“颊针”联合认知功能训练对脑卒中后认知障碍患者认知功能的临床研究

Clinical Study of “Buccal Needle” Combined with Cognitive Function Training on Cognitive Function in Patients with Cognitive Impairment after Stroke

目的:观察“颊针”联合认知功能训练对脑卒中后认知障碍患者认知功能的临床研究。方法:选取2021年1月至2022年12月在我院门诊及住院的脑卒中后认知功能障碍患者为研究对象,按照随机原则随机分为观察组和对照组各35例。对照组给予颊针治疗,每日1次,主穴选取双侧肾腧穴、腰穴,下焦穴,并根据患者症状随诊加减。具体参照王永洲教授主编《颊针治疗方法学》定位,采用麒源颊针(0.16*20 mm),通过弹针法快速透皮进针,不行针,留针30 min。观察组在对照组基础上给予认知功能训练。包括记忆力训练、注意力训练、视空间与执行功能训练、计算力训练、定向力训练。每天训练1次,每次30~60分钟,5次/周。2组均连续治疗4周。观察干预前后简易智力状态检查量表(MMSE)、蒙特利尔认知评估量表(MoCA)、改良Barthel指数量表(MBI)变化。结果:治疗后观察组有效率为91.42%,明显高于对照组有效率68.57% (P < 0.05)。与治疗前比较,2组MMSE、MoCA、改良Bartherl指数评分均增加(P < 0.05);与对照组治疗后比较,观察组MMSE、MoCA、改良Bartherl指数评分增加明显(P < 0.05)。结论:“颊针”联合认知功能训练能有效提高脑卒中后认知障碍患者认知功能,值得临床借鉴。

Objective: To observe the clinical study of “buccal needle” combined with cognitive function training on cognitive function in patients with cognitive impairment after stroke. Methods: From January 2021 to December 2022, patients with cognitive dysfunction after stroke in outpatients and inpa-tients of our hospital were selected as the research objects. According to the random principle, they were randomly divided into the observation group and the control group, with 35 cases in each group. The control group was treated with buccal acupuncture, once a day. The main points were bilateral renal acupoints, lumbar points and lower focal points, and were added or subtracted ac-cording to the symptoms of the patients. The specific positioning was based on the buccal needle Treatment Methodology edited by Professor Wang Yongzhou. Kirin buccal needle (0.16*20 mm) was used, and the needle was rapidly transdermal into the needle through the elastic needle method. The observation group was given cognitive function training on the basis of the control group, including memory training, attention training, visuospatial and executive function training, calculation training, orientation training;Train once a day, 30~60 minutes each time, 5 times a week. Both groups were treated for 4 weeks. The changes of mini-Mental State Examination (MMSE), Montreal Cognitive Assessment (MoCA) and Modified Barthel Index (MBI) before and after intervention were observed. Results: After treatment, the effective rate of observation group was 91.42%, which was significantly higher than that of control group (68.57%) (P < 0.05). Compared with before treatment, the MMSE, MoCA and modified Bartherl index scores of the two groups were increased (P < 0.05). Compared with the control group after treatment, the scores of MMSE, MoCA and modified Bartherl index in the observation group were significantly increased (P < 0.05). Con-clusion: “Buccal needle” combined with cognitive function training can effectively improve the cog-nitive function of patients with cognitive impairment after stroke, which is worthy of clinical refer-ence.