|
|
Clinical effect of the acupoints combination of kidney-benefiting and marrow-filling of electroacupuncture in the treatment of Alzheimer’s disease with syndrome of marrow sea insufficiency#br# |
LIU Yong1 YU Haoheng2 |
1.The First Department of Acupuncture and Moxibustion, the First Affiliated Hospital of Heilongjiang University of Chinese Medicine, Heilongjiang Province, Harbin 150040, China;
2.Graduate School, Heilongjiang University of Chinese Medicine, Heilongjiang Province, Harbin 150040, China |
|
|
Abstract Objective To explore the clinical effect of the acupoints combination of kidney-benefiting and marrow-filling of electroacupuncture in the treatment of Alzheimer’s disease with syndrome of marrow sea insufficiency. Methods A total of 60 patients recruited from the outpatient and inpatient department of the First Affiliated Hospital of Heilongjiang University of Chinese medicine from September 2019 to November 2020 were selected, according to random number table method, they were divided into acupuncture group (30 cases) and electroacupuncture point group (30 cases). The acupuncture group was treated with traditional acupuncture and moxibustion, and the electroacupuncture point group was treated with acupoints combination of kidney-benefiting and marrow-filling. Both groups were treated for four weeks. The mini mental state examination (MMSE), classification of dementia syndrome in traditional Chinese medicine (SDSD), and Montreal cognitive assessment (MoCA) was compared between the two groups before and after treatment, and the efficacy index was calculated as the efficacy evaluation. Results After treatment, the MMSE and MOCA scores of the two groups were higher than those before treatment (P < 0.05), and the electroacupuncture point group was higher than that of the acupuncture group (P < 0.05); the SDSD scores of the two groups were lower than those before treatment (P < 0.05), and the electroacupuncture point group was lower than that of the acupuncture group (P < 0.05). The therapeutic indexes of MMSE, SDSD and MOCA in electroacupuncture point group were higher than those of the acupuncture group (P < 0.05). Conclusion Both traditional acupuncture and acupoints combination of kidney-benefiting and marrow-filling have definite curative effects on Alzheimer’s disease with syndrome of marrow sea insufficiency, and acupoints combination of kidney-benefiting and marrow-filling is better than traditional acupuncture in the treatment of Alzheimer’s disease with syndrome of marrow sea insufficiency.
|
|
|
|
|
[1] Cummings JL,Tong G,Ballard C. Treatment Combinations for Alzheimer’s Disease:Current and Future Pharmacotherapy Options [J]. J Alzheimers Dis,2019,67(3):779-794.
[2] Lane CA,Hardy J,Schott JM. Alzheimer’s disease [J]. Eur J Neurol,2018,25(1):59-70.
[3] Yu CC,Ma CY,Wang H,et al. Effects of Acupuncture on Alzheimer’s Disease:Evidence from Neuroimaging Studies [J]. Chin J Integr Med,2019,25(8):631-640.
[4] Huang Q,Luo D,Chen L,et al. Effectiveness of Acupuncture for Alzheimer’s Disease:An Updated Systematic Review and Meta-analysis [J]. Curr Med Sci,2019,39(3):500-511.
[5] 李嫦.盐酸美金刚联合盐酸多奈哌齐治疗阿尔茨海默病对患者精神行为症状及生活质量的影响[J].中国医药科学,2020,10(16):21-25.
[6] Breijyeh Z,Karaman R. Comprehensive Review on Alzh-eimer’s Disease:Causes and Treatment [J]. Molecules,2020,25(24):5789.
[7] Jack CR Jr,Bennett DA,Blennow K,et al. NIA-AA Research Framework: Toward a biological definition of Alzheimer's disease [J]. Alzheimers Dement,2018,14(4):535-562.
[8] 王永炎,严世芸.实用中医内科学[M].2版.上海:上海科学技术出版社,2009.
[9] 高树中.针灸治疗学[M].10版.北京:中国中医药出版社,2016.
[10] Hahn L,Kessler J. A new scoring system for increasing the sensitivity of the MMSE [J]. Z Gerontol Geriatr,2020, 53(2):156-162.
[11] Jassal SV,Farragher JF. MoCA:Turn Your Mind to It [J]. J Am Soc Nephrol,2020,31(4):672-673.
[12] 田金洲.中国痴呆诊疗指南[M].2版.北京:人民卫生出版社,2018.
[13] Zhuang L,Yang Y,Gao J. Cognitive assessment tools for mild cognitive impairment screening [J]. J Neurol,2021, 268(5):1615-1622.
[14] 吕佩源.着力提升老龄人群认知障碍与痴呆防控水平[J].疑难病杂志,2020,19(8):757-759.
[15] Liu Y,Cong L,Han C,et al. Recent Progress in the Drug Development for the Treatment of Alzheimer’s Disease Especially on Inhibition of Amyloid-peptide Aggregation [J]. Mini Rev Med Chem,2021,21(8):969-990.
[16] Smedinga M,Darweesh SKL,Bloem BR,et al. Towards early disease modification of Parkinson’s disease:a review of lessons learned in the Alzheimer field [J]. J Neurol,2021,268(2):724-733.
[17] 黄曾,周建伟,王欣欣,等.针灸治疗老年性痴呆的机制研究近况[J].四川中医,2020,38(4):214-217.
[18] 任博,郭婷,刘智斌,等.基于“既病防变”理念探讨针刺疗法在阿尔茨海默病治疗中的应用[J].辽宁中医杂志,2020,47(7):157-159.
[19] 黄重生,孔立红,余超超,等.针刺治疗阿尔茨海默病胆碱能机制的研究现状与思考[J].中华中医药学刊,2020, 38(10):30-34.
[20] 高维滨.神经病针灸新疗法[M].北京:人民卫生出版社,2002.
[21] 杨晏.益髓通窍针灸疗法治疗阿尔茨海默病症的前景[J].中国社区医师,2020,36(9):95-97.
[22] 于臻,徐家淳,覃启京,等.基于复杂网络的针刺治疗老年性痴呆选穴规律分析[J].中国针灸,2019,39(5):551-555.
[23] 王姿懿,苏莉.基于数据挖掘探讨针灸治疗卒中后认知障碍的取穴规律[J].西部中医药,2021,34(6):75-80.
[24] 林尔正,林丹红.针灸治疗认知功能障碍经穴的古代文献研究[J].中华中医药杂志,2016,31(11):4835-4837.
[25] 寇勋,金如玉,李永峰.从膀胱经“入络脑”探讨中医脑病的治疗[J].中医学报,2020,35(2):263-265.
[26] Wei WL,Harn HJ,Chiou TW,et al. Chinese herbs and acupuncture to improve cognitive function in Alzheimer’s disease [J]. Tzu Chi Med J,2021,33(2):122-127.
[27] Song YY,Xu WT,Zhang XC,et al. Mechanisms of Electroacupuncture on Alzheimer’s Disease:A Review of Animal Studies [J]. Chin J Integr Med,2020,26(6):473-480.
[28] 高维滨.高维滨针刺十绝[M].北京:中国医药科技出版社,2019.
|
|
|
|