上病下取配穴法治疗急性脑梗死后认知功能损害疗效观察

Observations on the Efficacy of Lower Point Selection for Upper Disease in Treating Cognitive Impairment after Acute Cerebral Infarction

目的观察上病下取配穴法治疗急性脑梗死后认知功能损害的临床疗效。方法将100例急性脑梗死后认知功能损害患者随机分为治疗组和对照组,每组50例。两组均给予尼莫地平治疗,治疗组加用针刺治疗。结果治疗组总有效率为84.0%,对照组为68.0%,两组比较差异具有统计学意义(P<0.05)。治疗组治疗后蒙特利尔认知评估量表(MoCA)评分与对照组比较,差异具有统计学意义(P<0.05)。结论上病下取配穴法是一种治疗急性脑梗死后认知功能损害的有效方法。

Objective To investigate the clinical efficacy of lower point selection for upper disease in treating cognitive impairment after acute cerebral infarction. Methods one hundred patients with cognitive impairment after acute cerebral infarction were randomly allocated to treatment and control groups, 50 cases each. Both groups were treated with nimodipine. The treatment group received acupuncture additionally. Results The total efficacy rate was 84.0% in the treatment group and 68.0% in the control group. The difference between the two groups was statistically significant （P^0.05）. There was a statistically significant difference in the post-treatment Montreal Cognitive Assessment （MoCA） score between the treatment and control groups （P〈0.05）. Conclusion Lower point selection for upper disease is an effective way to treat cognitive impairment after acute cerebral infarction.