Clinical Observation On Treatment Of Eight Style Taijiquan On Mild Cognitive Impairment Caused By Lacunar Infarction

Objective:Through the observation of the effects of eight Style Taijiquan on Montreal Cognitive Assessment(MoCA)table and Event-Related Potentials(ERPs)-P300 of patients,to provide a medical reference for intervention of eight Style Taijiquan on mild cognitive impairment caused by lacunar infarction,and to provide new ideas and methods for clinical research and interventions.Methods:66 patients with mild cognitive impairment caused by lacunar infarction who met the conditions in January 2018 to December 2020 were selected by a simple randomized grouping method,divided into Groups A,B.There are 33 cases in each group.Group A is Taijiquan training group.Group B is health education control group.Group B: on the basis of basic treatment,keep the original lifestyle and exercise style,only receive the corresponding primary prevention knowledge education of cerebrovascular disease.Group A: on the basis of group B,eight Style Taijiquan was practiced every Monday,Wednesday and Friday for 30 minutes each time for 24 weeks.Both groups were scored by the MoCA table at the pre-intervention,mid-intervention,and post-intervention periods.Before and after intervention,both groups of patients were examined by Event-Related Potentials-P300(ERPs-P300),to observe the overall cognitive function,ERPs-P300 latency,ERPs-P300 amplitude.In this study,all the data is analyzed by SPSS26.0 software.Results:1.The gender,age,education level,risk factors of cerebrovascular disease,MoCA table scores,ERPs-P300 latency,ERPs-P300 amplitude and other aspects of the two groups before intervention were compared.It was found that there was no significant difference between the two groups(P>0.05),which was resonable.2.MoCA table scores: In the middle of intervention,MoCA table score of Taijiquan training group was significantly higher than the score in pre-intervention period(P<0.01).In the post stage of intervention,the MoCA table score of Taijiquan training group was remarkably higher than that before intervention and in the middle stage of intervention,and the difference have the statistically meaning(P<0.01).There was no statistical significance in MoCA table score among the early,middle and late health education groups(P>0.05).The MoCA table scores of the two groups in the middle and post stage of intervention were significantly different(P<0.01).Eight Style Taijiquan can improve MoCA table scores and cognitive impairment in patients with mild cognitive impairment caused by lacunar infarction.3.ERPs-P300: In the post stage of intervention,the latency of ERPs-P300 in Taijiquan training group was shorter than that before the intervention,and the amplitude was higher than that before the intervention,the difference was tested to be statistically meaningful(P<0.01).Conclusion:1.Eight Style Taijiquan can improve the symptoms of patients with mild cognitive impairment caused by lacunar infarction,which is worthy of clinical application and promotion.It is speculated that its mechanism may be related to the fact that eight Style Taijiquan can balance Yin and Yang,adjust viscera,clear meridians and collaterals,harmonize Qi and blood,stimulate Governor Vessel and Conception Vessel.2.Eight Style Taijiquan can also shorten the latency of ERPs-P300 and increase the amplitude,which provides the reference for early intervention of mild cognitive impairment caused by lacunar infarction.