摘要
目的探讨针药合用联合认知训练对卒中后轻度认知功能障碍(MCI)的疗效。方法将符合入选标准的90例患者随机分为针刺组、中药组和针药组。3组患者在个性化认知康复训练的基础上,分别给予针刺、中药和针药治疗。治疗前后分别用改良长谷川痴呆量表(HDS)、Barthel指数(BI)和Fugl-meyer运动功能评分量表(FMA)对各组患者进行评定。结果 3组患者治疗后HDS、BI和FMA评分较治疗前均有明显提高(P<0.01);针药组疗效分别优于针刺组和中药组(P<0.05),而针刺组和中药组疗效无显著统计学差异(P>0.05)。结论针药合用能改善卒中后MCI患者的认知功能,提高患者的日常生活能力和运动功能,且针药合用具有协同增效作用。
Objective To explore the effect of acupuncture combined with herbal medicine and cognitive training for mild cognitive impairment(MCI) in patients with stroke. Methods Ninety cases were randomly divided into three groups,they were given the acupuncture,the herbal medicine and the acupuncture combined with herbal medicine treatment respectively on the basis of personalized cognitive rehabilitation training.The Modified Hasegawa Dementia Scale(HDS),Barthel index(BI),and the Fugl-meyer(FMA) motor function rating scale were evaluated before and after treatment. Results After treatment,the scores of HDS,BI and FMA in the three groups were significantly improved than that before the treatment(P<0.01).The efficacy of acupuncture combined with herbal medicine was greater than that from other two groups(P<0.05),but there was no significant difference in efficacy between the acupuncture group and the herbal medicine group(P>0.05). Conclusion Acupuncture combined with herbal medicine can improve the cognition function,activity of daily living and motor function in post-stroke patients with MCI.
出处
《神经病学与神经康复学杂志》
2011年第4期161-164,共4页
Journal of Neurology and Neurorehabilitation
基金
上海市长宁区卫生局科研基金资助项目(编号:2004104001)
关键词
针刺
中药
卒中
认知功能障碍
acupuncture
herbal medicine
stroke
cognitive impairment
