CAJ | 학술논문

目的：观察头针丛刺针法对阿尔茨海默病认知功能的影响，并阐述其机理。方法选择符合纳入标准的70例有认知功能障碍的患者，根据住院号单双随机分为两组，治疗组采用头针丛刺联合口服盐酸氟西汀进行治疗，对照组采用常规针刺治疗。2个疗程后，观察对比两组临床疗效及患者日常生活功能(ADL)。结果两组总有效率比较差异有统计学意义(P＜0.05)，两组治疗后ADL评分均明显降低(P＜0.01)，且治疗组较对照组降低更明显(P＜0.05)。结论头针丛刺对阿尔茨海默病患者认知功能障碍有较好的改善作用，可以提高患者生存和生活质量。
목적：관찰두침총자침법대아이자해묵병인지공능적영향，병천술기궤리。방법선택부합납입표준적70례유인지공능장애적환자，근거주원호단쌍수궤분위량조，치료조채용두침총자연합구복염산불서정진행치료，대조조채용상규침자치료。2개료정후，관찰대비량조림상료효급환자일상생활공능(ADL)。결과량조총유효솔비교차이유통계학의의(P＜0.05)，량조치료후ADL평분균명현강저(P＜0.01)，차치료조교대조조강저경명현(P＜0.05)。결론두침총자대아이자해묵병환자인지공능장애유교호적개선작용，가이제고환자생존화생활질량。
Objective To observe the effect of cluster needling at scalp acupoints on cognitive function in Alzheimer disease (AD), and to elucidate its mechanism. Method Seventy eligible patients with cognitive impairment were randomized into two groups by their admission number. The treatment group was intervened by cluster needling at scalp acupoints plus oral administration of Fluoxetine hydrochloride, while the control group was by ordinary acupuncture. Two treatment courses later, the two groups were observed and compared in therapeutic efficacy and Activities of Daily living (ADL). Result There was a significant difference in comparing the total effective rate between the two groups (P<0.05), the ADL scores dropped significantly in both groups after intervention (P<0.01), and the decrease in the treatment group was statistically more significant (P<0.01). Conclusion Cluster needling at scalp acupoints can effectively improve cognitive impairment in AD patients, and can promote the quality of life.