益智开窍针法联合中频电疗对脑卒中后认知功能障碍患者认知功能及中医证候的影响

Effect of Yizhi Kaiqiao acupuncture combined with mid-frequency electrotherapy on cognitive function and traditional Chinese medicine syndrome of patients with post-stroke cognitive impairment

目的探讨益智开窍针法联合中频电疗对脑卒中后认知功能障碍(PSCI)患者认知功能及中医证候的影响。方法选择70例PSCI患者,按随机数字表法分为对照组和观察组,各35例。对照组用中频电疗治疗,观察组在对照组基础上联合益智开窍针法治疗。比较两组中医证候积分、认知功能评分及肢体运动功能评分。结果治疗后,观察组记忆减退、神情呆滞、口干舌燥、偏深麻木、头晕耳鸣评分分别为(1.02±0.54)、(1.08±0.57)、(1.11±0.53)、(0.98±0.43)、(0.99±0.45)分,均低于对照组的(1.74±0.61)、(1.65±0.62)、(1.77±0.59)、(1.34±0.57)、(1.37±0.53)分,差异有统计学意义(P<0.05)。治疗后,观察组蒙特利尔认知评估量表(MoCA)总评分(23.35±2.86)分高于对照组的(18.65±2.53)分,差异有统计学意义(P<0.05)。治疗后,两组Fugl-Meyer运动功能评定量表(FMA)评分均高于治疗前,且观察组FMA评分(63.82±6.56)分高于对照组的(54.31±5.11)分,差异有统计学意义(P<0.05)。结论应用益智开窍针法联合中频电疗可明显缓解PSCI患者的临床症状,提高其认知功能,促进肢体功能恢复。

Objective To explore the effect of Yizhi Kaiqiao acupuncture combined with mid-frequency electrotherapy on cognitive function and traditional Chinese medicine syndrome of patients with post-stroke cognitive impairment(PSCI).Methods 70 patients with PSCI were selected and divided into a control group and an observation group according to random number table method,with 35 cases in each group.The control group was treated with mid-frequency electrotherapy,and the observation group was treated with Yizhi Kaiqiao acupuncture on the basis of the control group.The traditional Chinese medicine syndrome score,cognitive function score and limb motor function score were compared between the two groups.Results After treatment,the scores of memory loss,dull expression,dry mouth,hemianesthesia,dizziness and tinnitus in the observation group were(1.02±0.54),(1.08±0.57),(1.11±0.53),(0.98±0.43)and(0.99±0.45)points,which were lower than(1.74±0.61),(1.65±0.62),(1.77±0.59),(1.34±0.57)and(1.37±0.53)points in the control group,and the difference was statistically significant(P<0.05).After treatment,the Montreal cognitive assessment scale(MoCA)score of(23.35±2.86)points in the observation group was higher than(18.65±2.53)points in the control group,and the difference was statistically significant(P<0.05).After treatment,the Fugl-Meyer assessment(FMA)score in both groups was higher than that that before treatment,and the FMA score of(63.82±6.56)points in the observation group was higher than(54.31±5.11)points in the control group.The difference was statistically significant(P<0.05).Conclusion Yizhi Kaiqiao acupuncture combined with mid-frequency electrotherapy can obviously relieve the clinical symptoms of PSCI patients,improve their cognitive function and promote the recovery of limb function.