摘要
目的:探讨头穴艾灸帽对脑卒中后认知功能障碍患者认知功能、日常生活活动能力及同型半胱氨酸的影响。方法:选取2019年3月—2020年10月在黑龙江中医药大学附属第二医院康复科病房住院的60例脑卒中后认知功能障碍患者,按照随机数字表法分为治疗组和对照组,每组30例。对照组采用常规治疗,治疗组在常规治疗基础上采用头穴艾灸帽治疗。每周治疗6d,休息1d,连续治疗4周。治疗前后,分别采用蒙特利尔认知评估量表(MoCA)和改良Barthel指数(MBI)对认知功能及日常生活活动能力评定、进行血清同型半胱氨酸(Hcy)数值测定。结果:与治疗前比较,两组患者治疗后MoCA评分和改良Bathel评分均增高(P<0.05),Hcy数值均降低(P<0.05),治疗组疗效优于对照组(P<005)。结论:头穴艾灸帽可改善脑卒中后认知功能障碍患者认知功能及日常生活活动能力。
Objective:To investigate the effect of scalp point moxibustion cap on cognitive function,activities of daily living(ADL)and homocysteine in patients with post-stroke cognitive impairment.Methods:60 patients with post-stroke cognitive dysfunction were randomly divided into the treatment group(n=30)and the control group(n=30).The control group was treated with routine treatment;on which basis,the treatment group was also treated with scalp point moxibustion cap.The patients were treated for 6 days a week for 4 weeks,with one day interval between each week.The cognitive function and ADL were measured by Montreal Cognitive Assessment scale(MoCA)and modified Barthel Index(MBI)respectively,and the serum value of homocysteine(Hcy)was measured before and after the treatment.Results:The MoCA score and the MBI score were significantly increased(P<0.05),and the serum value of Hcy was significantly decreased after the treatment compared to those before the treatment in the two groups(P<005);of which the improvements in the treatment group were more significant(P<0.05).Conclusion:Scalp point moxibustion cap can improve cognitive function and ADL in patients with post-stroke cognitive impairment.
作者
张立
郭孝静
王璐
辛贵乐
李季
关莹
花淼
孙德娟
ZHANG Li;GUO Xiaojing;WANG Lu;XIN Guile;LI Ji;GUAN Ying;HUA Miao;SUN Dejuan(The Second Affiliated Hospital of Heilongjiang University of Chinese Medicine,Harbin 150001,China;Heilongjiang Academy of Chinese Medical Sciences,Harbin 150036,China;Heilongjiang University of Chinese Medicine,Harbin 150040,China)
出处
《中医药学报》
CAS
2021年第8期69-72,共4页
Acta Chinese Medicine and Pharmacology
基金
国家重点研发计划课题(2018YFC1706002)。
