五臟俞麥粒灸聯(lián)合耳穴壓豆改善非癡呆型血管性認知障礙患者認知障礙的臨床研究

林燕 許燕飛 潘菁菁

[摘要] 目的 探討五臟俞麥粒灸聯(lián)合耳穴壓豆應(yīng)用于非癡呆型血管性認知障礙治療中對其認知功能的改善作用。方法 按照隨機數(shù)字表法對2018年3月至2019年6月杭州市中醫(yī)院針灸康復(fù)科收治對象進行分組，將本次研究納入的108例非癡呆型血管性認知障礙用1～108數(shù)字進行編號，其中1～54號為對照組，55～108號為觀察組，由醫(yī)護人員隨機抽取。對照組實施常規(guī)治療和干預(yù);觀察組于對照組基礎(chǔ)上采用五臟俞麥粒灸聯(lián)合耳穴壓豆治療。于干預(yù)2個月后評價兩組患者認知功能、中醫(yī)證候積分、臨床療效及日常生活活動能力。 結(jié)果 觀察組干預(yù)2個月后認知功能MoCA評分為（27.25±2.36）分，明顯高于對照組（25.98±1.72）分，且兩組干預(yù)后MoCA評分明顯高于干預(yù)前，差異具有統(tǒng)計學意義（P<0.05）。觀察組干預(yù)2個月后中醫(yī)證候積分明顯低于對照組，且兩組均較干預(yù)前顯著下降，差異具有統(tǒng)計學意義（P<0.05）。觀察組干預(yù)2個月后臨床總有效率為94.44%，較對照組77.78%提高，差異具有統(tǒng)計學意義（P<0.05）。觀察組干預(yù)2個月后日常生活活動能力評分為（76.93±4.82）分，明顯高于對照組（69.85±3.12）分，且明顯高于干預(yù)前，差異有統(tǒng)計學意義（P<0.05）。 結(jié)論 常規(guī)治療和干預(yù)基礎(chǔ)上給予五臟俞麥粒灸聯(lián)合耳穴壓豆治療可有助于改善非癡呆型血管性認知障礙患者日常生活活動能力，促進患者參與臨床治療，提高臨床治療效果，最終改善患者臨床癥狀和認知功能障礙。

[關(guān)鍵詞] 非癡呆型血管性認知功能障礙;五臟俞;麥粒灸;耳穴壓豆;日常生活活動能力

[中圖分類號] R246.6? ? ? ? ? [文獻標識碼] B? ? ? ? ? [文章編號] 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.