“从督论治”针刺法治疗脑卒中后认知功能障碍40例

Clinical Effect of Acupuncture on The Governor Vessel in Treatment of Cognitive Impairment after Stroke:A Report of 40 Cases

目的评价"从督论治"针刺法治疗脑卒中后认知功能障碍的临床疗效。方法将80例脑卒中后认知障碍患者随机分为观察组和对照组,每组40例。观察组接受"从督论治"针刺法治疗,对照组接受传统针刺法治疗。治疗前后,观察并比较两组简易智力状态量表(mini-mental state examination,MMSE)评分和日常生活活动能力(activities of daily living,ADL)评分。结果与治疗前比较,两组治疗后MMSE评分和ADL评分均显著升高(P<0.01);治疗组在提高ADL评分方面显著优于对照组(P<0.01),在提高MMSE评分方面较对照组具有一定的优势。结论 "从督论治"针刺法对脑卒中后认知功能障碍具有较好疗效,且较常规针刺法具有一定的优势。

Objective To evaluate the clinical effect of acupuncture on the Governor Vessel in treating cog nitive impairment after stroke. Methods Eighty patients with cognitive impairment after stroke were ran domly divided into observation group （n=40） and control group （n=40）. The observation group received acupuncture on the Governor Vessel, while the control group received conventional acupuncture. The treatment outcomes of the two groups were evaluated and compared by Mini-Mental State Examination （MMSE） and Activities of Daily Living （ADL）. Results After treatment, both groups showed significant increases inMMSE score and ADL score （P〈0.01）. Compared with the control group, the treatment group had a significantly higher increase in ADL score （P〈0. 01） and a nonsignificantly higher increase in MMSE score. Conclusion Acupuncture on the Governor Vessel has good efficacy in the treatment of cognitive impairment after stroke and is superior to conventional acupuncture.