菖蒲醒脑汤联合针刺治疗卒中后认知功能障碍临床研究  

Clinical study of calamus Xingnao Decoction combined with acupuncture in the treatment of cognitive dysfunction after stroke

作　　者：宋裕如 杨帅 齐明 潘维花 SONG Yuru;YANG Shuai;QI Ming(Department of Rehabilitation Medicine,Daxing District Integrated Traditional Chinese and Western Medicine Hospital,Beijing 100015,China)

机构地区：[1]北京市大兴区中西医结合医院康复医学科,北京100015

出　　处：《四川中医》2024年第8期147-150,共4页Journal of Sichuan of Traditional Chinese Medicine

摘　　要：目的:研究菖蒲醒脑汤联合针刺治疗脑卒中后认知功能障碍(PSCI)的临床疗效。方法:选取我院在2021年1月~2023年1月收治的90例PSCI患者纳入研究,按照治疗方法随机分为三组,分别为菖蒲醒脑汤组、针刺组及联合组,每组30例。菖蒲醒脑汤组单独采用菖蒲醒脑汤进行治疗,针刺组采用通督调神针法进行治疗,联合组采用菖蒲醒脑汤联合通督调神针法进行治疗。观察三组患者治疗效果,比较三组患者治疗前后中医证候积分,记录三组患者治疗前后简易精神状态量表(MMSE)、蒙特利尔认知评估(MoCA)、改良Barthel指数(MBI)评分。结果:联合组治疗效果显著优于菖蒲醒脑汤组、针刺组(P<0.05);治疗后三组患者迟钝呆滞、记忆减退、头晕目眩、腰膝酸软评分显著下降,联合组低于菖蒲醒脑汤组、针刺组(P<0.05);治疗后三组患者MMSE、MoCA、MBI评分显著上升,联合组高于菖蒲醒脑汤组、针刺组(P<0.05)。结论:菖蒲醒脑汤联合针刺用于PSCI患者的疗效显著,能够改善患者临床症状,并且能够促进认知功能、日常生活活动能力的恢复,值得临床推广应用。ObjectiveTo investigate the clinical effect of calamus Xingnao Decoction combined with acupuncture in the treatment of post-stroke cognitive dysfunction(PSCI).Methods 90patients with PSCI admitted to our hospital from January 2021to January 2023were included in the study.According to treatment methods,they were randomly divided into three groups,namely calamus Xingnao decoction group,acupuncture group and combined group,with 30cases in each group.Calamus Xingnao Decoction group was treated with Calamus Xingnao Decoction alone,acupuncture group was treated with Tongdu Tiao Shen Acupunture method,and combined group was treated with Calamus Xingnao Decoction combined with Tongdu Tiao Shen Acupunture method.The therapeutic effect of the three groups of patients was observed,the TCM syndrome scores of the three groups were compared before and after treatment,and the scores of the Simple Mental State Scale(MMSE),Montreal Cognitive Assessment(MoCA)and modified Barthel index(MBI)were recorded.Results The therapeutic effect of combined group was significantly better than that of calamus Xingnao decoction group and acupuncture group(P<0.05).After treatment,the scores of lethargy,memory loss,dizziness and waist and knee tenderness were significantly decreased in the three groups,and those in the combined group were lower than those in the calamus Xingnao decoction group and acupuncture group(P<0.05).After treatment,the scores of MMSE,MoCA and MBI in the three groups were significantly increased,and those in the combined group were higher than those in the calamus Xingnao decoction group and acupuncture group(P<0.05).Conclusion calamus Xingnao Decoction combined with acupuncture can improve the clinical symptoms of patients with PSCI,and can promote the recovery of cognitive function and activities of daily living,which is worthy of clinical application.

关 键 词：菖蒲醒脑汤 针刺 脑卒中后认知功能障碍 中医证候积分 蒙特利尔认知评估 

分 类 号：R749.1[医药卫生—神经病学与精神病学]