脑脉泰联合健脑头针对脑梗死后 轻中度认知障碍气虚血瘀型患者的影响  

Effects of Naomaitai Combined with Brain-strengthening Scalp Acupuncture on Mild to Moderate Cognitive Impairment in Patients of Qi-deficiency Blood-stasis Pattern after Cerebral Infarction

作　　者：袁捷 赵媛 雷亚玲 韩祖成 苏同生 陈杰 YUAN Jie;ZHAO Yuan;LEI Yaling;HAN Zucheng;SU Tongsheng;CHEN Jie(Shaanxi Provincial TCM Hospital,Xi'an 710003,China)

机构地区：[1]陕西省中医医院,陕西西安710003

出　　处：《西部中医药》2021年第3期113-115,共3页Western Journal of Traditional Chinese Medicine

基　　金：国家中医药管理局中医药行业科研专项基金(201507001-05);陕西省中医药管理局科研课题(2019-GJ-QT006)。

摘　　要：目的:探讨脑脉泰胶囊联合健脑头针(百会、四神聪、神庭)对脑梗死后轻中度认知障碍气虚血瘀型患者认知功能及生活质量的影响。方法:将脑梗死后轻中度认知障碍气虚血瘀型患者202例自然入组为试验组94例,对照组108例。两组均给予基础治疗,试验组加用脑脉泰胶囊及健脑头针治疗,疗程为3个月。观察两组治疗第0、1、3、6个月蒙特利尔量表(MoCA)、日常生活能力量表(ability of daily life,ADL)评分变化情况及安全性。结果:治疗第1、3、6个月两组患者MoCA评分比较差异有统计学意义(P<0.05);治疗第1个月两组患者ADL评分比较差异无统计学意义(P>0.05),治疗第3、6个月比较差异有统计学意义(P<0.05)。结论:脑脉泰胶囊联合健脑头针在改善脑梗死后轻中度认知障碍气虚血瘀型患者认知功能和日常生活能力方面优于单纯基础治疗,特别在治疗3~6个月后疗效显著且稳定。Objective:To explore the effects of Naomaitai capsules and brain-strengthening scalp acupuncture[Baihui(GV20),Sishencong(EX-HN1)and Shenting(GV24,DU24)]on cognitive function and quality of life of mild to moderate cognitive impairment patients of Qi-deficiency blood stasis pattern after cerebral infarction.Methods:All 202 patients were divided into 94 cases of the test group and 108 cases of the control group naturally.Both groups accepted basic therapy,and the test group were treated by Naomaitai capsules and brainstrengthening scalp acupuncture,the course was three months.To observe the safety,the changes of ADL and montreal MoCA when both groups were treated for zero,one,three and six months.Results:The difference had statistical meaning in MoCA scores between both groups when they were treated for one,three and six months(P<0.05);the difference had no statistical meaning in ADL scores between both groups when they were treated for one month(P>0.05),the difference was statistically significant three and six months after treating(P<0.05).Conclusion:Naomaitai capsules and brain-strengthening scalp acupuncture are superior to only basic therapy in improving cognitive function and ADL of mild to moderate cognitive impairment patients of Qi-deficiency bloodstasis pattern after cerebral infarction,clinical effects are notable and stable especially when they are treated for three to six months.

关 键 词：脑梗死 卒中后认知障碍 气虚血瘀 脑脉泰胶囊 针刺 疗效 

分 类 号：R246[医药卫生—针灸推拿学]