四海理论指导的针刺联合认知-运动双任务训练对中风后认知功能障碍患者感知控制及注意力的影响

Impacts of Acupuncture Guided by the Four Seas Theory Combined with Cognition-Motor Dual Task Training on Perceptual Control and Attention in Patients with Post-Stroke Cognitive Impairment

目的:探讨四海理论指导的针刺联合认知-运动双任务训练对中风后认知功能障碍患者感知控制及注意力的影响。方法:将80例中风后认知功能障碍患者随机分为两组。对照组给予认知-运动双任务训练干预,研究组于对照组基础上联合四海理论指导的针刺治疗,比较两组患者感知控制及注意力情况。结果:治疗后两组患者疾病感知控制量表各维度评分均较治疗前降低,且研究组患者均低于对照组,差异具有统计学意义(P<0.05);治疗后,两组患者数字符号测试(SDMT)量表评分、数字惊觉测试(DVT)量表评分、数字广度(DS)量表评分、简易智能精神状态检查量表(MMSE)及蒙特利尔认知评估量表(MoCA)评分均较治疗前升高,且研究组均高于对照组,差异具有统计学意义(P<0.05)。结论:四海理论指导的针刺联合认知-运动双任务训练治疗中风后认知功能障碍患者疗效确切,能够明显改善患者感知控制及注意力。

Objective:To explore the impacts of acupuncture guided by the Four Seas theory combined with cognition-motor dual task training on conceptual control and attention in patients with post-stroke cognitive impairment.Methods:80 patients with post-stroke cognitive impairment were randomly divided into the control group and the study group.The control group was treated with cognition-motor dual task training;on which basis,the study group was also treated with acupuncture guided by the Four Seas theory.The perceptual control and attention status were compared between the two groups.Results:The scores of all dimensions of the disease perception control scale were lower after the treatment than those before the treatment in the two groups,and the scores were lower in the study group than those in the control group after the treatment(P<0.05).The scores of Symbol Digit Modalities Test(SDMT)scale,Digital Vibrotactile Test(DVT)scale,Digital Span(DS)scale,Mini-Mental State Examination(MMSE)scale and Montreal Cognitive Assessment(MoCA)Scale were higher after the treatment than those before the treatment in the two groups,and the scores were higher in the study group than those in the control group after the treatment(P<0.05).Conclusion:Acupuncture guided by the Four Seas theory combined with cognition-motor dual task training has a definite therapeutic effect on post-stroke cognitive impairment,which can obviously improve perceptual control and attention.