针灸结合认知康复训练治疗脑损伤后认知障碍的疗效观察  

Observation on the Therapeutic Effect of Acupuncture Combined With Cognitive Rehabilitation Training on Cognitive Impairment After Brain Injury

作　　者：杜谨瑜 DU Jinyu(Rehabilitation Department,Central Hospital of Chongqing Three Gorges,Chongqing 404020,China)

机构地区：[1]重庆三峡中心医院康复科,重庆404020

出　　处：《中国继续医学教育》2018年第28期155-156,共2页China Continuing Medical Education

基　　金：重庆市万州区科技计划项目(201503006)

摘　　要：目的将针灸治疗结合认知康复训练运用在脑损伤后认知障碍患者中,观察和分析临床疗效。方法选取2015年7月—2017年6月本医院收入并开展治疗的60例脑损伤后认知障碍患者作为研究对象,参考随机法予以分组,每组各纳入30例。认知康复训练用于参照组,针灸治疗结合认知康复训练用于实验组,计算两组患者治疗前及治疗后的LOTCA评分分值、治疗效果满意总统计率。结果实验组患者治疗后的LOTCA评分分值、治疗效果满意总统计率均高于参照组患者对应数据,差异具有统计学意义(P <0.05)。结论对脑损伤后认知障碍患者实施针灸治疗结合认知康复训练显现较优的临床疗效。Objective To observe the clinical efficacy of acupuncture combined with cognitive rehabilitation training in patients with cognitive impairment after brain injury. Methods 60 patients with post-traumatic cognitive impairment received and treated in our hospital from July 2015 to June 2017 were selected as the study subjects. The patients were divided into two groups according to the random method, 30 cases in each group. Cognitive rehabilitation training was used in the reference group. Acupuncture therapy combined with cognitive rehabilitation training was used in the experimental group. Two groups of patients before and after treatment, LOTCA score, therapeutic effect and presidential rate were calculated. Results The total statistical rate of the LOTCA score and the satisfaction of the patients in the experimental group were significantly higher than the corresponding data of the reference group, the difference was statistically significant （P〈0.05）. Conclusion acupuncture treatment combined with cognitive rehabilitation training shows better clinical effcacy in patients with cognitive impairment after brain injury.

关 键 词：针灸 认知康复训练 脑损伤 认知障碍 认知评定成套测验(LOTCA) 疗效 

分 类 号：R749[医药卫生—神经病学与精神病学]