Study on the curative effect of traditional Chinese medicine Qigong prescription on vascular mild cognitive impairment
Objective To investigate the therapeutic effect of traditional Chinese medicine(TCM)Qigong prescription on vascular mild cognitive impairment(VaMCI).Methods This was a cross-sectional study.Fifty VaMCI patients treated in Department of Rehabilitation Medicine,General Hospital of Tianjin Medical University from January 2017 to January 2019 were selected as the study objects,and were divided into a Qigong therapy group[25 cases,12 males and 13 females,aged(67.20±5.37)years]and a conventional treatment group[25 cases,13 males and 12 females,aged(67.36±5.38)years]according to the random number table method.Another 25 persons without diseases were selected as a normal group[11 males and 14 females,aged(67.04± 4.36)years].The conventional treatment group was given basic treatment and routine motor function rehabilitation training,and the Qigong therapy group was given Qigong prescription training on the basis of the conventional treatment group under the guidance of professionals.The overall course of treatment was 12 weeks.The systolic blood pressure(SBP),diastolic blood pressure(DBP),and scores of Mini-Mental State Examination(MMSE),Montreal Cognitive Assessment(MoCA),Loewenstein Occupational Therapy Cognitive Assessment(LOTCA),and modified Barthel index(MBI)were measured before and after treatment in the three groups.x2 test,t test,and variance analysis were used.Results After 12 weeks of treatment,the MMSE score,MoCA score,MBI score,attention score,visual motor organization score,thinking operation score,and total LOTCA score of the Qigong therapy group were higher than those of the conventional treatment group[(23.64±2.90)points vs.(21.56±1.90)points,(23.72±2.42)points vs.(20.64± 2.40)points,(75.80±7.31)points vs.(71.20±7.94)points,(3.12±0.73)points vs.(2.56±0.58)points,(21.96±1.90)points vs.(19.56±1.98)points,(26.16±1.89)points vs.(24.44±2.58)points,(96.20± 4.25)points vs.(90.44±6.58)points];the SBP and DBP of the Qigong therapy group were lower than those of the conventional treatment group[(137.00±10.70)mmHg(1 mmHg=0.133 kPa)vs.(147.60±8.91)mmHg,(73.80±10.23)mmHg vs.(85.40±10.60)mmHg],with statistically significant differences(all P＜0.05).After 12 weeks of treatment,there were no statistically significant differences in the MMSE score,SBP,and DBP between the Qigong therapy group and the normal group[(23.64±2.90)points vs.(23.52±2.20)points,(137.00±10.70)mmHg vs.(138.80±7.94)mmHg,(73.80±10.23)mmHg vs.(73.40±10.08)mmHg](all P＞0.05).The differences of MMSE,MoCA,MBI,attention,orientation,visual motor organization,and thinking operation scores and LOTCA total score and SBP before and after treatment in the Qigong therapy group were higher than those in the conventional treatment group and the normal group(all P＜0.05).Conclusions The TCM Qigong prescription can improve the cognitive function and the ability of daily living in VaMCI patients.It is an effective treatment of VaMCI and worthy of further promotion in clinical work.
Traditional Chinese medicineQigongVascular mild cognitive impairmentCognitive functionAbility of daily living
万方数据
维普
