黄连温胆汤联合益脑针刺法治疗脑卒中后轻度认知障碍疗效观察

Observation on treating MCI after stroke with the Huanglian Wendan decoction plus the Yi'nao acupuncture

目的:探讨黄连温胆汤联合益脑针刺法治疗脑卒中后轻度认知障碍的临床疗效。方法:选择2013年7月-2015年11月我院收治的脑卒中伴轻度认知障碍的患者128例,按随机数字表法分为观察组和对照组,各64例。两组均接受常规治疗,此外对照组患者给予口服尼莫地平片,观察组患者采用黄连温胆汤联合益脑针刺法治疗。治疗8周后,比较两组治疗前、后的认知功能和日常生活能力。结果:治疗后,两组的简易精神状态检查表(MMSE)、蒙特利尔认知评估量表(Mo CA)评分以及日常生活能力量表(ADL)评分均有改善,但观察组各项评分的改善幅度均高于对照组,差异具有统计学意义(P<0.01)。结论:黄连温胆汤联合益脑针刺法能明显改善脑卒中后轻度认知障碍患者的认知功能,提升其日常生活能力,值得推广应用。

Objective:To explore effects of the Huanglian Wendan decoction plus the Yi'nao acupuncture on MCI after stroke.Methods:128patients were divided into the observation group and control group according to random number table,64cases for each.Both groups received conventional therapy;then the control group was given nimodipine tablets;the observation group was treated with the Huanglian Wendan decoction plus the Yi'nao acupuncture.After8weeks,the cognitive function and daily living ability were compared.Results:After treatment,the scores of MMSE,MoCA and ADL were improved;those in the observation group were significantly higher than the control group(P<0.01).Conclusion:The Huanglian Wendan decoction plus the Yi'nao acupuncture can significantly improve the cognitive function and enhance daily living ability,is worthy of popularization and application.