眼针联合认知训练治疗脑卒中后认知功能障碍的疗效观察  

Eye acupuncture in treating cognitive dysfunction after stroke

作　　者：廖亮华[1] 江兴姝[2] 滕新[1] 高丽君[1] 古丽梅[1] 周冰峰[1] 

机构地区：[1]广东省惠州市中心人民医院康复科,惠州516001 [2]广东省惠州市第一人民医院康复科

出　　处：《中华物理医学与康复杂志》2016年第2期118-121,共4页Chinese Journal of Physical Medicine and Rehabilitation

基　　金：广东省中医药管理局课题（20141280）

摘　　要：目的探讨眼针联合认知训练治疗脑卒中后认知功能障碍的疗效。方法采用随机数字表法将90例脑卒中后认知功能障碍患者分为眼针治疗组、认知训练组及联合治疗组，每组30例。3组患者均给予常规内科治疗及康复训练，眼针治疗组患者同时辅以眼针针刺，认知训练组患者则同时辅以认知功能训练，联合治疗组患者则同时辅以眼针治疗及认知功能训练。于治疗前、治疗2个月分别采用洛文斯顿作业疗法认知评定成套测验（LOTCA）及改良Barthel指数（MBI）量表对3组患者认知功能、日常生活活动（ADL）能力情况进行评定。结果治疗前3组患者LOTCA各项指标评分及MBI评分组间差异均无统计学意义（P〉0．05），治疗后3组患者LOTCA各项指标评分及MBI评分较人院时明显改善（P〈0．05），并且联合治疗组患者LOTCA视运动组织能力评分[（23．65±4．26）分]、知觉能力评分[（21．13±2．31）分]、思维运作能力评分[（18．66±4．45）分]、注意力评分[（3．31±0．41）分]、总分[（70．41±5．87）分]及MBI评分[（79.31±6．67）分]亦显著优于眼针治疗组及认知训练组，组间差异均具有统计学意义（P〈0．05）。结论眼针联合认知训练治疗脑卒中后认知功能障碍具有协同作用，能进一步改善患者认知功能，提高其ADL能力，对促进患者早日回归家庭及社会具有重要意义。Objective To observe any effect when eye acupuncture is combined with computer-assisted cog- nition training to ameliorate cognitive dysfunction after stroke. Methods Stroke patients with cognitive impairment were randomly divided into an eye acupuncture group （n = 30） , a computer group （n = 30） and a combination group （n= 30）. The eye acupuncture group was given eye acupuncture, the computer group was given rehabilitative cogni- tion training with specialized equipment and the combination group was given both eye acupuncture and the computer- aided training. The treatment lasted 2 months. The Loewenstein occupational therapy cognitive asessment （LOTCA） and the modified Barthel index were used to evaluate the patients＇ cognitive function and daily life ability before and after treatment. Results Before training there was no significant difference in average LOTCA and MBI results a- mong the three groups. After 2 months of training, all three groups had significantly higher scores in both evaluations. Moreover, the combination group＇s average score on organization ability, perceptual ability, thinking operation ability and concentration, and also their average total score and MBI score were significantly better than those of the other two groups. Conclusions Eye acupuncture combines synergistically with cognitive rehabilitation training to amelio- rate cognitive dysfunction after stroke. Together they promote cognition, ADL ability and an early return to normal family and social life better than either alone.

关 键 词：眼针 电脑辅助认知训练 脑卒中 认知功能障碍 

分 类 号：R743.3[医药卫生—神经病学与精神病学] R493[医药卫生—临床医学]