头针联合心理调节治疗大脑中动脉闭塞患者认知功能障碍的临床观察  

Clinical Observation of Scalp Acupuncture Combined with Psychological Adjustment in Treating Cognitive Dysfunction in Patients with Middle Cerebral Artery Occlusion

作　　者：杨虹[1] 张建博[1] 亓华云[1] YANG Hong;ZHANG Jian-Bo;QI Hua-Yun(Dept.of Rehabilitation,Shenzhen Longgang Central Hospital,Shenzhen 518116 Guangdong,China)

机构地区：[1]深圳市龙岗中心医院康复科,广东深圳518116

出　　处：《广州中医药大学学报》2020年第6期1067-1071,共5页Journal of Guangzhou University of Traditional Chinese Medicine

基　　金：广东省中医药局科研项目(编号:20191284)。

摘　　要：【目的】观察头针联合心理调节治疗大脑中动脉闭塞患者认知功能障碍的临床疗效。【方法】将60例大脑中动脉闭塞认知功能障碍患者随机分为观察组和对照组,每组各30例。对照组给予常规的康复功能训练,观察组在对照组治疗的基础上增加头针联合心理调节治疗,均连续治疗6周。治疗6周后,比较2组患者蒙特利尔认知评估量表(MoCA)评分、美国国立卫生院卒中量表(NIHSS)神经功能缺损评分及生活质量测定量表简表(WHOQOL-BREF)评分的变化情况,以及2组患者治疗前后凝血功能指标的变化情况,并评价2组的安全性。【结果】(1)治疗后,2组患者的MoCA、NIHSS评分及生活质量评分均明显改善(P<0.05),且观察组在改善MoCA、NIHSS评分及生活质量评分方面均明显优于对照组,差异均有统计学意义(P<0.05)。(2)治疗后,2组患者的纤维蛋白原、凝血酶原、血浆粘度均明显改善(P<0.05),且观察组在改善纤维蛋白原、凝血酶原、血浆粘度方面均明显优于对照组,差异均有统计学意义(P<0.05)。(3)安全性方面:治疗期间,观察组不良反应发生率为16.67%(5/30);对照组不良反应发生率为10.00%(3/30)。2组患者的不良反应发生率比较,差异无统计学意义(P>0.05)。【结论】头针联合心理调节能够明显改善大脑中动脉闭塞患者的认知功能障碍,降低患者的凝血功能状态,提高患者的生活质量,且治疗安全性良好。Objective To observe the clinical effect of scalp acupuncture combined with psychological adjustment in treating cognitive dysfunction in patients with middle cerebral artery occlusion. Methods Sixty middle cerebral artery occlusion patients with cognitive dysfunction were randomly divided into observation group and control group, 30 cases in each group. The two groups received routine rehabilitation training, additionally, the observation group received scalp acupuncture combined with psychological adjustment treatment. The treatment lasting 6 continuous weeks. After 6 weeks,the scores of Montreal cognitive assessment scale(MoCA),national institutes of health stroke scale(NIHSS)for measuring neurological deficit,and quality of life were compared in the two groups. The coagulation function indexes were compared in the two groups before and after treatment. The safety of the two groups was evaluated. Results(1)After treatment,the scores of MoCA,NIHSS and quality of life in the two groups were improved(P<0.05),and the improvement in scores of MoCA,NIHSS and quality of life of the observation group was superior to that of the control group,the difference being significant(P<0.05).(2)After treatment,the levels of fibrinogen,prothrombin,and plasma viscosity in the two groups were improved(P<0.05),and the improvement in levels of fibrinogen,prothrombin,and plasma viscosity of the observation group was superior to that of the control group,the difference being significant(P<0.05).(3)Safety results during the trial showed that the incidence rate of adverse reactions was 16.67% in the observation group,and was 10.00% in the control group,but there was no significant difference in incidence rate of adverse reactions between the two groups(P > 0.05). Conclusion Scalp acupuncture combined with psychological adjustment has significant effects on improving cognitive dysfunction in patients with middle cerebral artery occlusion, decreasing coagulation function and enhancing quality of life,and is of safety.

关 键 词：头针 大脑中动脉闭塞 认知功能障碍 心理调节 生活质量 凝血功能 

分 类 号：R246.9[医药卫生—针灸推拿学]