以“治未病”思想为指导的中医健康管理对中风后轻度认知障碍的影响

Take the Thought of“Preventive Treatment of Disease Before It Arsing”As the Effects of Health Management of Traditional Chinese Medicine on Mild Cognitive Impairment After Stroke

目的:探讨中医健康管理对中风后轻度认知功能障碍的影响,评价其有效性。方法:选取2017年1月至2019年9月玉溪市中医医院脑病科收治的中风患者215例作为研究对象,随机分为无认知障碍组(n=68),轻度认知障碍组(n=75)和轻度痴呆组(n=72),进行分层管理。无干预组进行普通健康教育,干预组开展中医健康管理,运用MMSE、MoCA量表对干预前后中风患者的认知水平进行客观评估。结果:中医健康管理干预2周后在改善轻度认知功能障碍组MMSE评分,轻度痴呆组MoCA评分方面优于无干预组。中医健康管理干预6个月后在改善轻度认知功能障碍组MMSE、MoCA评分方面优于无干预组,差异有统计学意义(P<0.05)。结论:对中风后认知障碍患者进行中医健康管理,能减缓认知功能下降的趋势、提高其生存率、改善生命质量,具有良好的临床推广应用前景。

Objective:To explore the effects of health management of traditional Chinese medicine(TCM)on mild cognitive impairment after stroke and evaluate its effectiveness.Methods:From January 2017 to September 2019,a total of 215 stroke patients admitted to the Department of Encephalopathy Yuxi Municipal Hospital of Traditional Chinese Medicine were selected as the research objects,and were randomly divided into a non cognitive impairment group(68 cases),a mild cognitive impairment group(75 cases),and a mild dementia group(72 cases)for hierarchical management.The non-intervention group conducted general health education,and the intervention group conducted TCM health management.MMSE and MOCA scale were used to objectively assess the cognitive level of stroke patients before and after intervention(P<0.05).Results:TCM health management intervention was superior to no intervention group in improving the MMSE score of mild cognitive impairment group and MoCA score of mild dementia group after 2 weeks.TCM health management intervention was superior to the no intervention group in improving the MMSE and MoCA scores of the mild cognitive impairment group after 6 months.The difference was statistically significant(P<0.05).Conclusion:TCM health management for patients with cognitive impairment after stroke can slow down the trend of cognitive decline,increase their survival rate,and improve the quality of life.It has a good prospect for clinical application.