Xu Xiaofan, Shi Dan, Chen Yuchen, Wang Luyao, Jiang Jiehui, Xiao Shuyun
Department of Brain and Mental Disease, Shanghai Hospital of Traditional Chinese Medicine, Shanghai University of Traditional Chinese Medicine, Shanghai 200444, China.
Yueyang Hospital of Integrated Traditional Chinese Medicine and Western Medicine, Shanghai University of Traditional Chinese Medicine, Shanghai 200444, China.
Brain Sci. 2024 Mar 29;14(4):333. doi: 10.3390/brainsci14040333.
We aimed to examine the association of traditional Chinese herbal dietary formulas with ability of daily life and physical function in elderly patients with mild cognitive impairment. The current study included 60 cases of elderly patients with mild cognitive impairment from Yueyang Hospital of Integrated Traditional Chinese Medicine and Western Medicine, Shanghai University of Traditional Chinese Medicine and Hongkou District, Shanghai. The participants were randomly divided into two groups: group A (herbal dietary formula group, consisting of Alpiniae Oxyphyllae Fructus, Nelumbinis plumula, Chinese Yam, Poria cocos, and Jineijin), 30 cases, and group B (vitamin E), 30 cases, treatment for 3 months. Cognitive function was measured using the Montreal Cognitive Assessment (MOCA) and Mini-Mental State Examination (MMSE); body function was measured using the Chinese Simplified Physical Performance Test (CMPPT), including stand static balance, sitting-up timing, squat timing, and six-meter walk timing. Daily life based on ability was measured by grip strength and the Activity of Daily Living Scale (ADL). The lower the scores of the above items, the poorer the disease degree, except for ADL: the lower the score, the higher the self-care ability. After 3 months of treatment, the two-handed grip strength of both the herbal dietary formula group and vitamin E group increased; the ADL, sitting-up timing, squatting timing, and six-meter walking timing decreased after medication, being statistically significantly different ( < 0.05). The two-handed grip strength of group A increased significantly, and the ADL, sitting-up timing, squatting timing, and six-meter walking timing decreased distinctly compared with the vitamin E group. There was a statistically significant difference ( < 0.05). The scores of MMSE, MOCA, total CMPPT, and standing static balance of the herbal dietary formula group increased after medication. The difference was statistically significant ( < 0.05). The vitamin E group's MMSE and MOCA scores, CMPPT total scores, and standing resting balance scores did not change significantly after medication ( > 0.05). In summary, a traditional Chinese herbal dietary formula can improve body and cognitive function in patients with MCI, and the curative effect is better than that of vitamin E. Traditional Chinese herbal dietary formulas can improve the daily life quality of MCI patients, which has clinical application value.
我们旨在研究中医草本膳食配方与轻度认知障碍老年患者日常生活能力和身体功能之间的关联。本研究纳入了上海中医药大学附属岳阳中西医结合医院及上海市虹口区60例轻度认知障碍老年患者。参与者被随机分为两组:A组(草本膳食配方组,由益智仁、莲子心、山药、茯苓和鸡内金组成),30例;B组(维生素E组),30例,治疗3个月。使用蒙特利尔认知评估量表(MOCA)和简易精神状态检查表(MMSE)测量认知功能;使用中国简化体能测试(CMPPT)测量身体功能,包括站立静态平衡、起坐计时、深蹲计时和6米步行计时。基于能力的日常生活能力通过握力和日常生活活动量表(ADL)进行测量。除ADL外,上述项目得分越低,疾病程度越差:ADL得分越低,自我护理能力越高。治疗3个月后,草本膳食配方组和维生素E组的双手握力均增加;用药后ADL、起坐计时、深蹲计时和6米步行计时降低,差异有统计学意义(<0.05)。与维生素E组相比,A组双手握力显著增加,ADL、起坐计时、深蹲计时和6米步行计时明显降低。差异有统计学意义(<0.05)。用药后,草本膳食配方组的MMSE、MOCA、CMPPT总分及站立静态平衡得分增加。差异有统计学意义(<0.05)。维生素E组用药后MMSE和MOCA得分、CMPPT总分及站立静息平衡得分无明显变化(>0.05)。综上所述,中医草本膳食配方可改善MCI患者的身体和认知功能,且疗效优于维生素E。中医草本膳食配方可提高MCI患者的日常生活质量,具有临床应用价值。