针刺对脑卒中后轻度认知功能障碍的疗效观察

【作者】 李伟；

【导师】 于晓刚；

【作者基本信息】 北京中医药大学 ， 针灸推拿学， 2010， 硕士

【摘要】 目的：本研究通过针刺对脑卒中后轻度认知功能障碍患者进行早期干预治疗。探讨针刺对脑卒中后认知功能障碍的治疗意义,为临床上寻求一种更有效、容易被患者接受的干预措施提供依据。方法：采用随机对照试验研究设计方案,将50例符合诊断标准及纳入标准的脑卒中后认知功能障碍患者随机分为治疗组和对照组,每组各25例。所有患者均进行脑血管病的基础治疗,治疗组予针刺结合口服尼莫地平,对照组予口服尼莫地平,每位患者共治疗3个月,治疗前后分别用简易智能状态检查表、改良长谷川痴呆量表、日常生活能力评定量表对患者进行评定。结果：(1)两组治疗后均能提高简易智能状态检查评分和改良长谷川痴呆量表评分(P<0.05),且治疗组优于对照组(P<0.05)。(2)两组治疗后均能提高患者日常生活能力,且治疗组优于对照组(P<0.05)。(3)两组治疗后的疗效比较(P<0.05)差异有统计学意义,说明治疗组优于对照组。结论：针刺对改善卒中后认知功能状态的作用明确,更易被患者接受,患者依从性好。更多还原

【Abstract】 Objective:To observe the effects of the acupuncture on mild post-stroke cognitive impairment, so as to discuss the significance of acupuncture for the purpose of searching a method which is more effective and receptive by patients in clinical.Methods:Fifty Patients were randomly divided into two groups, treatment group and control group. There were 25 patients each group. Patients in the control group were treated with Nimodipine for three months, while these in the treatment group received the treatment of Nimodipine and acupuncture. All patients were assessed before and after therapy. The evaluating items included:cognition function, memory and activity of daily living.Results:(1) There is a significant improvement (P<0.05) of cognition function, memory and HDS-R before and after therapy in treatment group and control group, and the former is better than the latter.(2) There is a significant improvement (P<0.05) of activity of daily living before and after therapy in treatment group and control group, and the former is better than the latter.(3) There is a significant difference (P<0.05) of clinical curative effectiveness between treatment group and control group, and the former is better than the latter.Conclusion:The routine method of Nimodipine and the method combined acupuncture all can improve cognition function, memory and activity of daily living. But the latter is better than the former.更多还原