针刺结合认知训练治疗缺血性脑卒中后轻度认知功能障碍疗效观察

Observation on Therapeutic Effect of Acupuncture Combined with Cognitive Training on Cerebral Arterial Thrombosis Patients with Mild Cognitive Impairment

目的:评价针刺结合认知训练治疗轻度认知功能障碍的疗效。方法:将120例缺血性脑卒中后轻度认知功能障碍患者随机分为治疗组和尼膜同组,每组疗程12周。观察治疗前后2组患者在精神状态简易速检表(M in i-M ental State Exam ination,MMSE)、日常生活活动能力评定(ADL)、韦氏记忆量表(W echeslerM emory Scale,WMS)方面的变化。结果:两组MMSE比较,治疗组与尼膜同组治疗4周评估时差异即有显著性意义,P<0.05;治疗12周后,治疗组的ADL评分显著高于尼膜同组,P<0.05;治疗组治疗12周后WMS评分均高于治疗前WMS评分,差异有显著性(P<0.05)。结论:针刺结合认知康复训练治疗轻度认知功能障碍疗效优于尼膜同。

Objective： To appraise therapeutic effect of acupuncture combined with cognitive training on the patients with Mild Cognitive Impairment （MCI）. Methods：We performed a randomized,controlled study on MCI patients. 120 patients, were allocated to acupuncture combined with cognitive training group（ n = 60） or the Nimotop group（ n = 60） randomly. Before treatment and at 12 weeks after treatment, the MMSE, Barthel index and WMS were evaluated. Results=4 weeks later there were significant difference between acupuncture combined with cognitive training group（ R = 0. 6131 ） and the Nimotop group（ R = 0. 3888） in MMSE. At 12 weeks after treatment the improvement of Barthe] index and wechesler memory scale（WMS） was observed. The increase of acupuncture combined with cognitive training group was superior to Nimotop group. Conclusion：acupuncture combined with cognitive training was superior to Nimotop in treatment of MCI.