早期头皮针长时间留针法结合康复训练对脑卒中患者认知功能障碍的影响

Effect of Long-time Indwelling Needle of Sculp Acupuncture at Early Stage Combined with Rehabilitation Training on Cognitive Disorder of Stroke Patients

目的:观察早期头皮针长时间留针法结合康复训练对脑卒中患者认知功能障碍的影响。方法:选取本院100例脑卒中后出现认知功能障碍的患者,随机分为对照组和观察组,每组50例。2组均根据病情给予营养神经、改善微循环等常规药物治疗,对照组在上述药物治疗基础上加康复训练,观察组在对照组治疗基础上加用早期头皮针长时间留针法。治疗后观察患者认知功能、生活能力及潜伏期电位水平的改善情况。结果:治疗后,2组蒙特利尔认知评估量表(MoCA)及简易智力状态检查量表(MMSE)评分均较治疗前上升(P<0.05)。与对照组比较,观察组MoCA及MMSE评分均升高更明显(P<0.05)。治疗后,2组日常生活能力量表(ADL)评分均较治疗前提升(P<0.05);观察组ADL评分比对照组上升更显著(P<0.05)。治疗后,2组N2及P3电位水平均较治疗前降低(P<0.05);观察组N2及P3电位水平均低于对照组(P<0.05)。结论:早期头皮针长时间留针法结合康复训练能有效提高脑卒中后认知功能障碍患者的认知功能和生活能力。

Objective：To observe the effect of long-time indwelling needle of sculp acupuncture at early stage combined with rehabilitation training on cognitive disorder of stroke patients. Methods：Selected 100 cases of stroke patients with cognitive disorder,and divided them into the control group and the observation group randomly,50 cases in each group. Both groups received the routine medicine treatment of nourishing nerves,improving microcirculation and so on according to their conditions,and the control group additionally received rehabilitation training,while the observation group additionally received the long-time indwelling needle of sculp acupuncture at early stage for treatment. Observed the improvements of cognitive function,living ability and the level of latency potentials of patients after treatment. Results：After treatment,the scores of Montreal cognitive assessment（MoCA） and mini-mental state examination（MMSE） in both groups were higher than those before treatment（P〈0.05）. Comparing with the control group,the scores of MoCA and MMSE in the observation group were increased more evidently（P〈0.05）. After treatment,the scores of activity of daily living scale（ADL） in both groups were higher than those of before treatment（P〈0.05）;the scores of ADL in the observation group were increased more evidently than those in the control group（P〈0.05）. After treatment,the potential levels of N2 and P3 in both groups were lower than those before treatment（P〈0.05）;the potential levels of N2 and P3 in the observation group were lower than those in the control group（P〈0.05）. Conclusion：Long-time indwelling needle of sculp acupuncture at early stage combined with rehabilitation training can effectively enhance the cognitive function and living ability of stroke patients with cognitive disorder.