目的评价"从督论治"针刺法治疗脑卒中后认知功能障碍的临床疗效。方法将80例脑卒中后认知障碍患者随机分为观察组和对照组,每组40例。观察组接受"从督论治"针刺法治疗,对照组接受传统针刺法治疗。治疗前后,观察并比较两组简易智力状态量表(mini-mental state examination,MMSE)评分和日常生活活动能力(activities of daily living,ADL)评分。结果与治疗前比较,两组治疗后MMSE评分和ADL评分均显著升高(P<0.01);治疗组在提高ADL评分方面显著优于对照组(P<0.01),在提高MMSE评分方面较对照组具有一定的优势。结论 "从督论治"针刺法对脑卒中后认知功能障碍具有较好疗效,且较常规针刺法具有一定的优势。
Objective:To observe the clinical effect on post-stroke cognitive impairment(PSCI) treated by acupuncture at the acupoints composed in accordance with the "four seas theory".Methods:A total of 70 patients with PSCI were randomly divided into a treatment group(n=35) and a control group(n=35).In the control group,conventional basic treatment and rehabilitation training were adopted,while in the treatment group,on the base of the treatment as the control group,acupuncture was applied at the acupoints composed in accordance with "four seas theory",lasting 8 weeks.The scores of mini-mental state examination(MMSE) and the instantaneous memory,the scores of Montreal cognitive assessment(MoCA) and the delayed memory,the score of kidney essence insufficiency in syndrome differentiation scale of vascular dementia(SDSVD),event-related potentials(ERP) P300 and clinical therapeutic effect were compared in the patients between two groups before and after treatment separately.Results:After treatment,MMSE score and the score of instantaneous memory were higher than the results before treatment in either group respectively(all P <0.05),in which,MMSE score in the treatment group was higher than that in the control group(P <0.05).After treatment,MoCA score and the score of delay recall were higher than the results before treatment in either group(all P <0.05),in which,MoCA score in the treatment group was higher than that of the control group(P <0.05).After treatment,the score of SDSVD was lower than that before treatment in either group(both P <0.05),in which SDSVD score in the treatment group were lower than the control group(P <0.05).There were no statistical changes in P300 latency and wave amplitude in the patients of the control group after treatment(both P> 0.05).However,in the treatment group,P300 latency was reduced and the wave amplitude was increased after treatment(both P <0.05).The total effective rate was 88.57% in the treatment group,higher than 71.43% in the control group(P <0.05).Conclusion:Acupuncture at the acupo
