头穴针灸法为主对卒中后轻度认知障碍认知功能的影响

Influence of mild post-stroke cognitive impairment:focusing on scalp acupuncture

目的观察头穴针灸法为主对卒中后轻度认知障碍(PSMCI)认知功能的影响。方法将50例PSMCI患者按照随机数字表法分为2组,均予脑血管病基础治疗。对照组25例予认知康复训练治疗,治疗组25例在对照组治疗基础上加头穴针灸法为主治疗。2组均治疗4周,疗程结束后4、12周随访。比较2组治疗前后蒙特利尔认知评估量表(MoCA)评分、简易智能精神状态检查量表(MMSE)评分、日常生活活动能力(ADL)评分变化;评价2组治疗安全性。结果2组治疗后、疗程结束后4周、疗程结束后12周MoCA评分、MMSE评分均较本组治疗前升高(P<0.05),2组治疗后、疗程结束后4周、疗程结束后12周MoCA评分、MMSE评分组内两两比较差异均有统计学意义(P<0.05),治疗组治疗后、疗程结束后4周、疗程结束后12周MoCA评分、MMSE评分均高于对照组同期(P<0.05)。2组治疗后、疗程结束后4周、疗程结束后12周ADL评分均较本组治疗前降低(P<0.05),2组治疗后、疗程结束后4周、疗程结束后12周ADL评分组内两两比较差异均有统计学意义(P<0.05)。2组治疗后、疗程结束后4周、疗程结束后12周ADL评分组间比较差异均无统计学意义(P>0.05)。结论头穴针灸法为主治疗PSMCI,可改善患者认知功能,提高日常生活能力。

Objective To observe the influence of mild post-stroke cognitive impairment(PSCI)focusing on scalp acupuncture.Methods Totally 50 mild PSCI patients were randomly divided into equal group,in addition of basal treatment for cerebrovascular disease,patients in treatment group focused on scalp acupuncture combined with cognitive rehabilitation training,patients in control group with cognitive rehabilitation training alone.Continuing 4 weeks,a follow-up was performed on weeks 4,12 post-treatment.The key observation was Montreal Cognitive Assessment(MoCA),Mini-Mental State Examination scale(MMSE)score,activities of daily living(ADL),safety between groups before and after treatment.Results MoCA and MMSE scores in groups were increased on weeks 0,4 and 12 post-treatment(P<0.05),the difference was statistically significant between groups(P<0.05);MoCA and MMSE scores were increased in treatment group as compared with concurrent cortrol group(P<0.05).ADL score on weeks 0,4,and 12 post-treatment in groups was decreased(P<0.05),there was statistically significant difference on different time points(P<0.05),but the difference was no statistically significant between groups(P>0.05).Conciusion Focusing on scalp acupuncture for mild PSCI is capable of improving cognitive function and ADL.