经皮穴位电刺激治疗脑卒中后认知功能障碍的临床随机对照研究

发布时间：2018-05-29 17:43

本文选题：轻度认知障碍 + 卒中　；参考：《中国全科医学》2017年S2期

【摘要】：目的观察经皮穴位电刺激(TEAS)对脑卒中后认知功能障碍(PSCI)患者认知功能和日常生活能力的影响。方法选取2015年1月—2016年6月赣南医学院附属康复医院老年康复科及神经康复科住院的PSCI患者90例,按照患者意愿及就诊顺序分为TEAS组、电针组和对照组,每组30例。3组患者均行常规治疗,TEAS组和电针组在此基础上给予电刺激神庭、百会等穴位。于治疗前、治疗2周、4周后采用洛文斯顿作业治疗用认知评定量表(LOTCA)、北京版蒙特利尔认知功能评估量表(MoCA)和改良版Barthel指数(MBI)进行评价。结果治疗前,3组患者LOTCA、MoCA、MBI评分比较,差异无统计学意义(P0.05);治疗2周、4周后,3组患者LOTCA、MoCA、MBI评分比较,差异均有统计学意义(P0.05);其中,治疗2周,电针组及TEAS组LOTCA、MoCA、MBI评分高于对照组(P0.05);治疗4周,电针组LOTCA、MoCA、MBI评分高于对照组,TEAS组LOTCA、MoCA、MBI评分高于对照组及电针组(P0.05)。对照组治疗前后LOTCA、MoCA、MBI评分比较,差异无统计学意义(P0.05);电针组及TEAS组治疗前后LOTCA、MoCA、MBI评分比较,差异均有统计学意义(P0.05);其中电针组及TEAS组治疗2周、4周后LOTCA、MoCA、MBI评分较治疗前升高(P0.05)。结论 TEAS与电针一样,刺激神庭、百会等穴位可以改善PSCI,且提高患者的日常生活能力;同时在一定时间阶段TEAS治疗效果与疗程呈正比,但电针治疗不具有时间依赖性。
[Abstract]:Objective to observe the effect of transcutaneous acupoint electrical stimulation (TEAS) on cognitive function and ADL in patients with cognitive dysfunction (PSCI) after stroke. Methods from January 2015 to June 2016, 90 PSCI patients in the Department of Geriatric Rehabilitation and the Department of Neurorehabilitation, affiliated Rehabilitation Hospital of Gannan Medical College, were divided into TEAS group, electroacupuncture group and control group. 30 patients in each group were treated with routine therapy. Both groups were given electrical stimulation of Shenting, Baihui and other acupoints on this basis. Before and after 2 weeks and 4 weeks of treatment, the patients were evaluated with LOTCAA, Beijing Montreal Cognitive function Assessment scale and modified Barthel Index. Results before treatment, there was no significant difference in the MBI scores of LOTCAG and MoCAN in the three groups, but there was no significant difference in the MBI scores between the three groups after 2 weeks and 4 weeks of treatment (P < 0.05), among which, there was significant difference in the scores of LOTCAA and MoCAA MBI between the three groups (P 0.05), 2 weeks of treatment, 2 weeks of treatment, After 4 weeks of treatment, the scores of LOTCAA MoCAMBI in electroacupuncture group and TEAS group were higher than those in control group and electroacupuncture group respectively, and the scores of LOTCAA MoCAMBI in electroacupuncture group were higher than those in control group and electroacupuncture group (P 0.05). In the control group, there was no significant difference in LOTCAMoCAMBI scores before and after treatment, there was no significant difference in the scores of LOTCAMoCAMBI before and after treatment, while in the electroacupuncture group and the TEAS group before and after treatment, the differences were statistically significant (P 0.05), among which the LOTCAMoCAMBI scores in the electroacupuncture group and the TEAS group were significantly higher than those in the pre-treatment group after 2 weeks and 4 weeks of treatment. Conclusion like electroacupuncture, stimulating Shenting and Baihui acupoints can improve TEAS and improve the ability of daily life of patients, and at the same time, the effect of TEAS is proportional to the course of treatment in a certain period of time, but electroacupuncture treatment is not time-dependent.
【作者单位】：赣南医学院附属康复医院康复治疗中心;赣南医学院附属康复医院神经康复科;赣南医学院附属康复医院老年康复科;
【基金】：江西省赣州市指导性科技计划(社会发展)项目(GZ2015ZSF312) 赣南医学院人才基金启动项目(QD201501)
【分类号】：R743.3

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