《中国康复理论与实践》

《中国康复理论与实践》 ›› 2015, Vol. 21 ›› Issue (05): 575-578.

• 特稿 • 上一篇    下一篇

电针头部“神” 穴对脑卒中后认知功能障碍的效果

刘兰群，李惠兰，陈之罡，徐基民，卢虎英   

  • 收稿日期:1900-01-01 修回日期:1900-01-01 出版日期:2015-05-25 发布日期:2015-05-25

Effects of Electroacupuncture on Head Shen-acupoints on Cognitive Impairment after Stroke

LIU Lan-qun, LI Hui-lan, CHEN Zhi-gang, XU Ji-min, LU Hu-ying   

  1. 1. Department of Traditional Chinese Medicine, Beijing Bo'ai Hospital, China Rehabilitation Research Center, Beijing 100068, China; 2. Capital Medical University School of Rehabilitation Medicine, Beijing 100068, China
  • Received:1900-01-01 Revised:1900-01-01 Published:2015-05-25 Online:2015-05-25

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摘要： 目的探讨电针头部“神” 穴对脑卒中后认知功能障碍的影响。方法脑卒中后出现认知功能障碍的35 例患者分为电针组(n=19)和对照组(n=16)，对照组行常规治疗，电针组加用电针四神聪、神庭、本神，共4 周。治疗前后采用简易精神状态检查(MMSE)和蒙特利尔认知评估(MoCA)进行评定。结果治疗后电针组MMSE及MoCA评分增加值优于对照组(P<0.05)。MoCA分项比较，电针组在视空间与执行、注意与集中、计算、回忆及定向力方面增加值优于对照组(P<0.05)。结论电针头部“神” 穴可改善患者认知功能。

关键词: 脑卒中, 认知功能, 针刺, 电针, 简易精神状态检查, 蒙特利尔认知评估

Abstract: Objective To investigate the effects of electroacupuncture on head Shen- acupoints on cognitive dysfunction after stroke. Methods 35 cases with cognitive dysfunction after stroke were divided into treatment group (n=19) and control group (n=16). The control group received conventional treatment, while the treatment group received electroacupuncture on Sishencong (EX-HN1), Shenting (GV24) and Benshen (GB13) in addition. They were assessed with Mini-Mental State Examination (MMSE) and Montreal Cognitive Assessment (MoCA) before and after 4-week treatment. Results The scores of MMSE and MoCA increased more in the treatment group than in the control group (P<0.05). The scores of visuospatial abilities and executive functions, attention and concentration, calculation, memory and orientation of MoCA improved more in the treatment group than in the control group (P<0.05). Conclusion Electroacupuncture on head Shen-acupoints can improve cognitive function in patients after stroke.

Key words: stroke, cognitive function, acupuncture, electroacupuncture, Mini-Mental State Examination, Montreal Cognitive Assessment