针刺百会改善脑卒中后执行功能障碍疗效观察  

Therapeutic Observation of Acupuncture at Baihui (GV20) in Improving Executive Dysfunction After Cerebral Stroke

作　　者：林志诚 江一静[1] 陈阿贞 游咏梅 陈登钟 

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350000

出　　处：《上海针灸杂志》2017年第10期1164-1167,共4页Shanghai Journal of Acupuncture and Moxibustion

基　　金：福建省卫生计生委中青年骨干人才培养项目(2014-2-36);福建省康复产业研究院课题(2015Y2001-43)

摘　　要：目的观察针刺百会治疗脑卒中后执行功能障碍的疗效。方法将符合纳入标准的56例脑卒中后执行功能障碍患者随机分为治疗组(30例)和对照组(26例),治疗组采用针刺百会穴治疗,对照组采用常规针刺法。治疗前后采用执行缺陷综合征行为评价测验(BADS)、连线测验(TMT)评价其执行功能;改良Barthel指数(MBI)评价日常生活自理能力。结果两组患者治疗前BADS、TMT、MBI评分比较差异无统计学意义(P>0.05);两组患者治疗后各项评分均较治疗前改善(P<0.05)。治疗组BADS测验中RSCT、KST、TJT、ZMT、总标准分,TMT-A、MBI评分较对照组更优(P<0.05)。结论针刺百会能有效改善脑卒中患者的执行功能。Objective To observe the therapeutic efficacy of acupuncture at Baihui（GV20） in treating post-stroke executive dysfunction. Method Fifty-six eligible patients with post-stroke executive dysfunction were randomized into a treatment group（30 cases） and a control group（26 cases）. The treatment group was intervened by acupuncture at Baihui and the control group was intervened by ordinary acupuncture. Before and after the intervention, the Behavioral Assessment of the Dysexecutive Syndrome（BADS） and Trail Making Test（TMT） were adopted to evaluate the executive function, and Modified Barthel Index（MBI） was used to estimate the activities of daily living（ADL）. Result Before the intervention, there were no significant differences in comparing the BADS, TMT and MBI scores between the two groups（P〈0.05）; after the treatment, each scale was improved significantly in both groups（P〈0.05）. The scores of Rule Shift Cards Test（RSCT）, Key Search Test（KST）, Temporal Judgment Test（TJT）, Zoo Map Test（ZMT） and total point of BADS, TMT-A and MBI scores in the treatment group were superior to those in the control group（P〈0.05）. Conclusion Acupuncture at Baihui works effectively in improving the executive function of cerebral stroke patients.

关 键 词：针刺 穴 百会 执行功能 中风并发症 认知障碍 康复训练 

分 类 号：R246.6[医药卫生—针灸推拿学]