Electricity For Non-vascular Dementia Cognitive Impairment Patients Neuropsychological Effects

ObjectivesOn the basis of strict accordance with the design of clinical studies, the Magic and the wisdom to take four three main points acupoint, dialectical acupoints, supplemented by electrical stimulation of acupuncture method Dementia Vascular cognitive impairment (VCIND) patients observed in clinical dementia rating (CDR), Montreal cognitive Assessment (MoCA), Mini Mental mental State Examination (MMSE) and daily living scale (ADL) changes in patients before and after treatment, in order to quantitatively observe electric needle treatment effect on neuropsychological aspects VCIND patients, and through the currently widely used in clinical nimotop (calcium antagonist) as a control, analyze the characteristics of cognitive function in patients VCIND explore VCIND electricity for patients clinical outcomes, and VCI patients with early intervention to reduce the incidence of VaD.MethodsAll of the subjects in this study were derived from the First Affiliated Hospital of Guangzhou University of Traditional Chinese Medicine in March 2013 March 2015 outpatient and inpatient patients. In strict accordance with the diagnosis, inclusion and exclusion criteria to determine eligibility test patients with a total 80 cases, the use of a random number table, subjects were randomly assigned to treatment groups (EA group) and 40 cases in the control group (Nimotop group) 40 cases. EA group with four Magic and Wisdom were three main points needle acupuncture treatment, with the addition and subtraction with dialectical points, with 30 stainless steel needle Hua card, the main point level after thorn gas connection G6805-Ⅱ electrical manufacturing Shanghai acupuncture device, select the density wave, the patient’s tolerance for the standard amount of stimulation,30min/times, other acupuncture needle into the conventional reinforcing-reducing. EA group by the same physician treatment in the morning, once a day, every ten days to rest for two days, and then continue treatment, a total of 4 weeks of treatment. Group Nimotop Nimotop oral calcium antagonists, the amount of 30mg /time,3 times/day, the same treatment was observed four weeks. Before treatment and after two weeks of treatment, patients in both groups were surrounded Scale score determination observed in patients with clinical dementia rating (CDR), Montreal Cognitive Assessment (MoCA), easy-mental state examination before and after treatment scale (MMSE) and daily living scale (ADL) change, and finally all the clinical efficacy of the experimental results and indicators to establish a database in Excel data entry using SPSS 20.0 software package for statistical analysis.Result1. According to the efficacy of statistical criteria, after the test group and the control group after two weeks of treatment, acupuncture group, the total effective rate was 87.5% in the control group, the total effective rate was 75%; after 4 weeks of treatment, acupuncture group, the total effective rate 90% in the control group, the total effective rate was 72.5%, and after two weeks of treatment between the two groups, after 4 weeks of treatment efficacy comparison P<0.05, significant difference.2. Statistical analysis of CDR, MoCA, MMSE, ADL four scales, EA group and the control group for all scale scores were improved after four weeks of treatment, but the efficacy of contrast between the two groups, only MoCA Scale scores are different, P<0.05, statistically significant differences after treatment, electro-acupuncture group than Nimotop treatment, no significant difference between the two groups remaining scale treatment.3.MoCA scale before and after treatment with each sub-score statistics, compared with before treatment within two weeks after treatment group acupuncture group also performed in visuospatial ability, naming, attention, memory and delayed memory, orientation, etc., P<0.05, the difference was significant; before treatment within the group and after 4 weeks of treatment, and ability to execute in the visual space, naming, attention, language, memory and delayed memory, orientation, etc., P<0.05, there is a significant difference; within two weeks after treatment group and four weeks after treatment, only in terms of memory and delayed memory, P<0.05, the difference was significant. Before treatment in the control group, group and after 2 weeks of treatment, the attention aspect,P<0.05, the difference was significant; compare before treatment and after treatment for 4 weeks, depending on the space and ability to execute, attention, memory and delayed memory, the There was a significant difference (P<0.05); compared with the four weeks after treatment, after two weeks of treatment, in terms of memory and delayed memory, the difference was significant (P<0.05). Comparison of efficacy between the two groups after two weeks of treatment, among all sub-groups comparison of relative efficacy of all P values greater than 0.05, no significant difference. After four weeks of treatment between the two groups, only in terms of memory and delayed memory, P<0.05, significant difference, efficacy comparable efficacy between the two groups compare with the rest of Asia are the P values greater than 0.05, no significant difference.ConclusionAcupuncture treatment and therapy on cognitive function Nimotop VCIND patients were improved, and EA group after two weeks of treatment, after 4 weeks of treatment efficacy than the control group; MoCA scale score for each sub-phase statistics, EA group than nimotop group in terms of improving memory and delayed memory.