国际中医中药杂志
國際中醫中藥雜誌
국제중의중약잡지
INTERNATIONAL JOURNAL OF TRIDITIONAL CHINESE MEDICINE
2013年
11期
968-972
,共5页
郑信团%于娟%凃人顺%孙淑菊%孙海花%王宪举
鄭信糰%于娟%凃人順%孫淑菊%孫海花%王憲舉
정신단%우연%도인순%손숙국%손해화%왕헌거
健身气功六字诀%轻度认知障碍
健身氣功六字訣%輕度認知障礙
건신기공륙자결%경도인지장애
Six Healing Sounds%MCI
目的 观察健身气功六字诀对老年轻度认知障碍的康复作用.方法 采用随机数字表法将患者随机分为六字诀习练组(简称“习练组”)和对照组,利用蒙特利尔认知评估(MOCA)、简易精神状态检查(MMSE)评定两组患者练功前后的疗效,采用“神经生理信息工作站”分别记录两组的脑电信息,并导入“智能脑功能分析系统”对脑电信息进行分析处理.结果 ①经6个月习练后,习练组后期MOCA (25.18±5.07)、MMSE (26.03±2.63)总评分均较同组习练前增加,其本组前后比较有统计学意义.与对照组比较[(MOCA (22.83±4.95) and MMSE (24.86±2.98)],差异均有统计学意义.MOCA各亚项评分在两组间的比较,其中习练组后期在注意力(5.04±0.90)、延迟回忆(3.02±0.89)、语言(2.30±0.57)评分增加,其本组前后比较有统计学意义.与对照组[(注意力(4.28±1.08)、延迟回忆(2.33±0.95)、语言(2.13±0.51)]比较,差异均有统计学意义.MMSE各亚项评分在两组间的比较,其中习练组后期在瞬时回忆(2.35±0.43)、延迟回忆(2.42±0.48)、语言能力(8.49±0.54)项评分增加,其本组前后比较有统计学意义.与对照组[(瞬时回忆(2.15±0.34)、延迟回忆(2.14±0.83)、语言能力(8.13±0.70)]比较,差异均有统计学意义.②频率域比较:习练组习练前后比较,δ (0.0848±0.0373)μv 2频段显著减少,α1(0.3753±0.1470)μ v 2频段显著增加.两组习练后比较,δ、θ(0.2266±0.0953)μv 2频段显著减少,α1频段显著增加(对照组后期:δ频段(0.1095±0.0520)μv2、θ频段(0.2589±0.0862)μ v2andα1频段(0.3160±0.1540)μv2).②两组空间域的比较:从(δ+θ)/(α1+α2+β1+β2)比值的变化来看,经6个月的健身气功“六字诀”的习练后,习练组前后比较,右额(0.5115±0.4262)、左枕(0.3365±0.2436)、右枕(0.3536±0.2671)、右中颞(0.4581±0.3798)、左后颞(0.3198±0.3608)呈明显下降；左前额(0.8233±0.6857)、右前额(0.7710±0.6352)、左中央(0.3702±0.3910)、右中央(0.3896±0.3523)、右顶(0.3523±0.2333)、右后颞(0.2972±0.4276)呈显著性下降变化,统计学非常显著.习练组与对照组后期的比较:左中央(C3)、右中央(C4)、右顶(P4)、右中颞(T4)、左后颞(T5)、右后颞(T6)呈明显下降；左前额呈显著性下降变化[对照给后期:左中央(0.5706±0.4944)、右中央(0.5780±0.4996)、右顶(0.4835±0.3641)、右中颞(0.6294±0.4186)、左后颞(0.4882±0.4000)、右后颞(0.4879±0.4131)、左前额(1.0125±0.7476)],统计学非常显著.结论 健身气功六字诀对老年轻度认知障碍有一定康复作用.
目的 觀察健身氣功六字訣對老年輕度認知障礙的康複作用.方法 採用隨機數字錶法將患者隨機分為六字訣習練組(簡稱“習練組”)和對照組,利用矇特利爾認知評估(MOCA)、簡易精神狀態檢查(MMSE)評定兩組患者練功前後的療效,採用“神經生理信息工作站”分彆記錄兩組的腦電信息,併導入“智能腦功能分析繫統”對腦電信息進行分析處理.結果 ①經6箇月習練後,習練組後期MOCA (25.18±5.07)、MMSE (26.03±2.63)總評分均較同組習練前增加,其本組前後比較有統計學意義.與對照組比較[(MOCA (22.83±4.95) and MMSE (24.86±2.98)],差異均有統計學意義.MOCA各亞項評分在兩組間的比較,其中習練組後期在註意力(5.04±0.90)、延遲迴憶(3.02±0.89)、語言(2.30±0.57)評分增加,其本組前後比較有統計學意義.與對照組[(註意力(4.28±1.08)、延遲迴憶(2.33±0.95)、語言(2.13±0.51)]比較,差異均有統計學意義.MMSE各亞項評分在兩組間的比較,其中習練組後期在瞬時迴憶(2.35±0.43)、延遲迴憶(2.42±0.48)、語言能力(8.49±0.54)項評分增加,其本組前後比較有統計學意義.與對照組[(瞬時迴憶(2.15±0.34)、延遲迴憶(2.14±0.83)、語言能力(8.13±0.70)]比較,差異均有統計學意義.②頻率域比較:習練組習練前後比較,δ (0.0848±0.0373)μv 2頻段顯著減少,α1(0.3753±0.1470)μ v 2頻段顯著增加.兩組習練後比較,δ、θ(0.2266±0.0953)μv 2頻段顯著減少,α1頻段顯著增加(對照組後期:δ頻段(0.1095±0.0520)μv2、θ頻段(0.2589±0.0862)μ v2andα1頻段(0.3160±0.1540)μv2).②兩組空間域的比較:從(δ+θ)/(α1+α2+β1+β2)比值的變化來看,經6箇月的健身氣功“六字訣”的習練後,習練組前後比較,右額(0.5115±0.4262)、左枕(0.3365±0.2436)、右枕(0.3536±0.2671)、右中顳(0.4581±0.3798)、左後顳(0.3198±0.3608)呈明顯下降；左前額(0.8233±0.6857)、右前額(0.7710±0.6352)、左中央(0.3702±0.3910)、右中央(0.3896±0.3523)、右頂(0.3523±0.2333)、右後顳(0.2972±0.4276)呈顯著性下降變化,統計學非常顯著.習練組與對照組後期的比較:左中央(C3)、右中央(C4)、右頂(P4)、右中顳(T4)、左後顳(T5)、右後顳(T6)呈明顯下降；左前額呈顯著性下降變化[對照給後期:左中央(0.5706±0.4944)、右中央(0.5780±0.4996)、右頂(0.4835±0.3641)、右中顳(0.6294±0.4186)、左後顳(0.4882±0.4000)、右後顳(0.4879±0.4131)、左前額(1.0125±0.7476)],統計學非常顯著.結論 健身氣功六字訣對老年輕度認知障礙有一定康複作用.
목적 관찰건신기공륙자결대노년경도인지장애적강복작용.방법 채용수궤수자표법장환자수궤분위륙자결습련조(간칭“습련조”)화대조조,이용몽특리이인지평고(MOCA)、간역정신상태검사(MMSE)평정량조환자련공전후적료효,채용“신경생리신식공작참”분별기록량조적뇌전신식,병도입“지능뇌공능분석계통”대뇌전신식진행분석처리.결과 ①경6개월습련후,습련조후기MOCA (25.18±5.07)、MMSE (26.03±2.63)총평분균교동조습련전증가,기본조전후비교유통계학의의.여대조조비교[(MOCA (22.83±4.95) and MMSE (24.86±2.98)],차이균유통계학의의.MOCA각아항평분재량조간적비교,기중습련조후기재주의력(5.04±0.90)、연지회억(3.02±0.89)、어언(2.30±0.57)평분증가,기본조전후비교유통계학의의.여대조조[(주의력(4.28±1.08)、연지회억(2.33±0.95)、어언(2.13±0.51)]비교,차이균유통계학의의.MMSE각아항평분재량조간적비교,기중습련조후기재순시회억(2.35±0.43)、연지회억(2.42±0.48)、어언능력(8.49±0.54)항평분증가,기본조전후비교유통계학의의.여대조조[(순시회억(2.15±0.34)、연지회억(2.14±0.83)、어언능력(8.13±0.70)]비교,차이균유통계학의의.②빈솔역비교:습련조습련전후비교,δ (0.0848±0.0373)μv 2빈단현저감소,α1(0.3753±0.1470)μ v 2빈단현저증가.량조습련후비교,δ、θ(0.2266±0.0953)μv 2빈단현저감소,α1빈단현저증가(대조조후기:δ빈단(0.1095±0.0520)μv2、θ빈단(0.2589±0.0862)μ v2andα1빈단(0.3160±0.1540)μv2).②량조공간역적비교:종(δ+θ)/(α1+α2+β1+β2)비치적변화래간,경6개월적건신기공“륙자결”적습련후,습련조전후비교,우액(0.5115±0.4262)、좌침(0.3365±0.2436)、우침(0.3536±0.2671)、우중섭(0.4581±0.3798)、좌후섭(0.3198±0.3608)정명현하강；좌전액(0.8233±0.6857)、우전액(0.7710±0.6352)、좌중앙(0.3702±0.3910)、우중앙(0.3896±0.3523)、우정(0.3523±0.2333)、우후섭(0.2972±0.4276)정현저성하강변화,통계학비상현저.습련조여대조조후기적비교:좌중앙(C3)、우중앙(C4)、우정(P4)、우중섭(T4)、좌후섭(T5)、우후섭(T6)정명현하강；좌전액정현저성하강변화[대조급후기:좌중앙(0.5706±0.4944)、우중앙(0.5780±0.4996)、우정(0.4835±0.3641)、우중섭(0.6294±0.4186)、좌후섭(0.4882±0.4000)、우후섭(0.4879±0.4131)、좌전액(1.0125±0.7476)],통계학비상현저.결론 건신기공륙자결대노년경도인지장애유일정강복작용.
Objective To observe the rehabilitation of "Six Healing Sounds" on MCI of the oldaged persons.Methods All patients were randomly divided into "Six Healing Sounds" exercise group and control group using random number table.MOCA,and MMSE were adopted for evaluating the efficacy of the subjects before and six months after the practice."Nerve-physiology information workstation" was setup to record the changes of cerebral electric powder of both groups before and 6 months after the treatment.The data was further analyzed by "intelligent cerebral powder analyzing system".Results ①After six months practice,total score of MOCA (25.18 ± 5.07) and MMSE (26.03 ± 2.63) increased significantly after the treatment in the exercise group,which showed significant difference than the control group [MOCA (22.83 ± 4.95) and MMSE (24.86± 2.98)].MOCA increased significantly in attention (5.04 ± 0.90),delay memory (3.02 ± 0.89),verbal(2.30±0.57) sub-item scores after the treatment in the exercise group,showed significant differences than the control group [attention (4.28 ± 1.08),delay memory (2.33 ± 0.95),verbal (2.13 ± 0.51)] ; MMSE also demonstrated a significant increase a in split-second memory(2.35 ±0.43),delay memory(2.42±0.48),verbal (8.49± 0.54) sub-item scores after the treatment in the exercise group,showed significant differences than the control group [split-second memory (2.15 ± 0.34),delay memory (2.14± 0.83),verba (8.13 ± 0.70)].②Frequency changes:the change of δ (0.0848± 0.0373) μ v 2 was decreased than before in the exercise group after 6 months; the change of α1 (0.3753± 0.1470) μ v2was increased than before in the exercise group after 6 months; the change ofδ and θ (0.2266±0.0953)μ v2 had significant difference after the treatment between the two group [control group:δ (0.1095 ± 0.0520) μ v2 θ (0.2589 ± 0.0862) μ v 2and α1 (0.3160 ±0.1540)μ v 2].③Space changes:in the ratio of (δ + θ) / (α1+α2+β1+β2):F4(0.5115±0.4262)、O 1 (0.3365 ± 0.2436)、O2 (0.3536± 0.2671)、T4 (0.4581 ± 0.3798)、T5 (0.3198± 0.3608)、Fp (10.8233 ±0.6857) 、Fp2 (0.7710± 0.6352)、C3 (0.3702 ± 0.3910)、C4 (0.3896 ± 0.3523)、P4 (0.3523 ± 0.2333)、T6 (0.2972± 0.4276)were decreased than before in the exercise group after 6 months; C3、C4、P4、T4、T5 、T6、Fpl had significant difference after the treatment between the two group[control group:C3 (0.5706±0.4944)、C4 (0.5780 ± 0.4996)、P4 (0.4835 ± 0.3641)、T4 (0.6294 ± 0.4186)、T5 (0.4882 ± 0.4000)、T6 (0.4879±0.4131)、Fp1 (1.0125±0.7476)].Conclusion "Six Healing Sounds" had rehabilitation effects on MCI of the old-aged persons.
