摘要
目的探讨脑梗死认知功能障碍患者采用针刺项八穴联合认知功能康复训练的效果.方法选取2022年2月—2023年6月该院收治的124例脑梗死认知功能障碍患者为研究对象,以随机数字表法将其分成研究组(n=62)与对照组(n=62).对照组采用认知功能康复训练,研究组采用针刺项八穴联合认知功能康复训练.比较两组精神状态、认知功能、神经功能、日常生活能力、生活质量.结果干预前,两组简易精神状态检查表(MMSE)、长谷川痴呆量表(HDS)评分比较,组间差异无统计学意义(P>0.05).干预后,研究组MMSE、HDS评分分别为(22.51±2.95)分、(26.11±3.46)分,均高于对照组的(17.16±2.38)分、(24.13±3.09)分,组间差异有统计学意义(P<0.05).干预前,两组美国国立卫生研究院卒中量表(NIHSS)、Barthel指数(BI)评分比较,组间差异无统计学意义(P>0.05).干预后,研究组的NIHSS评分为(7.12±1.92)分,低于对照组的(10.24±2.18)分,BI评分为(82.13±4.57)分,高于对照组的(79.95±4.19)分,组间差异有统计学意义(P<0.05).干预前,两组脑卒中影响量表(SIS)评分比较,差异无统计学意义(P>0.05).干预后,研究组的SIS评分为(86.62±5.06)分,高于对照组的(83.76±4.88)分,差异有统计学意义(P<0.05).结论针刺项八穴联合认知功能康复训练应用于脑梗死认知功能障碍患者中,能够促进患者精神状态改善与认知功能提高,改善神经功能及日常生活能力,提高生活质量.
Objective To explore the effect of acupuncture at eight acupoints combined with cognitive function rehab-ilitation training in patients with cognitive dysfunction after cerebral infarction.Methods 124 patients with cerebral infarction and cognitive dysfunction admitted to this hospital from February 2022 to June 2023 were selected as the research objects.They were divided into a study group(n=62)and a control group(n=62)by random number table method.The control group was treated with cognitive function rehabilitation training,and the study group was treated with eight acupoints acupuncture combined with cognitive function rehabilitation training.The mental state,cognitive function,neurological function,daily living ability and quality of life were compared between the two groups.Results Before the intervention,there were no significant differences in the scores of Mini-Mental State Examination(MMSE)and Hasegawa Dementia Scale(HDS)between the two groups(P>0.05).After intervention,the MMSE score and HDS score of the study group were(22.51±2.95)points and(26.11±3.46)points,respectively,which were higher than(17.16±2.38)points and(24.13±3.09)points of the control group,and the differences between the two groups were statistically significant(P<0.05).Before intervention,there were no statistically significant differences in the scores of National Institutes of Health Stroke Scale(NIHSS)and Barthel Index(BI)between the two groups(P>0.05).After intervention,the NIHSS score of the study group was(7.12±1.92)points,which was lower than(10.24±2.18)points of the control group,and the BI score was(82.13±4.57)points,which was higher than(79.95±4.19)points of the control group,and the differences between the two groups were statistically significant(P<0.05).Before intervention,there was no statistically significant difference in Stroke Impact Scale(SIS)score between the two groups(P>0.05).After intervention,the SIS score of the study group was(86.62±5.06)points,which was higher than(83.76±4.88)points of the control group,and the difference was statistically significant(P<0.05).Conclusion Eight acupoints acupuncture combined with cognitive function rehabilitation training in patients with cerebral infarction and cognitive dysfunction can promote the improvement of mental state and cognitive function,improve nerve function and daily living ability,and improve the quality of life.
作者
冯凤坡
FENG Fengpo(Department of Rehabilitation,Community Health Service Center of Mudan District Office(Mudan District Hospital of Integrated Chinese and Western Medicine),Heze Shandong,274013,China)
出处
《反射疗法与康复医学》
2024年第3期23-26,共4页
Reflexology And Rehabilitation Medicine
关键词
脑梗死
认知功能障碍
针刺项八穴
认知功能康复训练
Cerebral infarction
Cognitive dysfunction
Acupuncture eight acupoints
Cognitive rehabilitation training
作者简介
冯凤坡(1972-),男,山东菏泽人,本科,副主任医师,研究方向:脑血管疾病针灸康复。
