头皮针刺结合认知训练对急性期脑卒中患者认知功能的疗效观察  

Effect of Scalp Acupuncture Combined with Cognitive Training on Cognitive Function of Acute Stroke Patients

作　　者：王伟 付建明 顾旭东 姚云海 金敏敏 李岩 

机构地区：[1]浙江嘉兴第二医院康复医学中心,浙江嘉兴市314000

出　　处：《中国康复理论与实践》2009年第11期1046-1048,共3页Chinese Journal of Rehabilitation Theory and Practice

基　　金：浙江省基层中医药适宜技术(2008SA006)

摘　　要：目的观察头皮针刺结合认知训练对急性期脑卒中患者认知功能的疗效。方法将68例有认知障碍的急性期脑卒中患者分为治疗组(n=34)和对照组(n=34)。两组患者均予神经内外科常规治疗及由专业康复师进行的认知训练,治疗组在此基础上进行头皮针刺。治疗前及治疗后2个月后采用洛文斯顿作业疗法认知成套测试(LOTCA)对两组患者进行认知功能评定。结果治疗后两组的LOTCA评分与治疗前相比均有改善(P<0.05),治疗组的改善幅度优于对照组(P<0.05)。结论头皮针刺结合认知训练能明显改善急性期脑卒中患者认知功能。Objective To observe the effect of scalp acupuncture combined with cognitive training on the cognitive function of stroke patients in the acute stage. Methods 68 stroke patients with cognitive disorder were divided into the treatment group （n=34） and the control group （n=34）. All patients of two groups were treated with routine therapy and cognitive rehabilitation training by professional physiotherapists, but the treatment group were added with scalp acupuncture. They were regularly evaluated with Loe wenstein Occupational Therapy Cognition Assessment （LOTCA） before and 2 months after treatment. Results The scores of LOT CA significantly improved in the two groups after treatment （P〈0.05）, and improvement of the treatment group was better than those of the control group（P〈0.05）. Conclusion The scalp acupuncture combined with cognitive training can significantly improve the acute stroke patients with cognitive disorder.

关 键 词：脑卒中 急性期 认知障碍 头皮针 洛文斯顿作业疗法认知成套测试(LOTCA) 

分 类 号：R743.3[医药卫生—神经病学与精神病学]