摘要
目的观察基于"脑肾相关"理论下针刺配合认知康复训练对卒中后认知障碍(PSCI)患者认知功能、日常生活能力及运动功能的影响。方法将70例PSCI患者随机分为观察组和对照组,每组35例。对照组采用西医常规治疗加认知康复训练,观察组在对照组的基础上予"脑肾相关"理论下针刺治疗。观察治疗前、治疗4周、治疗8周后两组蒙特利尔认知评估量表(Mo CA)、改良Barthel指数量表(MBI)及简化Fugl-Meyer运动功能量表(FMA)的评分变化,进行比较分析。结果治疗4周、治疗8周后两组MoCA评分、MBI评分及FMA评分较治疗前升高,差异均有统计学意义(P<0.05);治疗8周后观察组Mo CA评分及MBI评分高于对照组,差异均有统计学意义(P<0.05)。结论基于"脑肾相关"理论下的针刺疗法配合认知康复训练能改善PSCI患者的认知功能,提高其日常生活能力。
Objective To observe the effects of acupuncture based on brain-kidney correlated theory plus cognitive rehabilitation training on the cognitive function,activities of daily living(ADL)and motor function in patients with post-stroke cognitive impairment(PSCI).Method Seventy PSCI patients were randomized into an observation group and a control group,with 35 cases in each group.The control group was intervened by routine Western medicine treatment plus cognitive rehabilitation training;in addition,the observation group was given acupuncture treatment based on brain-kidney correlated theory.The two groups were observed by Montreal Cognitive Assessment(MoCA),Modified Barthel Index(MBI)and short-form Fugl-Meyer Assessment(FMA)before treatment,and after 4-week treatment and 8-week treatment.The results were compared and analyzed.Result The MoCA,MBI and FMA scores increased after 4-week treatment and 8-week treatment in both groups compared with those before treatment and the differences were statistically significant(P<0.05);after 8-week treatment,the MoCA and MBI scores were higher in the observation group than in the control group,and the differences were statistically significant(P<0.05).Conclusion Acupuncture therapy based on brain-kidney correlated theory plus cognitive rehabilitation training can improve the cognitive function and ADL of PSCI patients.
作者
宋洋
赵锋
黄文豪
陈瑶
SONG Yang;ZHAO Feng;HUANG Wen-hao;CHEN Yao(The First Hospital of Hunan University of Chinese Medicine,Changsha 410007,China)
出处
《上海针灸杂志》
2020年第6期657-660,共4页
Shanghai Journal of Acupuncture and Moxibustion
基金
湖南省教育厅科学研究项目(18C0404)
湖南中医药大学中西医结合一流学科开放基金项目(2018ZXYJH13)。
作者简介
宋洋(1985-),男,主治医师,硕士,Email:410419282@qq.com;通信作者:陈瑶(1987-),女,主治医师,硕士,Email:328581654@qq.com。
