Effect of Interactive Dynamic Scalp Acupuncture on Post-Stroke Cognitive Function,Depression,and Anx

来源 :中国结合医学杂志(英文版) | 被引量 : 0次 | 上传用户:xuhanping820
下载到本地 , 更方便阅读
声明 : 本文档内容版权归属内容提供方 , 如果您对本文有版权争议 , 可与客服联系进行内容授权或下架
论文部分内容阅读
Objective:To compare the clinical effects of interactive dynamic scalp acupuncture (IDSA),simple combination therapy (SCT),and traditional scalp acupuncture (TSA) on cognitive function,depression and anxiety in patients with post-stroke cognitive impairment.Methods:A total of 660 patients with post-stroke cognitive impairment who were admitted to 3 hospitals in Shenzhen City between May 2017 and May 2020 were recruited and randomly assigned to the IDSA (218 cases),SCT (222 cases) and TSA groups (220 cases)according to a random number table.All the patients received conventional drug therapy for cerebral stroke and exercise rehabilitation training.Scalp acupuncture and computer-based cognitive training (CBCT) were performed simultaneously in the IDSA group,but separately in the moming and in the aftemoon in the SCT group.The patients in the TSA group underwent scalp acupuncture only.The course of treatment was 8 weeks.Before treatment (M0),1 (M1) and 2 months (M2) after treatment,as well as follow-up at 1 (M3) and 2 months(M4),the cognitive function of patients was assessed using the Mini-Mental State Examination (MMSE) and Montreal Cognitive Assessment Scale (MoCA) Scales;depression,anxiety,sleep quality,and self-care ability of patients were assessed using Hamilton Depression Rating Scale (HAMD),Hamilton Anxiety Rating Scale(HAMA),Pittsburgh Sleep Quality Index (PSQI),and Modified Barthel Index (MBI),respectively.During this trial,all adverse events (AEs) were accurately recorded.Results:There were no significant differences in the MMSE,MoCA,HAMD,HAMA,PSQI,and MBI scores among the 3 groups at M0 (all P>0.05).In the IDSA group,the MMSE,MoCA and MBI scores from M2 to M4 were significantly higher than those in the SCT and TSA groups,while the HAMD,HAMA and PSQI scores were significantly reduced (all P<0.01).The changes of all above scores (M2-M0,M4-M0) were significantly superior to those in the SCT and TSA groups (all P<0.01,except M4-M0 of HAMD).At M2,the severity of MMSE,HAMD,HAMA,PSQI and MBI in the IDSA group was significantly lower than that in the SCT and TSA groups (all P<0.01).There was no serious AE during this trial.Conclusions:IDSA can not only significantly improve cognitive function,but also reduce depression,anxiety,which finally improves the patient\'s self-care ability.The effect of IDSA was significantly better than SCT and TSA.(Trial registration No.ChiCTR1900027206)
其他文献
在大方县选择土壤肥力中等以上,pH值6以上,平整、不积水,长度与宽度达到试验要求的地块进行8个紫花苜蓿品种3次重复的比较试验,通过对物候期、生物产量、分枝数和植株高度进行对比分析,结果表明:WL343HQ和WL366HQ,分枝较多,植株较高,生物产量较高,可以在该县范围大力推广.
本文重点介绍如东环袁畜禽粪污清运合作社该如何解决畜禽粪污资源化利用的问题以及合作社内的工作人员如何与养殖户进行沟通交流,并不断学习提高自己的业务能力.一个合作社只有增强内部工作人员的凝聚力,提高组织与农户的亲和力,才能更好地立足于当下,并且不断发展壮大.同时,政府有关部门也应当与合作社携手并进,给予养殖户更多的支持和帮助,才能更好地促进袁庄畜牧业的良好发展.
黑龙江省规模化奶牛场的粪污处理难度较大,表现在粪污产量大,还田难度大,冬季的粪污储存、运输、处理和发酵效果等问题难以解决.以存栏3000头的牧场为例,每天可产生固体粪污约60吨,污水约150吨.牧场处理粪污所需的设施设备和人工投入达几百万元,消纳土地面积达几千亩.粪污处理已成为制约我省奶业高质量发展的重要因素之一.
笔者采用腹部十字灸联合针刺治疗肝胃气滞型慢性非萎缩性胃炎(chronic non-atrophic gastritis, CNG)患者30例,现报道如下.rn1 临床资料rn30例患者来自2020年3月至2021年5月山东中医药大学附属医院针灸科门诊.其中男17例,女13例;年龄27~62岁,平均(42±8)岁;病程1~6年,平均(3.4±1.3)年.西医诊断符合《中国慢性胃炎共识意见(2017年,上海)》[1]中CNG的诊断标准.中医诊断符合《慢性胃炎中医诊疗专家共识意见(2017)》[2]中肝胃气滞证
新时期,为满足老百姓绿色安全食肉需求,加强基层动物检疫工作的社会呼声愈发高涨.文下概述畜牧兽医工作中动物检疫的工作现状,分析基层动物检疫工作中存在的问题.针对这些问题,提出了配建高素质、技术精的检疫队伍;理顺协办各单位工作关系;健全完善相关法律法规;提高市场准入行业标准;完善兽医内部管理体制;做好《防疫法》普法宣传;配套动物检疫硬件设施;推进检疫信息化平台建设;加大屠宰、流通环节检疫监督等工作建议,为进一步加强辽宁地区动物检疫工作提供宝贵的工作建议.
近年来,随着动物养殖规模的逐步扩大,密集性养殖成了引发各种传染疫病的主要因素,直接影响到了我国畜牧养殖行业的稳定发展.对此,为了有效控制动物疫病的传播范围,就需要加强动物疫病防控及卫生监督工作,结合先进的防控策略和技术手段,尽全力遏制动物疫病的发生,为畜牧产品的安全性和可靠性提供重要保障,进而促进社会经济的全面发展.
介绍针刺临床试验中常用的安慰针刺模拟装置,包括Streitberger装置、Park装置、Takakura装置、Foam装置以及幻影针刺.针刺是一类复杂干预,围绕针刺临床试验安慰剂对照的方法学争论主要包括:安慰针刺可能是一类有效对照,也具有一定的特异性疗效;安慰针刺的设盲效果备受质疑,尤其是很难模仿针刺过程中的得气感.本研究据此对针灸临床试验中安慰剂对照的选择和使用情境给出建议.
在畜牧养殖产业中常利用兽药防控或治疗动物疾病,但由于使用不规范,兽药残留远超过国家标准,对环境和人体造成直接威胁.基于此,本文通过分析兽药残留的危害性,分析兽药残留的原因,并提出了控制兽药残留的应对措施.以期能够利用监管和科普宣传,科学使用兽药,严格监控兽药检测,逐步消除兽药残留问题.
Objective:To explore the therapeutic effect of Bushen Yiqi Huoxue Decoction BYHD)in patients with diminished ovarian reserve(DOR).Methods:A total of 180 patients with DOR diagnosed from December 2013 to December 2014 were equally assigned into progynova a
本文简要介绍我国牛羊产业的发展现状,结合山区特有资源条件与产业发展经验,针对制约畜牧业发展的主要因素进行梳理,并围绕推广规模化养殖、完善良种繁育技术支持以及健全配套服务体系保障三个层面进行未来发展路径规划,以期为山区牛羊产业的转型升级提供现实参考价值.