摘要
Objective： To observe the clinical efficacy of long-time needle retaining at Baihui（GV 20） in treating post-stroke cognitive impairment. Methods： A total of 60 eligible patients with post-stroke cognitive impairment were randomized into a treatment group and a control group by random digital table, 30 cases in each group. The control group was intervened by basic treatment including routine therapy in Neurology department and Western medicine rehabilitation therapy, while the treatment group was intervened by same treatment in the control group combined with long-time needle retaining at Baihui（GV 20）. Mental state of patients was evaluated by National Institute of Health stroke scale（NIHSS） and mini-mental state examination（MMSE） after 4 weeks of treatment. Results： After 4-week treatment, the NIHSS score dropped in both groups, and intra-group comparisons showed statistical significances（both P〈0.05）, and the score in the treatment group was statistically lower than that in the control group（P〈0.01）; the MMSE score in the treatment group was significantly higher than that in the control group, there was a statistical inter-group difference（P〈0.01）; the total effective rate was 93.3%, and the marked effective rate was 50.0% in the treatment group, versus 76.7% and 20.0% in the control group, there were significant differences in the total effective rate and the marked effective rate between the two groups（all P〈0.05）. Conclusion： Long-time needle retaining at Baihui（GV 20） can produce a safe valid therapeutic efficacy in treating post-stroke cognitive impairment.
目的:观察针刺百会穴长留针治疗中风后认知障碍的疗效。方法:将符合纳入标准的60例中风后认知障碍患者按随机数字表随机分为治疗组和对照组,每组30例。对照组采用基础治疗,包括神经内科常规治疗及西医康复治疗;治疗组在接受与对照组相同的基础治疗的同时加用针刺百会穴长留针。治疗4星期后观察疗效,并采用美国国立卫生研究院卒中量表(NIHSS)及简易精神状态检查量表(MMSE)评定患者精神状态。结果:治疗4星期后,两组NIHSS评分均较同组治疗前降低,组内差异均具有统计学意义(均P<0.05),且治疗组评分低于对照组,组间差异具有统计学意义(P<0.01);治疗组MMSE评分高于对照组,组间差异具有统计学意义(P<0.01);治疗组总有效率为93.3%,显效率为50.0%,对照组分别为76.7%和20.0%,组间差异均有统计学意义(均P<0.05)。结论:针刺百会穴长留针治疗中风后认知功能障碍安全有效。
作者
Yang Fan
Luo Kai-tao
Zhu Jia-hao
Xu Ying-mei
杨帆;罗开涛;朱佳浩;徐颖梅;贾一凡(译)(Acupuncture and Tuina Department,Jiaxing Hospital of Traditional Chinese Medicine Affiliated to Zhejiang Chinese MedicalUniversity,Jiaxing 314001,China;不详)
基金
supported by Science and Technology Planning Project of Jiaxing City,Zhejiang Province,No.2016AY23078~~
