Objective To observe the clinical effect of acupuncture in combination with medicine in the treatment of mild cognitive impairment after cerebral infarction as well as the impact on patients＇ daily living ability. Methods Seventy-two patients, in accordance with random number table, were divided into two groups, acupuncture combined with western medicine group （group A） and western medicine group （group B）, each group with 36 patients. In combination with nimodipine tablets, acupuncture which can regulate the mind and reinforce the intelligence [making Baihui （百会 GV 20）, Sishencong （四神聪EX-HN 1）, Sibai （四白 ST 2）, Fengchi （风池 GB 20）, Wanggu （完骨 GB 12）, Tianzhu （天柱 BL 10）, Shenmen （神门 HT 7）, Neiguan （内关 PC 6）, Shuigou （水沟 GV 26）, Sanyinjiao （三阴交 SP 6）, Taichong （太冲 LR 3）, Fenglong （丰隆 ST 40） as the main acupoints] was given in the treatment group （group A） while only nimodipine tablets were given in the control group （group B）. The efficacy of these two groups was evaluated by Montreal Cognitive Assessment （MoCA） Scale after the continuous treatment for three months. Results The remarkably effective rate was 69.4%.and the total effective rate was 91.7% in the treatment group, while the remarkably effective rate was 55.6% and the total effective rate was 80.6% in the control group; the differences between the two groups were statistically significant （P〈0.05）. When comparing the MoCA score before and after treatment, which was 20.23±4.67 before treatment and 26.84±3.87 after treatment in group A; 19.82±3.56 before treatment and 23.33±2.78 after treatment in group B, it was found that the score for both groups became higher after treatment than that before treatment. Furthermore, the increase of the score was higher in the treatment group （6.61±0.80） than that in the control group （3.51±0.78） and the differences were statistically significant （P〈0.05）. Conclusion Acupunctu
目的评价针刺治疗膝骨性关节炎的疗效及安全性。方法将90例膝骨性关节炎患者随机分为针刺组和安慰针组各45例,针刺组取患侧穴位犊鼻、内膝眼、血海、梁丘、鹤顶、阳陵泉、阴陵泉、曲泉、膝阳关、阿是穴进行毫针针刺;安慰针组取相同穴位采用安慰针具施术。两组均每周连续治疗5天,休息2天后进行下周治疗,连续治疗4周。分别于治疗前、治疗2周、4周根据the Western Ontario and Mc Maste universities骨性关节炎指数(WOMAC)评分,治疗前、治疗4周根据世界卫生组织生存质量测定量表简表(WHOQOL-BREF量表)对两组患者膝关节功能和生存质量进行评价。记录治疗过程中不良反应的发生情况。结果两组治疗2周及4周后WOMAC评分均低于治疗前(P<0.05),且针刺组治疗后两时间点WOMAC评分均明显低于安慰针组(P<0.05)。治疗4周后针刺组患者健康状况主观感觉、生理领域评分均高于本组治疗前(P<0.05),安慰针组WHOQOL-BREF量表各维度治疗前后比较差异无统计学意义(P>0.05);治疗4周后针刺组生存质量主观感觉、健康状况主观感觉、生理领域评分均高于安慰针组(P<0.05)。针刺组共计4例5次针刺导致皮下血肿计入不良反应,血肿均自行吸收;安慰针组无不良反应。结论针刺治疗能够改善膝骨性关节炎患者膝关节功能、提高患者生活质量,且安全性良好。
