LIN Wu, YANG Fang, ZHANG Yang, et al. Effect of “Tongdu Tiaoshen” needling on cognitive dysfunction in patients with sepsis associated encephalopathy and its mechanism[J]. Acupuncture research, 2019, 44(12): 888-892.
DOI:
LIN Wu, YANG Fang, ZHANG Yang, et al. Effect of “Tongdu Tiaoshen” needling on cognitive dysfunction in patients with sepsis associated encephalopathy and its mechanism[J]. Acupuncture research, 2019, 44(12): 888-892. DOI: 10.13702/j.1000-0607.190411.
Effect of “Tongdu Tiaoshen” needling on cognitive dysfunction in patients with sepsis associated encephalopathy and its mechanism
ObjectiveTo observe the efficacy of"Tongdu Tiaoshen"(dredging Governor Vessel and regulating mind
needling on the cognitive function of patients with sepsis associated encephalopathy(SAE).MethodsA total of 64 patients with SAE were enrolled in the present study
and randomly and equally divided into a control group and a treatment group. Patients in the control group received conventional medicines and conventional needling treatment. The patients of the treatment group received conventional medicines and"Tongdu Tiaoshen"needling treatment. The treatment was conducted once daily for 10 days. The Montreal Cognitive Assessment(MoCA)scale was used to assess the therapeutic effect after the treatment. Serum interleukin-6(IL-6)was detected by radioimmunoassay
serum C-reactive protein(CRP)was detected by immuno-scattering method
and arterial blood lactic acid(Lac)content was detected by blood gas analyzer.ResultsThe effective rate in the treatment group was obviously higher than that in the control group(P<0. 01). After the treatment
the MoCA scores were considerably increased in both groups compared with their own pre-treatment(P<0. 01)
and the MoCA scores in the treatment group were obviously higher than those of the control group in the visual space and executive function
attention and computational power
language
abstraction and delayed recall dimensions(P<0. 01). The contents of IL-6
CRP and Lac in both groups were significantly decreased after the treatment relevant to those of their own pre-treatment(P<0. 01)
and were obviously lower in the treatment group than those in the control group(P<0. 01).Conclusion"Tongdu Tiaoshen"needling can significantly improve the cognitive function of SAE patients
which may be associated with its effect in reducing inflammatory reaction of sepsis.
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CHEN Tao
LI Bin-bin
GUO Shu-hao
SHAO Yu-ying
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The First Clinical Medical College of Harbin Medical University
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Department of Acupuncture-moxibustion,Dongfang Hospital,Beijing University of Chinese Medicine