“通督醒神”针刺法治疗中风后轻度认知障碍的疗效观察  

An observation on the therapeutic eff ect of the Tongdu Xingshen acupuncture therapy on the post-stroke mild cognitive impairment

作　　者：薛洋[1] 张东艳[2] 白艳杰[1] 王岩 XUE Yang;ZHANG Dongyan;BAI Yanjie;WANG Yan(The First Affi liated Hospital of Henan University of Chinese Medicine,Zhengzhou 450000,China;The Third Affi liated Hospital of Henan University of Chinese Medicine,Zhengzhou 450000,China;Henan University of Chinese Medicine,Zhengzhou 450046,China)

机构地区：[1]河南中医药大学第一附属医院,郑州450000 [2]河南中医药大学第三附属医院,郑州450000 [3]河南中医药大学,郑州450046

出　　处：《吉林中医药》2021年第8期1109-1112,共4页Jilin Journal of Chinese Medicine

基　　金：国家重点研发计划(2018YFC1706004)。

摘　　要：目的观察“通督醒神”针刺法对中风后轻度认知障碍(post-stroke mild cognitive impairment,PSMCI)患者认知功能的影响及疗效机制。方法将60例中风后轻度认知障碍者随机分为治疗组(30例)和对照组(30例)。治疗组采用“通督醒神”针刺法(头针配合电针仪,长留针),每日1次,每周5次,4周为一疗程,共治疗2个疗程;对照组使用传统手法常规针刺治疗。治疗前后分别采用简易精神状态检查量表(MMSE)及蒙特利尔认知评估量表(MoCA)评估整体认知功能及记忆领域功能。结果治疗组治疗后MMSE及MoCA评分均较治疗前显著提高(P<0.01);治疗后治疗组MMSE及MoCA评分提高程度大于对照组(P<0.05)。结论“通督醒神”针刺法能够改善中风后轻度认知障碍患者的认知功能,提高生活能力。Objective To observe the eff ect of the Tongdu Xingshen acupuncture therapy on the cognitive function of patients with post-stroke mild cognitive impairment(PSMI)and its therapeutic mechanism.Methods A total of sixty patients with mild cognitive impairment after stroke were randomly divided into a treatment group(30 cases)and a control group(30 cases).The treatment group was treated with the Tongdu Xingshen acupuncture method(scalp acupuncture combined with an electroacupuncture instrument,with needles retained for repeated treatment),once a day,5 times a week,4 weeks as a course of treatment,for a total of 2 courses,while the control group was treated with the routine acupuncture method.Before and after treatment,the overall cognitive function and memory function were evaluated by the Mini Mental State Examination Scale(MMSE)and Montreal Cognitive Assessment Scale(MoCA).Results After treatment,the scores of MMSE and MoCA in the treatment group were signifi cantly increased than those before treatment(P<0.01).After treatment,the scores of MMSE and MoCA in the treatment group were increased more than those in the control group(P<0.05).Conclusion The Tongdu Xingshen acupuncture therapy can improve the cognitive function and life ability of patients with mild cognitive impairment after stroke.

关 键 词：中风 轻度认知障碍 通督醒神 针刺 

分 类 号：R246.6[医药卫生—针灸推拿学]