通督调神针刺法对缺血性卒中后认知障碍的影响  

Effect of Tongdu Tiaoshen Acupuncture on Cognitive Impairment after Ischemic Stroke

作　　者：杨晓鸿[1] YANG Xiaohong(Department of Rehabilitation Medicine,Ganzhou People’s Hospital,Jiangxi Province,Ganzhou 341000,China)

机构地区：[1]江西省赣州市人民医院康复医学科,江西赣州341000

出　　处：《光明中医》2023年第19期3804-3807,共4页GUANGMING JOURNAL OF CHINESE MEDICINE

基　　金：江西省中医药管理局科技计划项目(No.2021B165)。

摘　　要：目的 观察通督调神针刺法对缺血性卒中后认知障碍(PSCI)的临床疗效。方法 选取2020年3月—2022年3月在赣州市人民医院就诊的缺血性PSCI患者60例,将患者随机分为治疗组和对照组。对照组采用常规针刺,治疗组采用通督调神针刺法治疗,对比2组治疗前后的蒙特利尔认知评估量表(MoCA)评分、智能精神状态检查量表(MMSE)评分和大脑动脉血流阻力指数(RI),并比较2组治疗后的临床有效率。结果 经过8周治疗,治疗组总有效率高于对照组(P<0.05);治疗后,2组MoCA、MMSE评分均增加(P<0.05),血流RI值降低(P<0.05),且治疗组各评分及血流RI值结果均优于对照组,差异具有统计学意义(P<0.05)。结论 通督调神针刺法治疗缺血性PSCI疗效确切,可增加患者大脑动脉血流灌注量,明显提高患者认知功能,值得临床推广应用。Objective To observe the effect of Tongdu Tiaoshen acupuncture on cognitive impairment(PSCI) after ischemic stroke.Methods Sixty patients with ischemic PSCI treated in Ganzhou People's Hospital from March 2020 to March 2022 were selected and randomly divided into treatment group and control group.The control group was treated with routine acupuncture,and the treatment group was treated with Tongdu Tiaoshen acupuncture.The scores of Montreal Cognitive Assessment Scale(MoCA),Intelligent Mental State Examination Scale(MMSE) and cerebral artery flow resistance index(RI) of the two groups were compared before and after treatment,and the clinical effectiveness of the two groups after treatment was compared.Results After 8 weeks of treatment,the total effective rate of the treatment group was higher than that of the control group(P<0.05).After treatment,MoCA and MMSE scores in both groups were increased(P<0.05),and blood flow RI values were decreased(P<0.05),and scores and blood flow RI values in the treatment group were better than those in the control group,and the difference was statistical significance(P<0.05).Conclusion Tongdu Tiaoshen acupuncture is effective in the treatment of ischemic PSCI.It can increase the cerebral artery blood perfusion and significantly improve the cognitive function of patients.It is worthy of clinical application.

关 键 词：呆病 卒中后认知障碍 通督调神针刺法 

分 类 号：R246.6[医药卫生—针灸推拿学]