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针刺治疗轻度认知障碍的安全性和有效性:一项临床研究方案

Safety and efficacy of acupuncture for mild cognitive impairment: a study protocol for clinical study.

作者信息

Kim Jae-Hong, Shin Jeong-Cheol, Kim Ae-Ran, Seo Bok-Nam, Park Gwang-Cheon, Kang Byoung-Kab, Lee Jeong-Soon

机构信息

Department of Acupuncture and Moxibustion Medicine, College of Korean Medicine, Dongshin University, Naju, Republic of Korea.

Clinical Research Center, Dongshin University Gwangju Korean Medicine Hospital, Gwangju, Republic of Korea.

出版信息

Front Neurol. 2024 Mar 15;15:1346858. doi: 10.3389/fneur.2024.1346858. eCollection 2024.

Abstract

BACKGROUND

Mild cognitive impairment (MCI) is an intermediary condition between typical cognitive decline that occurs owing to aging and dementia. It is necessary to implement an intervention to slow the progression from MCI to Alzheimer's disease. This manuscript reports the protocol for a clinical trial on the effect of acupuncture in patients with MCI.

METHODS

The trial will be a randomized, prospective, parallel-arm, active-controlled trial. Sixty-four patients with MCI will be randomized to the Rehacom or acupuncture group ( = 32 each). The participants in the acupuncture group will receive electroacupuncture at GV24 (Shenting) and GV20 (Baihui) and acupuncture at EX-HN1 (Sishencong) once (30 min) a day, twice per week for 12 weeks. The patients in the Rehacom group will receive computerized cognitive rehabilitation using RehaCom software once (30 min) daily, twice weekly for 12 weeks. The primary outcome measure is the change in the Montreal Cognitive Assessment Scale score. The secondary outcome measures are the Geriatric Depression Scale, Alzheimer's Disease Assessment Scale-Korean version-cognitive subscale-3 scores, and European Quality of Life Five Dimensions Five Level Scale. The safety outcomes will include the incidence of adverse events, blood pressure, blood chemistry parameters, and pulse rate. The efficacy outcome will be assessed at baseline and at six weeks, 13 weeks, and 24 weeks after baseline.

DISCUSSION

The findings of this protocol will provide information regarding the effects of acupuncture on MCI.

CLINICAL TRIAL REGISTRATION

https://cris.nih.go.kr/cris/search/detailSearch.do?search_lang=E&focus=reset_12&search_page=M&pageSize=10&page=undefined&seq=25579&status=5&seq_group=25579, KCT0008861.

摘要

背景

轻度认知障碍(MCI)是衰老导致的典型认知衰退与痴呆之间的一种中间状态。实施干预措施以减缓MCI向阿尔茨海默病的进展很有必要。本手稿报告了一项关于针刺对MCI患者疗效的临床试验方案。

方法

该试验将是一项随机、前瞻性、平行组、活性对照试验。64例MCI患者将被随机分为瑞哈康组或针刺组(每组32例)。针刺组参与者将接受每天一次(30分钟)、每周两次、共12周的督脉24穴(神庭)和督脉20穴(百会)电针治疗以及经外奇穴头部1穴(四神聪)针刺治疗。瑞哈康组患者将使用瑞哈康软件进行每天一次(30分钟)、每周两次、共12周的计算机化认知康复训练。主要结局指标是蒙特利尔认知评估量表评分的变化。次要结局指标包括老年抑郁量表、阿尔茨海默病评估量表 - 韩国版 - 认知分量表 - 3评分以及欧洲生活质量五维度五级量表。安全性结局将包括不良事件发生率、血压、血液化学参数和脉搏率。疗效结局将在基线以及基线后6周、13周和24周进行评估。

讨论

本方案的研究结果将提供有关针刺对MCI影响的信息。

临床试验注册

https://cris.nih.go.kr/cris/search/detailSearch.do?search_lang=E&focus=reset_12&search_page=M&pageSize=10&page=undefined&seq=25579&status=5&seq_group=25579, KCT0008861 。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1cb4/10979737/f494a448a0b6/fneur-15-1346858-g001.jpg

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