头部铜砭刮痧治疗缺血性卒中后轻中度认知功能障碍患者的疗效及对精神状态和睡眠质量的影响  

Efficacy of Head Copper Gua Sha in the Treatment of Mild to Moderate Cognitive Impairment after Ischemic Stroke and Its Effects on Mental State and Sleep Quality

作　　者：黄艺 周文强[1] HUANG Yi;ZHOU Wenqiang(Quanzhou Traditional Chinese Medicine Hospital,Fujian Province,Quanzhou 362000,China)

机构地区：[1]福建省泉州市中医院针灸康复科,泉州362000

出　　处：《世界睡眠医学杂志》2025年第1期104-107,共4页World Journal of Sleep Medicine

基　　金：泉州市科技计划项目(CQZ2024N0060305)。

摘　　要：目的:探讨头部铜砭刮痧治疗缺血性卒中后轻中度认知障碍患者的疗效及对其精神状态和睡眠质量的影响。方法:选取2023年7月至2024年7月福建省泉州市中医院82例缺血性卒中后轻中度认知障碍患者作为研究对象,按照随机数字表法分为对照组和观察组,每组41例。对照组给予常规治疗与认知训练,观察组在对照组基础上给予头部铜砭刮痧治疗。采用蒙特利尔认知评估(MoCA)量表进行认知评定,比较2组疗效。采用简易精神状态(MMSE)量表评定患者的精神状态,采用Barthel改良指数量表(MBI)评定患者日常生活活动能力情况,采用汉密尔顿焦虑(HAMA)、汉密尔顿焦虑抑郁(HAMD)量表评定患者情绪状态,采用匹兹堡睡眠质量指数(PSQI)量表评定患者睡眠质量。结果:观察组有效率95.12%(39/41),高于对照组68.29%(28/41),差异有统计学意义(P<0.05)。治疗后,观察组MMSE量表及Barthel指数评分均高于对照组,差异有统计学意义(P<0.05);治疗后,观察组HAMD、HAMA、PSQI评分均低于对照组,差异均有统计学意义(均P<0.05)。结论:头部铜砭刮痧治疗卒中后轻中度认知障碍,可改善患者的精神认知状态及睡眠质量,缓解焦虑、抑郁情绪,提高日常生活能力。Objective:To explore the efficacy of head copper Gua Sha in treating patients with mild to moderate cognitive impairment after ischemic stroke and its effects on their mental state and sleep quality.Methods:A total of 82 patients with mild to moderate cognitive impairment after ischemic stroke in Quanzhou Traditional Chinese Medicine Hospital from July 2023 to July 2024 were selected as the research objects.According to the random number table method,they were divided into a control group and an observation group,with 41 cases in each group.The control group was given conventional treatment and cognitive training,while the observation group was given head copper Gua Sha treatment on the basis of the control group.The Montreal Cognitive Assessment(MoCA)scale was used for cognitive evaluation to compare the efficacy of the two groups.The Mini-Mental State(MMSE)scale was used to assess the patients′mental state,the Barthel Modified Index Scale(MBI)was used to assess the patients′activities of daily living,the Hamilton Anxiety(HAMA)and Hamilton Anxiety Depression(HAMD)scales were used to assess the patients′emotional states,and the Pittsburgh Sleep Quality Index(PSQI)scale was used to assess the patients′sleep quality.Results:The effective rate of the observation group was 95.12%(39/41),which was higher than that of the control group 68.29%(28/41),and the difference was statistically significant(P<0.05).After treatment,the scores of MMSE scale and Barthel index in the observation group were both higher than those in the control group,and the difference was statistically significant(P<0.05);after treatment,the scores of HAMD,HAMA and PSQI in the observation group were all lower than those in the control group,and the differences were all statistically significant(P<0.05).Conclusion:Head copper Gua Sha in the treatment of mild to moderate cognitive impairment after stroke can improve the patients′mental cognitive state and sleep quality,relieve anxiety and depression,and improve daily living abilities.

关 键 词：铜砭刮痧 缺血性卒中 轻中度认知障碍 认知功能 精神状态 睡眠质量 

分 类 号：R743.33[医药卫生—神经病学与精神病学] R244.4[医药卫生—临床医学] R338.63