低于对照组，且两组均较干预前显著下降，差异具有统计学意义（P<0.05）。观察组干预2个月后临床总有效率为94.44%，较对照组77.78%提高，差异具有统计学意义（P<0.05）。观察组干预2个月后日常生活活动能力评分为（76.93±4.82）分，明显高于对照组（69.85±3.12）分，且明显高于干预前，差异有统计学意义（P<0.05）。 结论 常规治疗和干预基础上给予五脏俞麦粒灸联合耳穴压豆治疗可有助于改善非痴呆型血管性认知障碍患者日常生活活动能力，促进患者参与临床治疗，提高临床治疗效果，最终改善患者临床症状和认知功能障碍。

[关键词] 非痴呆型血管性认知功能障碍;五脏俞;麦粒灸;耳穴压豆;日常生活活动能力

[中图分类号] R246.6          [文献标识码] B          [文章编号] 1673-9701（2021）24-0152-04

Clinical study on Wuzangshu wheat-grain moxibustion combined with ear pressing beans in improving cognitive impairment in patients with non-dementia vascular cognitive impairment

LIN Yan   XU Yanfei   PAN Jingjing

Department of Acupuncture and Rehabilitation， Hangzhou Hospital of Traditional Chinese Medicine， Hangzhou   310007，  China

[Abstract] Objective To explore the effect of Wuzangshu wheat-grain moxibustion combined with ear pressing beans on improving cognitive function in the treatment of non-dementia vascular cognitive impairment. Methods According to the random number table method， the subjects admitted in the Acupuncture and Moxibustion Rehabilitation Department in Hangzhou Hospital of Traditional Chinese Medicine from March 2018 to June 2019 were divided into two groups. The 108 cases of non-dementia vascular cognitive impairment included in this study were numbered with 1-108 numbers. No.1-54 were included in the control group， and No.55-108 were included in the observation group， which was randomly selected by medical staff. The control group received conventional treatment and intervention. The observation group was treated with Wuzangshu wheat-grain moxibustion combined with ear acupoint pressing on the basis of the control group. After 2 months of intervention， the two groups of patients were evaluated for cognitive function， TCM syndrome scores， clinical efficacy and activities of daily living. Results The MoCA score of cognitive function in the observation group after 2 months of intervention was （27.25±2.36） points， which was significantly higher than that of the control group （25.98±1.72） points. The MoCA scores of the two groups after intervention were significantly higher than those before intervention， and the difference was statistically significant（P<0.05）. The scores of TCM syndromes in the observation group were significantly lower than those in the control group after 2 months of intervention and those before the intervention， and the difference was statistically significant （P<0.05）. The total clinical effective rate in the observation group after 2 months of intervention was 94.44%， which was higher than 77.78% in the control group， and the difference was statistically significant （P<0.05）. The score of activities of daily living in the observation group after 2 months of intervention was （76.93±4.82） points， which was significantly higher than that of the control group （69.85±3.12） points， and was significantly higher than before the intervention. The difference was statistically significant （P<0.05）. Conclusion On the basis of conventional treatment and intervention， Wuzangshu wheat-grain moxibustion combined with ear pressing bean therapy can help improve the activities of daily living in patients with non-dementia vascular cognitive impairment， promote patients' participation in clinical treatment， improve clinical treatment effect， and ultimately improve patients clinical symptoms and cognitive dysfunction.