电针头部“神”穴对脑卒中后认知功能障碍的效果

Effects of Electroacupuncture on Head Shen-acupoints on Cognitive Impairment after Stroke

目的探讨电针头部"神"穴对脑卒中后认知功能障碍的影响。方法脑卒中后出现认知功能障碍的35例患者分为电针组(n=19)和对照组(n=16),对照组行常规治疗,电针组加用电针四神聪、神庭、本神,共4周。治疗前后采用简易精神状态检查(MMSE)和蒙特利尔认知评估(Mo CA)进行评定。结果治疗后电针组MMSE及Mo CA评分增加值优于对照组(P<0.05)。Mo CA分项比较,电针组在视空间与执行、注意与集中、计算、回忆及定向力方面增加值优于对照组(P<0.05)。结论电针头部"神"穴可改善患者认知功能。

Objective To investigate the effects of electroacupuncture on head Shen-acupoints on cognitive dysfunction after stroke. Methods 35 cases with cognitive dysfunction after stroke were divided into treatment group （n=19） and control group （n=16）. The control group received conventional treatment, while the treatment group received electroacupuncture on Sishencong （EX-HN1）, Shenting （GV24） and Benshen （GB13） in addition. They were assessed with Mini-Mental State Examination （MMSE） and Montreal Cognitive Assessment （MoCA） before and after 4-week treatment. Results The scores of MMSE and MoCA increased more in the treatment group than in the con-trol group （P〈0.05）. The scores of visuospatial abilities and executive functions, attention and concentration, calculation, memory and orien-tation of MoCA improved more in the treatment group than in the control group （P〈0.05）. Conclusion Electroacupuncture on head Shen-acupoints can improve cognitive function in patients after stroke.