奥拉西坦联合耳穴贴敷法治疗脑卒中后血管性认知功能障碍疗效分析

Efficacy of oxiracetam combined with auricular acupoint on vascular cognitive impairment after stroke

目的探究奥拉西坦联合耳穴贴敷法治疗缺血性脑卒中后血管性认知功能障碍的临床治疗效果。方法择取2015年2月至2016年2月我院收治的156例缺血性脑卒中后血管性认知功能障碍患者为研究对象,依照就诊顺序,将其分为观察组与对照组,每组78例,对照组患者以常规治疗为基础,使用奥拉西坦治疗,观察组使用奥拉西坦联合耳穴贴敷法,对比两组患者治疗前、后的认识功能,生活能力和临床疗效。结果治疗后,观察组患者治疗显效率及总有效率高于对照组,无效率低于对照组(P<0.05)。治疗后,与治疗前相比,两组患者的MoCA和ADL评分均升高,且观察组高于对照组(P<0.05)。结论对于脑卒中后血管性认知功能障碍者,以常规治疗为基础,使用奥拉西坦联合耳穴贴敷法治疗,不仅可提升治疗效果,改善患者认知功能障碍和生活质量质,还可体现标本兼治的中医理念,值得进一步推广使用。

Objective To explore the effect of oxiracetam combined with auricular acupoint on vascular cognitive impairment after stroke. Methods From February 2015 to February 2016, 156 cases of patients with vascular cognitive impairment after stroke in our hospital were selected as the research objects and divided into observation group and control group, with 78 cases in each group. The control group was treated with oxiracetam on the basis of conventional treatment, while the observation group used oxiracetam combined with auricular acupoint. The cognitive function, life capacity changes before and after treatment and clinical efficacy were compared in the two groups. Results After treatment, the effective rate and the total effective rate in the observation group were significantly higher than those in the control group, and the inefficiencies rate was lower than the control group （P〈0.05）. After treatment, the MoCA and ADL scores of the two groups were higher than those before treatment, and those of the observation group were higher than the control group （P〈 0.05）. Conclusion On the basis of the conventional way, oxiracetam combined with auricular acupoint on vascular cognitive impairment after stroke can not only improve the treatment effect and patients＇ cognitive dysfunction and quality of life, but also reflects the concept of treate both symptoms and root causes of Chinese medicine, which is worthy of further use.