眼针治疗脑卒中后认知障碍的临床研究

Clinical Study on Post Stroke Cognitive Impairment by Eye Acupuncture

目的:探讨眼针治疗脑卒中后认知障碍的疗效。方法:将110例脑卒中后认知障碍患者随机分为治疗组和对照组各55例。对照组采用常规治疗和康复训练,治疗组在对照组基础上采用眼针治疗。治疗前后均采用简易精神状况检查量表(MMSE)和洛文斯顿作业疗法认知评定量表(LOTCA)评定患者认知功能。结果:治疗前两组MMSE评分、LOTCA评分比较,差异均无统计学意义(P>0.05);治疗结束后两组MMSE评分、各项LOTCA评分、总分均较治疗前增加,差异均有统计学意义(P<0.05);治疗后两组比较,治疗组MMSE评分、注意力、视运动组织、思维运作、LOTCA评分总分均高于对照组,差异均有统计学意义(P<0.05)。治疗组定向、知觉评分高于对照组,但差异无统计学意义(P>0.05)。结论:采用眼针治疗脑卒中后认知障碍患者,具有较好疗效,可改善患者认知功能。

Objective： To observe the effect of eye acupuncture on post stroke cognitive impairment. Methods： There were 110 patients of post stroke cognitive impairment randomly divided into treatment group and control group, 55 cases in each group. The patients were treated with routine treatment and rehabilitation in control group. The patients in treatment group were treated with eye acupuncture besides the same treatment of control group. The mini-mental status examination （MMSE） and Loewenstein occupational therapy cognitive assessment （LOTCA） were applied to evaluate the cognitive function. Results： The MMSE and LOTCA scores showed no statistical difterence between the two groups before treatment （P〉0.05）. After the treatment, the MMSE and LOTCA scores increased in the two groups, with statistically significant difference （P〈0.05）. After the treatment, the treatment group showed higher MMSE, ＂Attention＂ ＂visual organization＂ ＂thinking operation＂ and total LOTCA scores than the control group, with statistically significant difference （P〈0.05）. The treatment group showed higher ＂orientation＂ and ＂perception＂ scores than the control group, but without statistically significant difference （P〉0.05）. Conclusion： Eye acupuncture has good effect on post stroke cognitive impairment.