Effect of acupuncture on cognitive function of individuals with subjective cognitive decline
Received:December 03, 2018  
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DOI:10.11915/j.issn.1671-5403.2019.03.033
Key words:acupuncture  subjective cognitive decline  cognitive function  neuropsychological scale
Author NameAffiliationE-mail
ZHOU Ping Center of Acupuncture and Meridians, the Affiliated Beijing Chinese Medicine Hospital of Capital Medical University, Beijing 100010, China  
YAN Chao-Qun Center of Acupuncture and Meridians, the Affiliated Beijing Chinese Medicine Hospital of Capital Medical University, Beijing 100010, China  
HU Shang-Qing School of Acupuncture-Moxibustion and Tuina, Beijing University of Chinese Medicine, Beijing 10029, China  
JIN Mei-Lin School of Acupuncture-Moxibustion and Tuina, Beijing University of Chinese Medicine, Beijing 10029, China  
SHAO Jia-Kai Center of Acupuncture and Meridians, the Affiliated Beijing Chinese Medicine Hospital of Capital Medical University, Beijing 100010, China  
SHI Guang-Xia Center of Acupuncture and Meridians, the Affiliated Beijing Chinese Medicine Hospital of Capital Medical University, Beijing 100010, China  
WANG Li-Qiong School of Acupuncture-Moxibustion and Tuina, Beijing University of Chinese Medicine, Beijing 10029, China  
LIU Cun-Zhi School of Acupuncture-Moxibustion and Tuina, Beijing University of Chinese Medicine, Beijing 10029, China lcz623780@126.com 
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Abstract:
      Objective To observe the effect of acupuncture maneuver featuring “harmonizing qi and blood and nourishing mind” on cognitive function of people with subjective cognitive decline (SCD). Methods A total of 26 SCD patients were recruited for the studyvia the online bulletin board of Beijing Chinese Medicine Hospital affiliated to Capital Medical University or at gratuitous medical consultation in multiple communities in Beijing from December 2017 to September 2018. They were divided into acupuncture group (n=14) and control group (n=12). For a period of 3 months, both groups received conventional medical therapy, with acupuncture maneuver featuring “harmonizing qi and blood and nourishing mind” being added to the acupuncture group but not to the control group. A comparison was made between the two groups before and after the treatment for subjective cognitive decline questionnaire (SCD-Q), mini-mental state examination (MMSE), animal fluency test (AFT), auditory verbal learning test-Huashan version (AVLT-H), trail-making test A-B (TMT A-B) and Z-composite score. SPSS statistics 22.0 was used for data processing. Depending on the data type, comparison between groups was conducted by Student′s t test or Chi-square test. Results Acupuncture group scored significantly better after the treatment than before the treatment in SCD-Q [(7.35±1.32) vs (3.46±1.63)], MMSE [(27.00±1.66) vs (28.32±1.56)], [JP+1]AVLT-H immediate recall [(14.85±2.03) vs (19.14±2.31)], AVLT-H short delay recall [(4.28±1.58) vs (6.64±1.15)],AVLT-H long delay recall [(4.14±1.56) vs (6.57±1.08)], AFT[(15.64±4.19) vs (19.36±3.75), P < 0.05] and Z-composite score [0.03(-0.22, 0.24) vs 0.04(-0.30, 0.49)] and the control group showed declining MMSE scores [(27.16±1.40) vs(26.16±1.52)](P<0.05). Improvement in the acupuncture group was more significant than the control group in SCD-Q [(3.46±1.63) vs (7.20±1.33) score], MMSE[(28.32±1.56) vs (26.16±1.52) score], AFT[(19.36±3.75) vs (15.33±5.17) score] and Z-composite score [0.04(-0.03, 0.49) vs -0.06(-0.37, 0.30)] (P<0.05). Conclusion Acupuncture maneuver featuring “harmonizing qi and blood and nourishing mind” can significantly reduce the complaints in the SCD patients, exerting positive effects on their memory function and speech function but no obvious effects on their executive function.
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