目的：探讨穴位按摩训练对社区轻度认知功能障碍（ MCI）老年人认知功能的影响。方法选取2012年4月—2013年1月长沙市某社区MCI老年人76例，按随机数字表法分为对照组（38例）和试验组（38例）。对照组接受社区常规服务，试验组在对照组基础上，进行穴位按摩训练。分别于干预前、干预3个月末及干预6个月末运用简易智能状态检查量表（ MMSE）和蒙特利尔认知评估量表（ MoCA）北京版评估两组患者的认知功能。结果两组MMSE、MoCA北京版得分的干预与时间交互效应、干预主效应及MoCA北京版得分的时间主效应间差异有统计学意义（P＜0.05）。干预前试验组和对照组MMSE、MoCA北京版得分间差异无统计学意义（P＞0.05）。干预6个月末试验组和对照组MMSE、MoCA北京版得分间差异有统计学意义（ P＜0.05）；试验组干预6个月末MMSE、MoCA北京版得分较干预前升高（P＜0.05）。结论穴位按摩训练可有效改善社区MCI老年人的认知功能，值得在社区推广应用。%Objective To explore the effects of acupoint massage on cognitive functions of the elderly with mild cognitive impairment( MCI)in community. Methods 76 old people with MCI from a community in Changsha city were selected as study subjects from Apirl in 2012 to January in 2013,they were divided into control group(38 cases)and experiment group (38 cases)by random number table method. The cases in control group received routine care of the community,while the cases in experiment group received acupoint massage combined with routine care of the community. Cognitive functions of the two groups were evaluated prior to intervention,3 months after intervention and 6 months after intervention using Mini Mental State Examination( MMSE)and Montreal Cognitive Assessment( MoCA)Beijing version. Results There were significant differences in the main effects of intervention, the main effects of time on scores of MoCA Beijing version, and interaction between intervention and time on scores of MMSE and MoCA Beijing version between two groups,respectively(P<0. 05). There was no significant difference in scores of MMSE and MoCA Beijing version between experiment group and control group prior to intervention(P>0. 05). There were significant differences in scores of MMSE and MoCA between experiment group and control group 6 months after intervention(P<0. 05). In experiment group,the scores of MMSE and MoCA Beijing version 6 months after intervention were significantly higher than those prior to intervention,respectively(P <0. 05). Conclusion Acupoint massage could significantly improve cognitive functions of old people with MCI in community, it is worth popularizing and applying.
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