认知康复训练联合针刺用于治疗脑卒中后认知障碍的临床效果评价  

The Effect of Cognitive Rehabilitation Training Combined with Acupuncture on the Treatment of Cognitive Impairment after Stroke

作　　者：朱笑笑 ZHU Xiaoxiao(rehabilitation department,Guangzhou Haizhu District Traditional Chinese Medicine Hospital,Guangzhou,Guangdong 510220)

机构地区：[1]广州市海珠区中医医院康复科,广东广州510220

出　　处：《智慧健康》2025年第3期50-53,共4页Smart Healthcare

摘　　要：目的评价认知康复训练联合针刺用于治疗脑卒中后认知障碍的临床效果。方法选取2023年1月—2024年5月本院康复医学科收治的95例脑卒中后认知障碍患者为研究样本,随机将其分为对照组(n=47例)与研究组(n=48例)。其中,对照组采用常规干预方式,实施认知康复训练,研究组采用认知康复训练联合针刺,4周后比较两组患者的治疗效果。结果干预后,研究组患者血清脑源性神经营养因子(BDNF)显著高于对照组(P<0.05);研究组患者的血清同型半胱氨酸(Hcy)显著低于对照组(P<0.05);研究组患者的蒙特利尔认知评估量表(MoCA)评分、简易精神状态检查量表(MMSE)评分显著高于对照组(P<0.05);研究组患者的治疗总有效率显著高于对照组(P<0.05);研究组患者的日常生活活动能力量表(Barthel)评分显著高于对照组(P<0.05);研究组患者的脑卒中专用生存质量量表(SS-QOL)评分显著高于对照组(P<0.05)。结论认知康复训练联合针刺用于治疗脑卒中后认知障碍,有利于减轻机体氧化应激,修复受损神经,改善认知障碍,并且提高活动能力和生活质量,具有较好的应用效果。Objective To evaluate the efficacy of cognitive rehabilitation training combined with acupuncture in the treatment of cognitive impairment after stroke.Methods 95 patients were randomly divided into two groups.The control group received conventional intervention and cognitive rehabilitation training,while the study group received cognitive rehabilitation training combined with acupuncture.After 4 weeks,the treatment effects of the two groups were compared.Results The BDNF level of the control group was(7.58±0.72)mg/L,while the study group was(8.16±0.79)mg/L,significantly higher than the control group(P<0.05);The Hcy level of the control group patients was(20.15±1.74)μmol/L,while the study group was(18.69±1.59)μmol/L,significantly lower the control group(P<0.05);The MoCA score and MMSE score of the control group patients were(23.47±2.05)points and(23.07±2.05)points,while the study group were(24.86±2.14)points and(24.28±2.17)points,which were significantly higher than the control group(P<0.05);The total effective rate of treatment of the control group was 78.72%(37/47),while the study group was 93.75%(45/48),significantly higher than the control group(P<0.05);The Barthel score of the control group was(64.19±5.97)points,while the study group was(68.27±6.53)points,significantly higher than the control group(P<0.05);The SSQOL score of the control group was(162.36±13.27)points,while the study group was(173.28±14.52)points,significantly higher than the control group(P<0.05).Conclusion The combination of cognitive rehabilitation training and acupuncture is beneficial for treating cognitive impairment after stroke,reducing oxidative stress response,repairing damaged nerves,improving cognitive impairment,and enhancing activity ability and quality of life.

关 键 词：认知康复训练 针刺 治疗 脑卒中后 认知障碍 

分 类 号：R743.3[医药卫生—神经病学与精神病学]