摘要
目的观察电针联合益髓灸治疗卒中后轻度认知障碍(post-stroke cognitive impairment,PSCI)的临床疗效。方法将63例PSCI患者随机分为治疗组(32例)和对照组(31例)。治疗组采取电针联合益髓灸治疗,对照组采取电针治疗。观察两组治疗前后蒙特利尔认知评估量表(Montreal cognitive assessment,MoCA)与简易精神状态检查表(mini-mental state examination,MMSE)评分变化,并比较两组临床疗效及安全性。结果两组治疗后MMSE与MoCA评分均升高(P<0.05),且治疗组高于对照组(P<0.05)。治疗组总有效率为96.7%,高于对照组的76.7%(P<0.05)。两组不良反应等级比较,差异无统计学意义(P>0.05)。结论电针联合益髓灸和单纯电针治疗均可改善PSCI患者的认知功能,电针联合益髓灸疗法改善PSCI患者的认知功能效果更优。
Objective To observe the clinical efficacy of electroacupuncture plus marrowsupplementing moxi-bustion for mild post-stroke cognitive impairment(PSCI).Method Sixty-three PSCI patients were randomized to a treatment group(32 cases)and a control group(31 cases).The treatment group received electroacupuncture plus marrow-supplementing moxibustion and the combination group,electro acupuncture,alone.The Montreal Cognitive Assessment(MoCA)score and the Mini-Mental State Examination(MMSE)score were recorded in the two groups before and after treatment.The clinical therapeutic effect and safety compared between the two groups.Result After treatment,the MMSE and MoCA scores increased in the two groups(P<0.05)and were higher in the treatment group than in the control group(P<0.05).The total efficacy rate was 96.7%in the treatment group,which was higher than 76.7%in the control group(P<0.05).Adverse reaction grading had no statistically significant difference between the two groups(P>0.05).Conclusion Both electroacupuncture plus marrow-supplementing moxibustion and electroacupuncture alone can improve cognitive function in PSCI patients.Electroacupuncture plus marrow-supplementing moxibustion is more effective in improving cognitive function in PSCI patients.
作者
覃晓燕
卢琰琰
赵利华
李秋佳
曾念鹏
廖杏鸣
毛楠
郭从浩
QIN Xiaoyan;LU Yanyan;ZHAO Lihua;LI Qiujia;ZENG Nianpeng;LIAO Xingming;MAO Nan;GUO Conghao(Jiangbin Hospital of Guangxi Zhuang Autonomous Region,Nanning 530021,China;The First Affiliated Hospital of Guangxi University of Chinese Medicine,Nanning 530023,China)
出处
《上海针灸杂志》
2025年第9期1081-1085,共5页
Shanghai Journal of Acupuncture and Moxibustion
基金
国家自然科学基金项目(82160933)
广西中医药重点学科建设目标(GZXK-Z-20-31)
广西壮族自治区中医药管理局自筹经费科研课题(GXZYA20220206)。
关键词
电针
艾柱灸
益髓灸
针灸疗法
中风后遗症
认知障碍
Electroacupuncture
Moxa cone moxibustion
Marrow-supplementing moxibustion
Acupuncture therapy
Stroke sequelae
Cognitive impairment
作者简介
覃晓燕(1988—),女,主治医师,Email:594131450@qq.com。
