摘要
目的:比较“通督醒神”法针灸联合认知训练和单纯认知训练治疗卒中后轻度认知障碍(PSMCI)的临床疗效。方法:将84例PSMCI患者随机分为观察组和对照组,每组42例(观察组脱落3例,对照组脱落2例)。观察组予“通督醒神”法针灸联合认知训练治疗,针刺选取百会、四神聪、神庭等穴位,艾灸选取神庭、百会、神道、风府、心俞;对照组仅予认知训练治疗,均每天1次,每周5次,连续治疗4周。分别于治疗前后及治疗结束后4、12周比较两组患者蒙特利尔认知评估量表(Mo CA)、简易精神状态检查量表(MMSE)、日常生活能力量表(ADL)以及脑卒中专用生活质量量表(SS-QOL)评分。结果:治疗后及治疗结束后4、12周,两组患者Mo CA、MMSE、SS-QOL评分均较治疗前升高(P<0.05),ADL评分均较治疗前降低(P<0.05);观察组治疗后及治疗结束后4、12周Mo CA、MMSE评分高于对照组(P<0.05),治疗结束后12周SS-QOL评分高于对照组(P<0.05)。结论:“通督醒神”法针灸联合认知训练和单纯认知训练均可改善PSMCI患者的认知功能、日常生活能力和生活质量,且联合疗法在改善PSMCI患者的认知功能和远期生活质量方面优于单纯认知训练。
Objective To compare the clinical effect of Tongdu Xingshen(promoting the governor vessel and regaining consciousness) acupuncture and moxibustion combined with cognitive training and the simple cognitive training for post-stroke mild cognitive impairment(PSMCI). Methods Eighty-four patients with PSMCI were randomly divided into an observation group and a control group, with 42 cases in each group(3 cases in the observation group and 2 cases in the control group dropped off). The observation group was treated by Tongdu Xingshen acupuncture and moxibustion combined with cognitive training, acupuncture was given at Baihui(GV 20), Sishencong(EX-HN 1), Shenting(GV 24), etc., and moxibustion was given at Shenting(GV 24), Baihui(GV 20), Shendao(GV 11), Fengfu(GV 16) and Xinshu(BL 15). The control group was only given cognitive training. All the above treatment was given once a day, 5 times a week, for 4 consecutive weeks. The scores of Montreal cognitive assessment(Mo CA), mini-mental state examination(MMSE), activity of daily living(ADL) and stroke-specific quality of life(SS-QOL) were compared between the two groups before treatment, after treatment, 4 weeks and 12 weeks after treatment. Results After treatment, 4 weeks and 12 weeks after treatment, the Mo CA, MMSE and SS-QOL scores of the two groups were all higher than those before treatment(P<0.05), and the ADL scores were lower than those before treatment(P<0.05). In the observation group, the Mo CA and MMSE scores were higher than those of the control group after treatment, 4 weeks and 12 weeks after treatment(P<0.05), and the SS-QOL score was higher than that of the control group 12 weeks after treatment(P<0.05). Conclusion Both Tongdu Xingshen acupuncture and moxibustion combined with cognitive training and simple cognitive training can improve cognitive function, daily living ability and quality of life in patients with PSMCI, and the combined therapy is superior to simple cognitive training in improving cognitive function and long-term quality of life in pat
作者
袁宏伟
刘云霞
张含
刘晔
李欣陆
倪金霞
YUAN Hong-wei;LIU Yun-xia;ZHANG Han;LIU Ye;LI Xin-lu;NI Jin-xia(Department of Acupuncture and Moxibustion,Dongzhimen Hospital,Beijing University of CM,Beijing100700,China)
出处
《中国针灸》
CAS
CSCD
北大核心
2022年第8期839-843,共5页
Chinese Acupuncture & Moxibustion
基金
国家重点研发计划资助项目:2018YFC1706004。
关键词
卒中后轻度认知障碍
针灸
通督醒神
认知训练
随机对照试验
post-stroke mild cognitive impairment
acupuncture and moxibustion
Tongdu Xingshen
cognitive training
randomized controlled trial(RCT)
