滋肾益髓针法配合康复训练治疗脑卒中后认知障碍65例临床疗效观察  

Clinical Therapeutic Effects on 65 Cases of Post-Stroke Cognitive Impairment Treated with Zishen Yisui Acupuncture Therapy and Rehabilitation Training

作　　者：张静[1] 张磊[1] 陈希源 ZHANG Jing;ZHANG Lei;CHEN Xi - yuan(Tangshan Chinese Medicine Hospital, Tangshan Hebei 06300)

机构地区：[1]唐山市中医医院,河北唐山063000

出　　处：《世界中西医结合杂志》2018年第3期370-373,共4页World Journal of Integrated Traditional and Western Medicine

基　　金：2016年度河北省中医药管理局科学技术课题(2016230)

摘　　要：目的观察滋肾益髓针法配合康复训练治疗脑卒中后认知障碍的临床疗效。方法将130例符合纳入标准的患者随机分为治疗组和对照组,每组患者65例。两组患者均接受康复训练,对照组在康复训练的基础上给予常规针刺治疗(合谷、尺泽、太冲、内关、足三里、三阴交、委中)。治疗组在康复训练的基础上给予滋肾益髓针法(大钟、涌泉、悬钟、百会、四神聪)。治疗4周后采用蒙特利尔认知评估量表和简易精神状态评价量表评估治疗前后的积分情况,统计分析其临床疗效。结果两组患者治疗后MMSE、MoCA积分明显提高,与治疗前比较差异有统计学意义(P<0.05);且治疗组治疗后MMSE、MoCA积分高于对照组,差异有统计学意义(P<0.05)。两组患者治疗后中医症状积分均较治疗前有所降低,两组比较差异有统计学意义(P<0.05);且治疗组治疗后中医症状积分低于对照组,两组比较差异有统计学意义(P<0.05)。临床总有效率治疗组为92.31%、对照组80.00%,两组比较差异有统计学意义(P<0.05)。结论滋肾益髓针法配合康复训练可以明显提高脑卒中后认知功能障碍患者的认知功能,有效提高患者的生活质量,值得临床推广应用。Objective To observe the clinical therapeutic effects on 65 cases of post-stroke cognitive impairment treated with zishen yisui acupuncture therapy（ for nourishing kidney and benefiting marrow）and rehabilitation training. Methods A total of 130 patients in compliance with inclusive criteria were randomized into a treatment group and a control group,65 cases in each one. The patients in the two groups received the rehabilitation training. In the control group,on the base of the rehabilitation training,the routine acupuncture treatment was given[Hegu（ LI4）,Chizhe（ LU5）,Taichong（ LV3）,Neiguan（ PC6）,Zusanli（ ST36）,Sanyinjiao（ SP6）,Weizhong（ BL40） ]. In the treatment group,the zishen yisui acupuncture therapy was given[Dachong（ KI4）,Yongquan（ KI1）,Xuanzhong（ GB39）,Baihui（ GV20）,Sishencong（ EX-HN1） ]. In 4 weeks of treatment,the Montreal cognitive assessment（ Mo CA） and the mini-mental state examination（ MMSE） were adopted to evaluate the scores before and after treatment. The clinical therapeutic effects were analyzed statistically. Results After treatment,MMSE and Mo CA scores were improved remarkably as compared with those before treatment in the two groups,indicating the significant differences（ P〈0. 05）. In treatment group,MMSE and Mo CA scores were higher than the control group after treatment,indicating the significant differences（ P〈0. 05）. The TCM symptom scores after treatment were reduced as compared with those before treatment in the two groups,indicating the significant differences（ P〈0. 05）. The TCM symptom scores in the treatment group were lower than the control group after treatment,indicating the significant differences（ P〈0. 05）. The total effective rate was 92. 31% in the treatment group and was80. 00% in the control group,indicating the significant differences（ P〈0. 05）. Conclusion The zishen yisui acupuncture therapy combined with rehabilitation training improves remarkably the cognitive function in the patie

关 键 词：脑卒中 认知障碍 滋肾益髓针法 康复训练 

分 类 号：R742[医药卫生—神经病学与精神病学]