文献类型：期刊文献

中文题名：“三才益智”灸结合“同时多重任务”认知康复模式治疗轻度认知障碍的随机对照研究

英文题名：‘Sancai Yizhi’ moxibustion combined with ‘simultaneous multitasking’ cognitive rehabilitation model on cognitive function for treatment in patients of mild cognitive impairment: A randomized, controlled trial

作者：汪海燕[1,2];李思妤[1,3];胡琼[1,3];于海洋[2];黄夏莲[4];张虹[1,3]

第一作者：汪海燕

机构：[1]成都中医药大学针灸推拿学院,成都610036;[2]甘肃中医药大学附属医院针灸科,兰州732000;[3]成都中医药大学第三附属医院针灸科,成都610075;[4]四川省八一康复中心,成都611135

第一机构：成都中医药大学针灸推拿学院,成都610036

年份：2021

卷号：36

期号：11

起止页码：6884

中文期刊名：中华中医药杂志

外文期刊名：China Journal of Traditional Chinese Medicine and Pharmacy

收录：CSTPCD;;北大核心:【北大核心2020】；CSCD:【CSCD2021_2022】；

基金：四川省科学技术厅四川省重点研发项目(No.2018SZ0072)。

语种：中文

中文关键词：轻度认知障碍;三才益智;灸法;同时多重任务;神经心理学量表

外文关键词：Mild cognitive impairment;Sancai Yizhi;Moxibustion;Simultaneous multitasking;Neuropsychological scale

摘要：目的:观察以"三才益智"灸结合"同时多重任务"认知康复模式对轻度认知障碍(MCI)早期干预的临床疗效。方法:将符合纳入标准的165例MCI患者随机分为艾灸组、同时多重任务组和结合治疗组,每组55例。艾灸组采用艾灸百会、神阙和涌泉穴,同时多重任务组进行认知康复训练,结合治疗组在艾灸治疗基础上加用认知康复训练,各组治疗均隔日1次,共治疗8周。治疗结束时及结束12周后分别以简易精神状态评价量表(MMSE)和蒙特利尔认知评估量表(MoCA)评分作为疗效评价指标,分析评价3组治疗后的临床疗效。结果:与本组治疗前比较,3组MCI患者治疗后及随访时MMSE得分和MoCA评分显著升高(P<0.01,P<0.05)。与同期多重任务组比较,治疗后结合治疗组和艾灸组MMSE评分和MoCA评分显著升高(P<0.05);与艾灸组同期比较,治疗后结合治疗组MMSE评分和MoCA评分显著升高(P<0.05)。结论:3种治疗方法均能在一定程度上改善MCI患者的认知障碍,"三才益智"灸较"同时多重任务"疗效更佳,"三才益智"灸结合"同时多重任务"的干预模式则更具优效性。
Objective: To observe the clinical effect of ‘Sancai Yizhi’ moxibustion combined with ‘simultaneous multitasking’ cognitive rehabilitation model on early intervention of mild cognitive impairment(MCI). Methods: A total of 165 MCI patients who met the inclusion criteria were randomly divided into combined treatment group, moxibustion group and simultaneous multitasking group, with 55 cases in each group. The moxibustion group was treated with moxibustion at Baihui,Shenque and Yongquan points, and the multi task group was treated with cognitive rehabilitation training. The combined treatment group was treated with cognitive rehabilitation training on the basis of moxibustion group. Each group was treated once every other day for 8 weeks. At the end of treatment and 12 weeks after treatment, the clinical efficacy of the three groups were analyzed and evaluated by using the scores of simple mental state evaluation scale(MMSE) and Montreal cognitive assessment(MoCA) as the efficacy evaluation indexes. Results: compared with that before treatment, the MMSE score and MoCA score of MCI patients in the three groups were significantly higher after treatment and follow-up(P<0.01, P<0.05). Compared with the multitasking group in the same period, the MMSE score and MoCA score in the combined treatment group and moxibustion group increased significantly after treatment(P<0.05). Compared with the moxibustion group at the same time, the MMSE score and MoCA score in the combined treatment group were significantly higher after treatment(P<0.05). Conclusion: Three treatment methods can improve the cognitive impairment of MCI patients to a certain extent. The effect of ‘Sancai Yizhi’ moxibustion is better than ‘simultaneous multitasking’, and the intervention mode of ‘Sancai Yizhi’ moxibustion combined with ‘simultaneous multitasking’is more effective.