重复经颅磁刺激联合靳三针治疗脑卒中认知障碍临床研究

Clinical Study on Repeated Transcranial Magnetic Stimulation Combined with Jin’s Three-Needle in Treatment of Cognitive Impairment Caused by Cerebral Apoplexy

目的:观察重复经颅磁刺激联合靳三针对脑卒中认知障碍患者认知功能及日常生活能力的影响。方法:选取脑卒中认知障碍患者52例,按随机数字表法将其分为靳三针组和联合治疗组各26例。两组患者均进行康复医学科常规临床干预、护理及认知康复治疗,在此基础上,靳三针组采用靳三针针刺治疗,联合治疗组采用重复经颅磁刺激联合靳三针治疗。比较两组患者治疗前后简易精神状态检查(MMSE)评分、洛文斯顿作业疗法认知评定(LOTCA)评分及改良Barthel指数(MBI)评分。结果:治疗后,两组患者MMSE评分、LOTCA评分(总分和各项评分)、MBI评分较治疗前均提高,且联合治疗组上述评分均高于靳三针组,差异均有统计学意义(P<0.05或P<0.01)。结论:重复经颅磁刺激联合靳三针能有效改善脑卒中认知障碍患者的认知功能,提高其日常生活能力。

Objective:To observe the effect of repeated transcranial magnetic stimulation combined with Jin’s three-needle on cognitive function and activities of daily living(ADL)of patients with cognitive impairment caused by cerebral apoplexy.Methods:A total of 52 patients with cognitive impairment caused by cerebral apoplexy were randomly divided into Jin’s three-needle group and combined treatment group,with 26 cases in each group.The patients in both the two groups all received routine clinical intervention,nursing and cognitive rehabilitation in the rehabilitation department.On this basis,the patients in the Jin’s three-needle group were treated with Jin’s three-needle,and the patients in the combined treatment group were treated with repeated transcranial magnetic stimulation combined with Jin’s three-needle.The scores of mini-mental state examination(MMSE),Loewenstein occupational therapy cognitive assessment(LOTCA) and modified Barthel index(MBI) of the patients in the two groups before and after treatment were compared. Results:After treatment,the scores of MMSE,LOTCA(total score and subitem scores) and MBI of the patients in both the two groups were higher than those before treatment,and the above scores of the patients in the combined treatment group were higher than those of the patients in the Jin’s three-needle group(P<0.05 or P<0.01). Conclusions:Repeated transcranial magnetic stimulation combined with Jin’s three-needle can effectively improve the cognitive function and the ADL of patients with cognitive impairment caused by cerebral apoplexy.