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"脑肠同治"针刺疗法治疗脑卒中后认知障碍的临床效果

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目的 观察"脑肠同治"针刺疗法治疗脑卒中后认知障碍(PSCI)的临床效果。方法 选取2021年1月至2022年1月福建中医药大学附属康复医院收治的100例PSCI患者作为研究对象,采用随机数字表法分为对照组及治疗组,每组50例。对照组口服多奈哌齐,治疗组行针刺治疗及口服多奈哌齐。4周干预治疗后,比较两组患者有效率和治疗前后日常生活活动能力量表(ADL)、蒙特利尔认知评估测试(MoCA)、简易精神状态检查量表(MMSE)评分变化。结果 治疗组的治疗总有效率高于对照组,差异有统计学意义(P<0。05)。治疗前,两组患者的ADL、MoCA、MMSE比较,差异无统计学意义(P>0。05);治疗后,两组患者的MMSE、MoCA、Barthel指数评分均高于本组治疗前,差异有统计学意义(P<0。05)。结论 "脑肠同治"针刺疗法可提高PSCI患者的认知能力,提高患者的生活质量,具有较高的临床价值。
Clinical efficacy of"brain and intestine combined treatment"acupuncture therapy in treating post-stroke cognitive impairment
Objective To observe the clinical effect of"brain and intestine combined treatment"acupuncture therapy on post-stroke cognitive impairment(PSCI).Methods A total of 100 patients with PSCI admitted to Rehabilitation Hospital Af-filiated to Fujian University of Traditional Chinese Medicine from January 2021 to January 2022 were selected as the study objects,and they were divided into control group and treatment group according to random number table method,with 50 cases in each group.The control group received oral Donepezil,and the treatment group received acupuncture and oral Donepezil.After 4 weeks of intervention,the response rate and the scores of activities of daily living(ADL),Montreal cogni-tive assessment test(MoCA)and mini-mental state examination(MMSE)were compared between the two groups.Results The total effective rate of the treatment group was higher than that of the control group,the difference was statistically signif-icant(P<0.05).Before treatment,there were no significant differences in ADL,MoCA and MMSE between the two groups(P>0.05).After treatment,the scores of MMSE,MoCA and Barthel in two groups were higher than those before treatment,and the differences were statistically significant(P<0.05).Conclusion"Brain and intestine combined treatment"acupunc-ture therapy can improve the cognitive ability and quality of life of patients with PSCI,which has high clinical value.

Post-stroke cognitive impairmentAcupunctureDonepezilBrain and intestine combined treatment

黄桂榕、林琴、许文威、苏莹莹、徐沛韬、陈岚榕

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福建中医药大学附属康复医院脑病康复科,福建福州 350003

福建省康复技术重点实验室,福建福州 350003

福建中医药大学附属康复医院推拿一科,福建福州 350003

脑卒中后认知功能障碍 针刺 多奈哌齐 脑肠同治

福建省名老中医药专家传承工作室建设项目

闽卫中医函[2023]697号

2024

中国当代医药
中国保健协会 当代创新(北京)医药科学研究院

中国当代医药

影响因子:1.215
ISSN:1674-4721
年,卷(期):2024.31(3)
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