[1]陈立梁,曾 骥.针刺联合运动想象疗法治疗脑卒中后认知功能障碍临床研究*[J].陕西中医,2020,(7):983-985.[doi:DOI:10.3969/j.issn.10007369.2020.07.044]
 CHEN Liliang,ZENG Ji..Clinical study of acupuncture combined with exercise imagination therapy on cognitive dysfunction after stroke[J].,2020,(7):983-985.[doi:DOI:10.3969/j.issn.10007369.2020.07.044]
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针刺联合运动想象疗法治疗脑卒中后认知功能障碍临床研究*
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《陕西中医》[ISSN:1000-7369/CN:61-1281/TN]

卷:
期数:
2020年7期
页码:
983-985
栏目:
针灸经络
出版日期:
2020-07-05

文章信息/Info

Title:
Clinical study of acupuncture combined with exercise imagination therapy on cognitive dysfunction after stroke
作者:
陈立梁曾 骥
海口市人民医院理疗科(海口 570208)
Author(s):
CHEN LiliangZENG Ji.
Department of Physiotherapy,Haikou People's Hospital(Haikou 570208)
关键词:
脑卒中 认知功能障碍 针刺 灯盏生脉胶囊 百会 运动想象疗法
Keywords:
Stroke Cognitive impairment Acupuncture Dengzhan Shengmai capsule Baihui Eexercise imagination therapy
分类号:
R743.34
DOI:
DOI:10.3969/j.issn.10007369.2020.07.044
文献标志码:
A
摘要:
目的:观察用针刺、灯盏生脉胶囊联合运动想象疗法治疗脑卒中后认知功能障碍患者的临床效果。方法:选择脑卒中认知功能障碍患者82例,将其随机分为对照组和观察组,各41例。两组患者均给予常规认知功能训练,对照组患者在此基础上给予运动想象疗法,观察组在对照组基础上加用针刺、灯盏生脉胶囊联合治疗,两周为1个疗程,连续治疗两个疗程。观察临床治疗效果,进行智力、认知功能、日常生活能力评价。结果:观察组患者的有效率90.24%,显著高于对照组的73.17%(P<0.05); 与对照组相比,治疗后观察组患者的智力、认知功能、日常生活能力改善优于对照组,MMSE、MoCA、ADL评分均显著高于对照组(P<0.05)。结论:针刺、灯盏生脉胶囊联合运动想象疗法利于促进脑卒中后认知功能障碍患者智力、认知功能、日常生活能力的改善。
Abstract:
Objective:To observe the clinical effect of acupuncture and Dengzhan Shengmai capsule combined with exercise imagination therapy on patients with cognitive dysfunction after stroke,and to explore the mechanism of brain protection.Methods:82 cases of stroke patients with cognitive dysfunction were randomly divided into the routine group and the observation group,with 41 cases each.Patients in the two groups were given routine cognitive function training,patients in the control group were given exercise imagination therapy,and patients in the observation group were treated with acupuncture and Dengzhan Shengmai capsule on the basis of the control groupfor 2 weeks for a course of treatment,two consecutive courses of treatment.The two groups of clinical curative effect was compared,the intelligence,cognitive function and daily life ability were evaluated.Results:The effective rate of the observation group was 90.24%,which was significantly higher than that of the control group of 73.17%(P<0.05).Compared with the control group,the improvement of intelligence,cognitive function and daily living ability in the observation group after treatment was better than the control group,and the MMSE,MoCA and ADL scores were significantly higher than the control group(P<0.05).Conclusion:Acupuncture and Dengzhan Shengmai capsule combined with exercise imagination therapy can promote the improvement of intelligence,cognitive function and daily living ability of patients with cognitive dysfunction after stroke.

参考文献/References:

[1] Wu JX,Xue J,Zhuang L,et al.Plasma parameters and risk factors of patients with post-stroke cognitive impairment[J].Ann Palliat Med,2020,9(1):45-52.
[2] 孟军鹏,尤雪梅,赵 佩,等.影响脑卒中患者发生记忆功能障碍的相关危险因素分析[J].陕西医学杂志,2018,47(1):41-43.
[3] 吴 杨.奥瑞姆自护模式对脑卒中后遗症患者生存质量、自理能力及睡眠质量的影响[J].中国急救复苏与灾害医学杂志,2019,14(12):1239-1242.
[4] 汪桂珍,李 民,董竑麟.脑卒中后认知功能障碍康复治疗方法的新进展[J].按摩与康复医学,2019,10(24):59-61.
[5] 董 强,郭起浩,罗本燕,等.卒中后认知障碍管理专家共识[J].中国卒中杂志,2017,12(6):519-531.
[6] Gumarraes FC,Amorim PR,Dos RFF,et al.Physical activity and better medication compliance improve mini-mental state examination scores in the eldery[J].Dement Geriatr Cogn Disord,2014,39(1):25-31.
[7] Chen L,Yu C,Fu X,et al.Using the montreal cognitive assessment scale to screen for dementia in Chinese patients with parkinson's disease[J].Shanghai Arch Psychiatry,2013,25(5):306-313.
[8] Lee YC,Chen SS,Koh CL,et al.Development of two barthel index-based supplementary scales for patients with stroke[J].PLoS One,2014,9(10):e110494.
[9] 田金洲,韩明向,涂晋文,等.血管性痴呆的诊断、辨证及疗效判定标准[J].北京中医药大学学报,2000,23(5):16-24.
[10] 喻 露,阿依努尔,杜泽慧,等.灯盏生脉胶囊对血管性认知功能障碍患者的疗效及部分机制[J].世界中医药,2019,14(8):2109-2112.
[11] 吉贞料,王高岸,张长杰.益智活血汤及益脑针刺疗法促进脑卒中后轻度认知障碍患者康复效果研究[J].四川中医,2019,37(6):108-110.
[12] 李兰辰,金晓宇,曾学清.头穴针刺结合尼莫地平治疗脑卒中后轻度认知功能障碍的临床研究[J].中医药导报,2019,25(22):49-52.
[13] 陈 坤,卜淑芳,刘喜灿.灯盏生脉胶囊联合尼莫地平对血管性痴呆患者血管内皮功能及认知功能的影响[J].陕西中医,2018,39(9):1174-1176.
[14] 尚华杰,冯 琪,刘美琪,等.针刺“百会”“足三里”对血管性认知障碍模型大鼠认知功能的影响[J].国际中医中药杂志,2018,40(5):427-431.
[15] 穆雪梅,米 楠,祖先鹏,等.灯盏生脉胶囊化学成分、药理作用及临床应用研究进展[J].中国中药杂志,2019,44(18):3917-3923.

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备注/Memo

备注/Memo:
*海南省卫生计生行业科研项目(1601320712A2003)
更新日期/Last Update: 2020-07-09