CAJ | 학술논문

目的：观察调神通络针法对脑白质疏松症患者颈动脉血流动力学的影响。方法对60例脑白质疏松症患者采用调神通络针刺法治疗，观察患者治疗前后简易智力量表(MMSE)及蒙特利尔认知评估量表(MoCA)评分，并比较治疗前后颈动脉血流动力学各项指标。结果患者治疗后MMSE评分及MoCA评分与治疗前比较，差异均具有统计学意义(P＜0.01)。患者治疗后颈总动脉、颈内动脉及椎动脉血流动力学各项指标(收缩期峰值血流速度、舒张期末流速、血管阻力指数及血管搏动指数)与治疗前比较，差异均具有统计学意义(P＜0.05)。结论调神通络针刺法能改善脑白质疏松症患者的认知障碍，同时对患者颈动脉血流动力学改变有显著作用。
목적：관찰조신통락침법대뇌백질소송증환자경동맥혈류동역학적영향。방법대60례뇌백질소송증환자채용조신통락침자법치료，관찰환자치료전후간역지역량표(MMSE)급몽특리이인지평고량표(MoCA)평분，병비교치료전후경동맥혈류동역학각항지표。결과환자치료후MMSE평분급MoCA평분여치료전비교，차이균구유통계학의의(P＜0.01)。환자치료후경총동맥、경내동맥급추동맥혈류동역학각항지표(수축기봉치혈류속도、서장기말류속、혈관조력지수급혈관박동지수)여치료전비교，차이균구유통계학의의(P＜0.05)。결론조신통락침자법능개선뇌백질소송증환자적인지장애，동시대환자경동맥혈류동역학개변유현저작용。
Objective To investigate the effect of mind-regulating and collateral-unblocking acupuncture on carotid hemodynamics in leukoaraiosis patients. Methods Sixty leukoaraiosis patients were treated with mind-regulating and collateral-unblocking acupuncture. The Mini Mental Sate Examination (MMSE) score and the Montreal Cognitive Assessment (MoCA) score were recorded in the patients before and after treatment. Pre-and post-treatment carotid hemodynamic indices were compared. Results There were statistically significant pre-/post-treatment differences in the MMSE score and the MoCA score (P<0.01) and in common carotid, internal carotid and vertebral artery hemodynamic indices (peak systolic blood flow velocity, end-dystolic flow velocity, vascular resistance index and vascular pulsation index) (P<0.05) in the patients. Conclusions Mind-regulating and collateral-unblocking acupuncture can improve cognitive disorder in leukoaraiosis patients. Meanwhile, it has a marked improving effect on carotid hemodynamics in the patients.