To Explore The Efficacy Of Acupuncture Combined With Abdominal Massage In The Treatment Of Non-dementia Vascular Cognitive Impairment

Objective According to theory of “brain gut axis”,patients with VCIND were treated with acupuncture and abdominal massage.It is used to stimulate the brain and nourish the marrow.The MMSE scale,MoCA scale,ADL scale score and plasma 5-HT value were compared and analyzed before and after treatment of VCIND.To explore the therapeutic effect of this method on patients with non-dementia vascular cognitive dysfunction.To provide new ideas and methods for TCM treatment of patients with VCIND,and to provide a certain clinical basis for "treating the brain from the intestines".Methods This study selected 40 patients with VCIND to see a doctor order Numbers for 01-size40.According to the random number table method,20 patients were divided into treatment group and control group by 1:1.Both groups were treated with conventional symptomatic treatment of western medicine,including regulating blood pressure,blood glucose,blood lipid,nourishing the brain,improving brain circulation,etc.On the basis of routine treatment of western medicine,the control group was treated with ordinary acupuncture,and the treatment group was treated with abdominal massage therapy based on the treatment group.The treatment of acupuncture and abdominal massage was1 day.Both groups were treated with 2 weeks of 1 course of treatment.The MMSE,MoCA,ADL scale scores and plasma 5-HT values of the two groups were recorded before and after the treatment and after treatment,and the group and group were compared.After the treatment of the two groups of patients,the blood routine,urine routine,liver and kidney function,second routine,electrocardiogram and other safety indicators were examined.The counting data is expressed as(X plus or minus S),and t test is used,and the measurement data is selected as the chi 2 test.P>0.05 showed nosignificant difference,P<0.05 indicated significant difference,and P<0.01 indicated significant difference.During the treatment,observe,record and analyze the occurrence of clinical adverse events.Results(1)After treatment,the efficacy of the two groups was compared,and the treatment group was better than the control group,with significant difference(P<0.05).The total effective rate of the treatment group was 90%,and the total effective rate of the control group was 75%.(2)After the treatment of 1 course of treatment,the MoCA scores of both groups were significantly different from those before treatment(P<0.05).There was no significant difference between the two groups(P>0.05).After 2 courses of treatment,the MoCA scores of both groups were significantly different from those before treatment(P<0.01).There was a significant difference between the two groups(P<0.01)(3)After 1 course of treatment,the ADL score of the control group was significantly different from that before treatment(P<0.05),and the ADL score of the treatment group was significantly different from that of the treatment group(P<0.01).There were significant differences between the two groups(P<0.05).After 2 courses of treatment,the ADL scores of both groups were significantly different from those before treatment(P<0.01).There was a significant difference between the two groups(P<0.01).(4)After 1 course of treatment,there was no significant difference between MMSE score and pre-treatment in the control group(P>0.05),and the MMSE score in the treatment group was significantly different from that in the treatment group(P<0.05).There was no significant difference between the two groups(P>0.05).After 2 courses of treatment,MMSE score in the control group was significantly different from that before treatment(P<0.05),and MMSE score in the treatment group was significantly different from that before treatment(P<0.01).There were significant differences between the two groups(P<0.05).(5)After the treatment of 1 course of treatment,there was no significant difference in plasma 5-HT value in the control group(P>0.05),and the plasma 5-HT value in the treatment group was significantly different from that in the treatment group(P<0.05).There were significant differences between the two groups(P<0.05).After 2 courses of treatment,the plasma 5-HT value in the control group was significantly different from that before treatment(P<0.05),and the plasma 5-HT value in the treatment group was significantly different from that before treatment(P<0.01).There was a significant difference between the two groups(P<0.01).(6)During the treatment,one patient in the control group was given a motion sickness,and one patient in the treatment group had subcutaneous hematoma,and one patient showed no significant difference(P>0.05).In this study,40 patients with VCIND were treated.In the second and fourth weeks after treatment and after treatment,no significant changes and abnormalities were observed in the two groups of patients,such as routine,liver and kidney function,electrocardiogram,etc.Conclusion VCIND patients treated in treatment group and control group,all have certain curative effect,but compared with the control group,treatment group patients MMSE,MoCA,score of ADL scale improve and 5-HT more prominent,the better effect of the treatment group than the control group.Acupuncture combined with abdominal massage can effectively improve patients' cognitive function and improve patients' daily life ability,which is worthy of clinical promotion.