[1]韩华翌,王中华.头皮针联合认知功能训练对卒中后认知功能障碍的疗效[J].医学信息,2021,34(15):178-180.[doi:10.3969/j.issn.1006-1959.2021.15.050]
　HAN Hua-yi,WANG Zhong-hua.The Effect of Scalp Acupuncture Combined with Cognitive Training on Cognitive Dysfunction After Stroke[J].Medical Information,2021,34(15):178-180.[doi:10.3969/j.issn.1006-1959.2021.15.050]
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头皮针联合认知功能训练对卒中后认知功能障碍的疗效()
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医学信息[ISSN:1006-1959/CN:61-1278/R]

卷:
34卷
期数:
2021年15期
页码:
178-180
栏目:
中医中药
出版日期:
2021-08-01

文章信息/Info

Title:
The Effect of Scalp Acupuncture Combined with Cognitive Training on Cognitive Dysfunction After Stroke
文章编号:
1006-1959（2021）15-0178-03
作者:
韩华翌; 王中华
（上海市静安区闸北中心医院中医科，上海 200070）
Author(s):
HAN Hua-yi; WANG Zhong-hua
(Department of Traditional Chinese Medicine,Zhabei Central Hospital,Jing’an District,Jing’an 200070,Shanghai,China)
关键词:
脑卒中; 认知功能障碍; 头皮针; 认知功能训练
Keywords:
Stroke; Cognitive dysfunction; Scalp acupuncture; Cognitive function training
分类号:
R743.3
DOI:
10.3969/j.issn.1006-1959.2021.15.050
文献标志码:
A
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。
Abstract:
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.

参考文献/References:

[1]陈阿贞,林志诚,兰岚.头针长时间留针法联合认知康复训练平台对脑卒中后认知功能的影响[J].按摩与康复医学,2020,11(5)：26-27,30. [2]张阳,Pinter D.年轻脑卒中患者认知功能障碍的发病率[J].中国康复,2019,34(9):476. [3]王伟.早期头皮针长时间留针法结合康复训练对脑卒中患者认知功能障碍的影响[J].新中医,2018,3(50):164-167. [4]李朝健,陈文远,王小桥.针刺联合丁苯酞胶囊、计算机辅助认知康复训练治疗脑卒中后认知功能障碍的效果[J].辽宁中医杂志,2020,47(8):158-161. [5]张云云.头针结合康复训练治疗脑梗死恢复期患者的临床疗效研究[J].按摩与康复医学,2019,10(16):1-4. [6]阳运秋,唐纯志,崔韶阳,等.针灸结合镜像疗法在脑卒中治疗的临床应用现况[J].时珍国医国药,2018,29(11):2737-2739. [7]邢徽.头皮针长时间留针法对脑卒中患者认知障碍的疗效[J].西南国防医药,2017,10(27):1120-1122. [8]傅建明,顾旭东,姚云海,等.头皮针长时间留针法结合康复训练对脑卒中认知障碍患者生存质量的影响[J].中华中医药学刊,2010,28(4):796-798. [9]邢徽,黄琳娜,张若平.头皮针长时间留针法对脑卒中患者认知障碍的疗效[J].西南国防医药,2017,10(27):1120-1122. [10]张建博,魏瑞鹏,杨虹,等.头针结合计算机辅助训练治疗老年脑梗死后认知障碍磁共振波谱成像[J].中国老年学杂志,2020,10(40):4067-4070. [11]郗欧,焦富英,马进,等.头皮针联合康复训练对脑卒中后轻度认知障碍患者脑血流动力学及血管内皮功能的影响[J].世界中医药,2019,2(2):477-480. [12]刘红建,刘海燕.针灸联合活血通络汤治疗脑卒中后认知功能障碍的[J].2020(4):133-135. [13]陈立梁,曾骥.针刺联合运动想象疗法治疗脑卒中后认知功能障碍临床研究[J].陕西中医,2020,7(7):983-985. [14]王菊敏,尤艳利,张宇博,等.针灸治疗中风后认知功能障碍的取穴规律分析[J].中医药导报,2018,7(24):60-62. [15]陈少飞,朱春沁,汪瑛,等.头皮埋针联合耳穴压籽治疗脑卒中后认知障碍40例[J].安徽中医药大学学报,2019,4(38):52-54. [16]车文生,蔡琛.认知康复训练结合头皮针治疗脑卒中后认知功能障碍的疗效观察[J].中国实用神经疾病杂志,2018,12(21):2719-2723.

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更新日期/Last Update: 1900-01-01