电针百会、神庭穴配合康复训练治疗脑卒中后认知障碍临床研究  

Clinical Observation of Treating Cognitive Impairment after Stroke by Electroacupuncture at Baihui and Shenting with Cognitive Rehabilitation Training

作　　者：刘娇[1] 冯晓东[2] 

机构地区：[1]河南中医学院,河南郑州450046 [2]河南中医学院第一附属医院,河南郑州450000

出　　处：《中医学报》2013年第4期608-610,共3页Acta Chinese Medicine

基　　金：科技部国际科技合作项目(编号:2011DFG33240)

摘　　要：目的:观察电针百会、神庭配合康复训练治疗脑卒中后认知障碍的临床疗效。方法:50例脑卒中后认知障碍患者,随机分为对照组和治疗组各25例。对照组进行常规认知康复训练,治疗组在认知康复训练基础上行电针百会、神庭治疗。12 d为1个疗程,共治疗2个疗程。治疗结束后采用简易智能状态检查量表(MMSE)和日常生活活动量表(ADL)评价患者认知功能和日常生活能力。结果:与治疗前比较,两组患者在MMSE评分上有明显提高,ADL评分明显下降,差异具有统计学意义(P<0.05);两组患者治疗2个疗程后组间比较,在MMSE评分和疗效方面,治疗组较对照组有明显提高,ADL评分较对照组明显下降,差异有统计学意义(P<0.05)。结论:电针百会、神庭配合认知康复训练及单纯认知康复训练均能改善脑卒中后患者的认知功能,但电针配合认知康复训练治疗脑卒中后认知障碍疗效优于单纯进行认知康复训练。Objective：To observe the clinical effect of treating cognitive impairment after stroke by electroacupuncture at Baihui and Shenting with cognitive rehabilitation training.Methods：The therapeutic group and control group were randomly divided into two groups with 25 cases in each for clinical observations.The control group was treated for regular cognitive rehabilitation training,and the therapeutic group was treated for electroacupuncture at Baihui and Shenting with rehabilitation training for 24 days.After treatment,the cognitive functions of the two groups were assessed by MMSE and ADL.Results：Both groups were significantly increased in the MMSE and decreased in ADL scores in the treatment for 24 days compared with before treatment（P0.05）.The therapeutic group of patients also significantly increased in the MMSE and the total curative effect and decreased in ADL scores after the treatment compared with the control group（P0.05）.Conclusion：Both methods can improve the cognitive impairment after stroke.However,electroacupuncture at Baihui and Shenting with rehabilitation training was better than the single cognitive rehabilitation training after stroke.

关 键 词：百会 神庭 康复训练 脑卒中 认知障碍 

分 类 号：R255.2[医药卫生—中医内科学]