电针百会穴对脑梗死后认知障碍患者听觉P300的影响  

Effects of Electroacupuncture at Point Baihui(GV 20) on Auditory P300 in Patients with Cognitive Disorder post Cerebral Infarction

作　　者：林志诚[1] 陈立典[1] 陶静[1] 江一静[1] 陈阿贞 

机构地区：[1]福建中医药大学附属康复医院,福州350003 [2]福建中医药大学,福州350122

出　　处：《上海针灸杂志》2014年第1期14-17,共4页Shanghai Journal of Acupuncture and Moxibustion

基　　金：福建省科技厅重点项目(2010I0007);福建省卫生厅中医临床基地诊疗方案研究(zlckf01)

摘　　要：目的观察电针百会穴对脑梗死后认知障碍患者听觉事件相关电位P300的影响。方法将59例脑梗死患者随机分为治疗组30例和对照组29例。治疗组采用电针配合认知功能训练治疗,对照组采用单纯认知功能训练治疗。比较两组治疗前后蒙特利尔认知评价量表(MoCA)评分及P300检测情况。结果两组患者治疗后MoCA量表各项评分与同组治疗前比较,差异均具有统计学意义(P<0.05)。除言语项目外,治疗组患者治疗后MoCA量表各项评分与对照组比较,差异均具有统计学意义(P<0.05)。两组治疗后P300潜伏期、波幅与同组治疗前比较,差异均具有统计学意义(P<0.01)。治疗组治疗后P300潜伏期、波幅与对照组比较,差异均具有统计学意义(P<0.05)。P300潜伏期与MoCA评分呈负相关性,P300波幅与MoCA评分呈正相关性。结论电针百会能改善脑梗死后认知障碍患者的认知功能。Objective To investigate the effect of electroacupuncture at point Baihui（GV 20） on P300 auditory event-related potentials in patients with cognitive disorder post cerebral infarction. Methods Fifty-nine patients with cerebral infarction were randomly allocated to a treatment group of 30 cases and a control group of 29 cases. The treatment group received electroacupuncture plus cognitive training and the control group, cognitive training alone. Pre-treatment and post-treatment Montreal Cognitive Assessment （MoCA） scores and auditory P300s were compared between the two groups. Results There were statistically significant pre-/post-treatment differences in the MoCA item scores in the two groups （P〈0.05）. There were statistically significant post-treatment differences in the MoCA item scores except the speech score between the treatment and control groups （P〈0.05）. There were statistically significant pre-/post-treatment differences in P300 latency and amplitude in the two groups （P〈0.01）. There were statistically significant post-treatment differences in P300 latency and amplitude between the treatment and control groups （P〈 0.05）. P300 latency was negatively correlated to the MoCA score. P300 amplitude was positively correlated to the MoCA score. Conclusion Electroacupuncture at point Baihui（GV 20） can improve cognitive function in patients with cognitive disorder post cerebral infarction.

关 键 词：针刺疗法 电针 脑梗死 认知障碍 穴 百会 P300 

分 类 号：R246.6[医药卫生—针灸推拿学]