摘要
目的观察头皮针联合认知功能训练治疗卒中后认知功能障碍的临床疗效。方法选取2019年1月~6月在我院收治的60例卒中后认知功能障碍患者,按入组时间分为对照组和观察组,每组30例。两组均给予常规药物治疗,对照组在药物治疗基础上联合认知功能训练,观察组在对照组治疗基础上加用头皮针。治疗前后分别采用简易精神状态检查量表(MMSE)、蒙特利尔认知功能评估量表(MOCA)评估患者的认知功能,比较两组患者认知功能改善情况。结果治疗前,两组MOCA评分比较,差异无统计学意义(P>0.05);治疗8周后,两组MOCA评分均高于治疗前,且观察组高于对照组,差异有统计学意义(P<0.05);治疗前,两组MMSE评分比较,差异无统计学意义(P>0.05),治疗8周后,两组MMSE评分均高于治疗前,且观察组高于对照组,差异有统计学意义(P<0.05)。结论头皮针联合认知功能训练能更有效恢复卒中后认知功能障碍患者的认知功能,有助于患者康复治疗。
Objective To observe the clinical effect of scalp acupuncture combined with cognitive function training in the treatment of cognitive dysfunction after stroke.Methods A total of 60 patients with post-stroke cognitive impairment who were admitted to our hospital from January to June 2019 were selected and divided into control group and observation group according to the time of enrollment,with 30 cases in each group.Both groups were given conventional medication.The control group was combined with cognitive function training on the basis of medication,and the observation group was treated with scalp acupuncture on the basis of the control group.Before and after treatment,the cognitive function of the patients was evaluated by the Mini Mental State Examination Scale(MMSE)and the Montreal Cognitive Function Assessment Scale(MOCA),and the improvement of the cognitive function of the two groups of patients was compared.Results Before treatment,there was no significant difference in MOCA score between the two groups(P>0.05);After 8 weeks of treatment,the MOCA scores of the two groups were higher than before treatment,and the observation group was higher than the control group,the difference was statistically significant(P<0.05);Before treatment,there was no statistically significant difference in MMSE scores between the two groups(P>0.05).After 8 weeks of treatment,the MMSE scores of the two groups were higher than those before treatment,and the observation group was higher than the control group,the difference was statistically significant(P<0.05).Conclusion Scalp acupuncture combined with cognitive function training can more effectively restore the cognitive function of patients with cognitive dysfunction after stroke.It is helpful to the rehabilitation of patients.
作者
韩华翌
王中华
HAN Hua-yi;WANG Zhong-hua(Department of Traditional Chinese Medicine,Zhabei Central Hospital,Jing'an District,Jing'an 200070,Shanghai,China)
出处
《医学信息》
2021年第15期178-180,共3页
Journal of Medical Information
基金
上海市进一步加快中医药事业发展三年行动计划项目[编号:ZY(2018-2020)-FWTX-8013]
上海市静安区卫计委科研课题(编号:2018ZY01)。
关键词
脑卒中
认知功能障碍
头皮针
认知功能训练
Stroke
Cognitive dysfunction
Scalp acupuncture
Cognitive function training
