通督调神针法联合认知训练治疗脑卒中后执行功能障碍临床研究

Clinical Study on Governor Vessel-Unblocking and Mind-Harmonizing Acupuncture Manipulation Combined with Cognitive Training for Executive Dysfunction after Stroke

目的:观察通督调神针法治疗脑卒中后执行功能障碍的临床疗效及对同型半胱胺酸(Hcy)水平的影响。方法:将58例脑卒中后执行功能障碍患者随机分为观察组与对照组,每组29例。对照组给予认知训练和基础治疗,观察组在对照组治疗的基础上加用通督调神针法治疗,2组均连续治疗4周。观察2组治疗前后蒙特利尔认知评估量表(MoCA)评分、额叶功能评定量表(FAB)评分、同型半胱氨酸(Hcy)水平的变化。结果:2组患者MoCA评分、FAB评分均较治疗前升高(P <0.05),且观察组上述两项评分均高于对照组(P <0.05)。治疗后,2组患者Hcy水平均较治疗前降低(P <0.05),且观察组Hcy水平低于对照组(P <0.05)。结论:在认知训练和基础治疗的基础上,通督调神针法能改善脑卒中执行功能障碍患者的执行功能,值得临床推广应用。

Objective:To observe the clinical effect of the governor vessel-unblocking and mind-harmonizing acupuncture manipulation and its effect on homocysteine(Hcy). Methods: A total of 58 patients with executive dysfunction after stroke were randomly divided into the observation group and the control group, 29 patients in each group. The control group was given cognitive training and basic treatment,and the observation group was treated with the governor vessel-unblocking and mind-harmonizing acupuncture manipulation based on the treatment of the control group. Both groups received treatment for four weeks. The scores of Montreal Cognitive Assessment(MoCA) and Frontal Assessment Battery(FAB) as well as the Hcy levels in the two groups were observed before and after treatment. Results:Scores of MoC A and FAB were both increased in the two groups when compared with those before treatment(P < 0.05),and the above scores in the observation group were higher than those in the control group(P < 0.05). After treatment,Hcy levels in both groups were decreased when compared with those before treatment(P<0.05),and the Hcy level in the observation group was lower than that in the control group(P <0.05). Conclusion:Based on the cognitive training and basic treatment,the governor vessel-unblocking and mind-harmonizing acupuncture manipulation can improve the executive function of patients with executive dysfunction after stroke, which is worthy of clinical promotion and application.