醒脑开窍针法联合VR技术干预卒中后非痴呆型血管性认知障碍的临床观察  

Clinical observation of Xingnao Kaiqiao acupuncture combined with virtual restriction technology in the intervention of vascular cognitive impairment non dementia after stroke

作　　者：袁娟[1] 林星镇 胡思彦 彭天忠[1] 支芳[1] 朱满华[1] YUAN Juan;LIN Xingzhen;HU Siyan;PENG Tianzhong;ZHI Fang;ZHU Manhua(Rehabilitation Department of Hongdu Hospital of Traditional Chinese Medicine,Nanchang,Jiangxi Province 330000,China)

机构地区：[1]江西省南昌市洪都中医院康复科,南昌330000

出　　处：《上海医药》2024年第10期27-30,共4页Shanghai Medical & Pharmaceutical Journal

基　　金：江西省中医药管理局科技计划项目(2021B097)。

摘　　要：目的:观察醒脑开窍针法联合VR技术干预卒中后非痴呆型血管性认知障碍(VCIND)的临床疗效。方法:采用随机数字表法将2021年10月至2022年9月江西省南昌市洪都中医院住院治疗的首发脑卒中后VCIND患者78例分为三组,各26例。对照组实施常规认知训练,醒脑开窍针法组实施醒脑开窍针法针刺治疗,醒脑开窍针法+VR技术组是在醒脑开窍针法组基础上联合VR技术康复训练,三组均进行为期4周的康复训练。比较三组康复训练前后认知功能、日常生活能力状况。结果:康复训练4周后,三组认知功能MoCA评分、MMSE评分均提高,且醒脑开窍针法+VR技术组高于醒脑开窍针法组、对照组(P<0.05);三组日常生活能力MBI评分均提高,且醒脑开窍针法+VR技术组高于醒脑开窍针法组、对照组(P<0.05)。结论:醒脑开窍针法联合VR技术干预可改善卒中后VCIND患者认知障碍,提高患者认知能力及日常生活能力。Objective:To observe the clinical efficacy of Xingnao Kaiqiao acupuncture combined with virtual restriction(VR)technology in the intervention of vascular cognitive impairment non dementia(VCIND)after stroke.Methods:Seventy-eight patients with VCIND after the first stroke who were hospitalized in Hongdu Hospital of Traditional Chinese Medicine,Nanchang,Jiangxi Province from October 2021 to September 2022 were divided into three groups with 26 cases each.The control group implemented conventional cognitive training,the Xingnao Kaiqiao acupuncture group was treated with Xingnao Kaiqiao acupuncture,and the Xingnao Kaiqiao acupuncture+VR technology group was combined with VR technology rehabilitation training based on the Xingnao Kaiqiao acupuncture group.All three groups were given rehabilitation training for 4 weeks.The cognitive function and daily living ability of the three groups were compared before and after rehabilitation training.Results:After 4 weeks of rehabilitation training,MoCA score and MMSE score of the three groups were improved,and the Xingnao Kaiqiao acupuncture+VR technology group was higher than the Xingnao Kaiqiao acupuncture group and the control group(P<0.05);the MBI scores of daily living ability of the three groups were all improved,and the Xingnao Kaiqiao acupuncture+VR technology group was higher than the Xingnao Kaiqiao acupuncture group and the control group(P<0.05).Conclusion:The combination of the Xingnao Kaiqiao acupuncture and VR technology intervention can improve the cognitive impairment of VCIND patients after stroke,and improve their cognitive ability and ability of daily living.

关 键 词：卒中 非痴呆型血管性认知障碍 醒脑开窍 VR技术 临床观察 

分 类 号：R743.3[医药卫生—神经病学与精神病学]