Influence Of Acupunture On Executive Function In Patients With Vascular Cognitive Impairment No Dementia (Phlegm And Blood Stasis Syndrome)

Objective:This research used acupuncture to treat on the patients with Vascular Cognitive Impairment No Dementia(Phlegm and Blood Stasis Syndrome),to evalute the influence of acupuncture on patients’ executive function by the way that observed the change of patients’the scores of TCM syndrome,Montreal Cognitive Assessment,verbal fluency test,similarity test,trail making test and Stroop color word test between before and after treatment.Methods:1.64 patients who quality the inclusion criteria were divided into two groups:experimental group and control group with 32 cases in each group.2.The control group were given Nimodipine(30mg,third a day)basis treatment of antiplatelet,control blood pressure ande blood glucose,lipid and so on.The experimental group were conducted four weeks by acupuncture(selected:Baihui,Shenting,Fengfu,Dazhui,Taichong,Hegu,Zusanli,Fenglong),com-bind with the treatment of control group.3.Two groups were both observed with the scores of TCM syndrome(SDSVD),Montreal Cognitive Assessment(MOCA),verbal fluency test(VFT),Wechsler adult intelligence scale similarity and items,trail making test(TMT)and Stroop color word test part C(SCWT-C)before and after treatment.4.The data were processed by SPSS20.0.Results:1.Before the treatment,the comparison of SDSVD,MOCA,VFT,similarity test,SCWT-C scores,and TMT-A,TMT-B,SCWT-C time-consuming of two groups were no statistically significant difference(P>0.05).2.After treatment,the scores of two groups in MOCA,VFT,similarity test both incresed compared with those before treatment(P<0.05),the time-consuming of two groups in TMT-A,TMT-B,SCWT-C both decreased compared with those before treatment(P<0.05),the scores of two groups in SDSVD decreased compared with those before treatment(P<0.05).Meanwhile,the scores of the experimental groups in MOCA,VFT,similarity test were higher than those of the control group(P<0.05),and the time-consuming of the experimental group in TMT-A,TMT-B,SCWT-C were lesser than those of the control group(P<0.05),the scores of the experimental group in SDSVD were lesser than those of the control group(P<0.05).However,the correct number of two group in SCWT-C incresed compared with those before treatment,but there were no significant differences on the correct number of SCWT-C(P>0.05).3.After treatment,the total efficiency of SDSVD in experimental group was 86.67%,and control group was 70.00%,there was significant difference between two groups(P<0.05)。Conclusion:1.Used acupuncture can effectively improve cognitive function and reduce syndrome than used Nimodipine.it show that acupuncture could improve cognitive function in patients with VCIND.2.Used acupuncture can effectively improve inhibition,set shifting,fluency,Abstract concept,Mental flexibility,information processing speed and accuracy than used Nimodipine.The result show that acupuncture could improve executive function in patients with VCIND.It is helpful to delay the progressment of VCIND,so it is worthy to be popularized.