摘要
目的：观察针灸结合中医康复对认知功能障碍脑卒中患者的临床疗效。方法：选取于2015年10月—2016年12月本院收治的90例认知功能障碍脑卒中患者作为本次研究对象。按入组顺序经数字随机表法分为观察组和对照组。对照组患者在入组后采取常规治疗;观察组则在此基础上采用针灸结合中医康复进行治疗。比较两组患者治疗后的临床疗效,分别于治疗前24 h和治疗后1 h进行LOTCA各项目、NDS、BI、MMSE、Mo CA评定。结果：观察组治疗总有效率97.78%,对照组总有效率73.33%,观察组临床疗效明显优于对照组（P〈0.05）;观察组患者LOTCA各项评分,包括知觉、定向、思维运作、注意集中、视运动组织评分均明显升高;且观察组LOTCA评分明显优于对照组（P〈0.05）。观察组患者经治疗后的Bl指数、MMSE、Mo CA评分均呈上升趋势,且明显高于对照组（P〈0.05）;而NDS评分则显著降低,且明显低于对照组（P〈0.05）;观察组治疗后神经功能及日常生活能力明显优于对照组。结论：因此针灸结合中医康复治疗,能明显改善患者认知障碍,提高患者生活质量。
Objective： To observe the clinical effect of acupuncture combined with traditional Chinese medicine rehabilitation on patients with cognitive dysfunction. Methods： Ninety patients with cognitive impairment in our hospital from October 2015 to December 2016 were selected as the subjects of this study and were randomly divided into the observation group and the control group according to the group order. Patients in the control group were treated with routine treatment after admission. The observation group was treated with acupuncture combined with traditional Chinese medicine. The clinical efficacy of the two groups after treatment was compared. LOTCA,NDS,BI,MMSE and Mo CA 24 h before treatment and 1 h after treatment were compared. Results： The total efficiency of the observation group was 97. 78% and the control group＇s total effective rate was 73. 33%. The clinical curative effect of observation group was significantly better than that of the control group（ P〈0. 05）. The observation group＇s LOTCA scores,including perception,orientation and thinking operation,attention and visual movement tissue scores were significantly increased; and the LOTCA score of observation group was significantly better than that of the control group（ P〈0. 05）. After treatment,the observation group＇s BI index,MMSE and Mo CA scores were increased,and significantly higher than those of the control group（ P〈0. 05）; while NDS score was significantly decreased,and significantly lower than that of the control group（ P〈0. 05）. The neural function and daily life ability of the observation group were obviously superior to those of the control group after treatment. Conclusion： Therefore,acupuncture combined with rehabilitation therapy can significantly improve the cognitive impairment and improve the quality of life of patients.
作者
林碧玉
LIN Biyu(Acupuncture and Moxibustion and Rehabilitation Department ,Hainan Provicinal Hospital of TCM, Haikou 570203, Hainan, Chin)
出处
《辽宁中医杂志》
CAS
2018年第3期605-608,共4页
Liaoning Journal of Traditional Chinese Medicine
基金
海南省卫生厅科学研究课题(琼卫2014PT-38)
关键词
中医针灸
中医康复
认知功能障碍
脑卒中
TCM acupuncture
TCM rehabilitation
cognitive dysfunction
cerebral apoplexy
