针刺结合认知功能训练治疗脑卒中后认知障碍47例疗效观察

发布时间：2018-04-26 08:40

本文选题：针刺 + 认知功能训练　；参考：《云南中医中药杂志》2017年02期

【摘要】：目的探讨针刺结合认知功能训练治疗脑卒中后认知障碍的临床疗效。方法选取2012年10月至2015年10月铜陵市中医医院康复科病房收治的94名符合诊断及纳入标准的脑卒中后认知障碍患者为研究对象(3例脱组)。采取随机数字表法分为观察组47例,对照组44例,所有病例均给予个性化认知康复训练,观察组在此基础上进行针刺治疗。对比2组的ERP、EEP、认知能力及日常生活自理能力。结果 2组均可引出P300波。观察组Fz、Cz、Pz潜伏期较对照组显著缩短(P0.05),波幅较对照组显著增高(P0.05)。对照组EEG异常率显著高于观察组(P0.05)。2组治疗前认知功能MMSE总分、时间空间定向力、记忆力、注意力及计算力、语言能力等各项目评分等均未见显著性差异(P0.05),治疗后观察组认知功能MMSE总分、时间空间定向力、记忆力、注意力及计算力、语言能力等各项目评分均明显高于对照组(P0.05)。观察组治疗有效率为78.72%,对照组为56.80%,组间比较观察组高于对照组(P0.05)。治疗前2组BI指数评分未见显著性差异(P0.05),治疗后观察组高于对照组(P0.05)。结论针刺治疗与认知康复训练可以相互补充,增强对脑组织的刺激,增加脑组织的血液循环,促进神经功能的修复,可在临床进行推广。
[Abstract]:Objective to investigate the clinical effect of acupuncture combined with cognitive function training in the treatment of post-stroke cognitive disorders. Methods from October 2012 to October 2015, 94 patients with post-stroke cognitive impairment who were admitted to the Department of Rehabilitation of Tongling traditional Chinese Medicine Hospital were selected as the study objects. 47 cases were divided into observation group (n = 47) and control group (n = 44) by random number table. All cases were given individualized cognitive rehabilitation training, and the observation group was treated with acupuncture on this basis. ERP EEP, cognitive ability and self-care ability of daily life were compared between two groups. Results P 300 wave was induced in both groups. Compared with the control group, the PZ latency of the observation group was significantly shorter than that of the control group (P 0.05), and the amplitude of the wave was significantly higher than that of the control group (P 0.05). The abnormal rate of EEG in the control group was significantly higher than that in the observation group before treatment (P 0.05). The total score of MMSE, temporal and spatial orientation, memory, attention and computational ability were significantly higher in the control group than in the control group. There was no significant difference in the scores of each item, such as language ability and so on. After treatment, the total score of MMSE, time and space orientation, memory, attention and calculation ability and language ability in the observation group were significantly higher than those in the control group (P 0.05). The effective rate of treatment was 78.72 in the observation group and 56.80 in the control group. The comparison between the observation group and the control group was higher than that in the control group (P 0.05). There was no significant difference in BI index score between the two groups before treatment, but after treatment, the observation group was higher than the control group (P 0.05). Conclusion Acupuncture therapy and cognitive rehabilitation training can complement each other, enhance the stimulation of brain tissue, increase the blood circulation of brain tissue, promote the repair of nerve function, and can be popularized in clinic.
【作者单位】：安徽中医药大学;安徽中医药大学第一附属医院;
【分类号】：R246.6

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