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1. 浙江中医药大学附属第二医院
2. 成都中医药大学附属医院
纸质出版日期:2019
移动端阅览
林武, 杨芳, 张扬, 等. 通督调神针法对脓毒症相关性脑病患者认知功能的影响[J]. 针刺研究, 2019,44(12):888-892.
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.
林武, 杨芳, 张扬, 等. 通督调神针法对脓毒症相关性脑病患者认知功能的影响[J]. 针刺研究, 2019,44(12):888-892. DOI: 10.13702/j.1000-0607.190411.
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.
目的:观察通督调神针法对脓毒症相关性脑病(SAE)患者认知功能的影响
初步分析其可能的机制。方法:64例SAE患者随机分为治疗组和对照组
每组32例。治疗组给予通督调神针法+药物治疗
对照组予普通针刺+药物治疗
均治疗10 d。分别于治疗前后评定蒙特利尔认知评估量表(MoCA)评分
并于治疗后根据MoCA量表评价疗效;治疗前后采用放射免疫法检测血清白细胞介素-6(IL-6)含量
免疫散射法检测血清C-反应蛋白(CRP)含量
血气分析仪检测动脉血乳酸(Lac)含量。结果:治疗组MoCA量表的总有效率高于对照组(P<0. 01)。治疗后两组MoCA评分均较治疗前升高(P<0. 01)
且治疗后治疗组MoCA评分高于对照组(P<0. 01)。治疗后两组在视空间与执行功能、注意力与计算力、语言能力、抽象能力和延迟回忆5个方面较治疗前评分均明显升高(P<0. 01)
且治疗后治疗组各评分均高于对照组(P<0. 01)。治疗后两组血清IL-6、CRP及动脉血Lac含量均较治疗前明显下降(P<0. 01)
且治疗后治疗组血清IL-6、CRP及动脉血Lac含量较对照组显著降低(P<0. 01)。结论:通督调神针法可改善SAE患者的认知功能
其作用机制可能与减轻脓毒症炎性反应相关。
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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