CAJ | 학술논문

目的：观察头穴丛刺法联合认知训练治疗非痴呆型血管性认知损害的疗效。方法：我院非痴呆型血管性认知损害患者60例，采用随机数字表法分为治疗组及对照组。两组患者均予吡拉西坦口服、常规治疗及运动疗法、作业疗法（认知疗法），治疗组另予头穴丛刺疗法；采用蒙特利尔认知评估量表（Montreal Cognitive Assessment，MoCA）评定两组患者认知障碍程度，应用事件相关电位评测认知功能变化。结果：治疗后两组MoCA评分、P300潜伏期均较治疗前明显改善（P<0.05），且治疗组优于对照组（P<0.05）。结论：头穴丛刺疗法联合认知训练可以改善非痴呆型血管性认知损害程度，提高患者生活质量，值得临床推广。
목적：관찰두혈총자법연합인지훈련치료비치태형혈관성인지손해적료효。방법：아원비치태형혈관성인지손해환자60례，채용수궤수자표법분위치료조급대조조。량조환자균여필랍서탄구복、상규치료급운동요법、작업요법（인지요법），치료조령여두혈총자요법；채용몽특리이인지평고량표（Montreal Cognitive Assessment，MoCA）평정량조환자인지장애정도，응용사건상관전위평측인지공능변화。결과：치료후량조MoCA평분、P300잠복기균교치료전명현개선（P<0.05），차치료조우우대조조（P<0.05）。결론：두혈총자요법연합인지훈련가이개선비치태형혈관성인지손해정도，제고환자생활질량，치득림상추엄。
Objective:To observe the effects of scalp acupuncture and cognitive training treating non-dementia vascular cognitive impairment. Meth-ods:60 patients with non-dementia vascular cognitive impairment in our hospital were randomly divided into treatment group and control group with a method of random digits table. Patients of two groups were given oral piracetam, conventional therapy, cinesiatrics and occupational therapy (cogni-tive therapy), treatment group were additionally treated with scalp acupuncture;Montreal Cognitive Assessment(MoCA) and event-related potential were used to evaluate degree of cognitive impairment and changes in cognitive function of two groups. Results:MoCA scores and P300 latency of two groups after the treatment were significantly superior to those before the treatment (P<0.05), and treatment group was better than control group (P<0.05). Conclusion:Scalp acupuncture and cognitive training can improve non-dementia vascular cognitive impairment and life quality of patients, being worthy of clinical promotion.