首页|醒脑开窍针法联合高压氧治疗脑卒中后认知功能障碍的疗效观察

醒脑开窍针法联合高压氧治疗脑卒中后认知功能障碍的疗效观察

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目的 观察醒脑开窍针法联合高压氧治疗脑卒中后认知功能障碍(PSCI)的疗效。方法 将60例PSCI患者采用简单随机法分为对照组(15例)、针刺组(15例)、高压氧组(15例)、针刺+高压氧组(15例)。4组患者入组前均已接受常规药物治疗及常规康复训练,针刺组加用醒脑开窍针法,5次/周,30 min/次;高压氧组加用高压氧治疗,治疗压力为0。1 MPa,加减压各20 min,稳压60 min,5次/周;针刺+高压氧组加用醒脑开窍针法和高压氧治疗。四组均治疗4周。观察治疗后蒙特利尔认知评估量表(MoCA)、简易精神量表(MMSE)、改良Barthel指数。结果 治疗后针刺+高压氧组患者的MoCA评分、MMSE评分、改良Barthel指数高于对照组(P<0。001),另外针刺+高压氧组患者改良Barthel指数分别高于针刺组、高压氧组(P<0。05)。结论 针刺联合高压氧治疗可改善PSCI患者的认知功能,提高日常生活能力。
Objective To evaluate the clinical effectiveness of combining acupuncture with hyperbaric oxygen therapy in the management of post-stroke cognitive impairment(PSCI).Methods A total of sixty patients diagnosed with PSCI were randomly assigned to four groups:the control group(n=15),the acupuncture group(n=15),the hyperbaric oxygen group(n=15),and the acupuncture+hyperbaric oxygen group(n=15).Prior to enrollment,all patients in the four groups had undergone conventional drug treatment and standard rehabilitation training.The acupuncture group received additional Xingnao Kaiqiao acupuncture treatment five times per week,with each session lasting 30 minutes.The hyperbaric oxygen group underwent hyperbaric oxygen therapy at a pressure of 0.1 MPa,with decompression lasting 20 minutes followed by stabilization at the pressure for 60 minutes,five times per week.The acupuncture+hyperbaric oxygen group received Xingnao Kaiqiao acupuncture and hyperbaric oxygen therapy for 4 weeks.Over a period of four weeks,four groups received treatment.Post-treatment assessments were conducted using the Montreal Cognitive Assessment Scale(MoCA),Mini-Mental State Examination(MMSE),and modified Barthel index.Results The results indicated that the MoCA score,MMSE score,and modified Barthel index of the acupuncture+hyperbaric oxygen group exhibited statistically significant improvements compared to the control group(P<0.001).Furthermore,the modified Barthel index of the acupuncture+hyperbaric oxygen group showed significantly greater improvement compared to both the acupuncture group and the hyperbaric oxygen group(P<0.05).Conclusion The integration of acupuncture and hyperbaric oxygen therapy has shown promising results in enhancing cognitive function and daily living capabilities among patients with PSCI.

Post-stroke cognitive impairmentXingnao Kaiqiao acupunctureHyperbaric oxygenRandomized controlled trial

郭阳璐、马晨阳、孙科、沈宇雯、毛雅君

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310003 浙江中医药大学附属第一医院(浙江省中医院)

311241 杭州市萧山区第二人民医院

脑卒中后认知功能障碍 醒脑开窍针法 高压氧 随机对照研究

浙江省中医药科技计划项目

2024ZL383

2024

浙江临床医学
浙江中医药大学 浙江省科普作家协会医学卫生委员会

浙江临床医学

影响因子:0.52
ISSN:1008-7664
年,卷(期):2024.26(8)