《中国康复理论与实践》

《中国康复理论与实践》 ›› 2011, Vol. 17 ›› Issue (4): 316-318.

• 论文 • 上一篇    下一篇

头穴丛刺结合认知训练对脑梗死患者认知功能障碍的影响

王艳1，张立1，李淑荣1，李振宇1，唐强1,2   

  1. 1.黑龙江中医药大学附属二院，黑龙江哈尔滨市 150001；2. 黑龙江中医药大学，黑龙江哈尔滨市 150040。
  • 收稿日期:2011-03-16 修回日期:1900-01-01 出版日期:2011-04-25 发布日期:2011-04-25
  • 通讯作者: 唐强

Effect of Cluster Needling of Scalp Acupuncture Combined with Cognition Training on Cognition Dysfunction after Cerebral Infarction

WANG Yan, ZHANG Li, LI Shu-rong, et al.   

  1. Department of Rehabilitation Medicine, the 2nd Hospital affiliated to Heilongjiang University of Traditional Chinese Medicine, Harbin 150001, Heilongjiang, China
  • Received:2011-03-16 Revised:1900-01-01 Published:2011-04-25 Online:2011-04-25

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摘要： 目的探讨头穴丛刺结合认知训练对脑梗死患者认知功能障碍的影响。方法将60例符合纳入标准的脑梗死伴认知功能障碍患者随机分为头穴丛刺组(A组)、认知功能训练组(B组)和头穴丛刺结合认知功能训练组 (C组)，每组20例。分别于治疗前和治疗后1个月，应用简易精神状态量表（MMSE）对患者认知功能进行评定，比较P300潜伏期变化以及血浆皮质醇含量。结果治疗前后相比，各组MMSE评分提高， P300潜伏期缩短，血浆皮质醇含量降低(P＜0.05)。且在提高MMSE评分、缩短P300的潜伏期、降低血浆皮质醇含量方面，C组明显优于A组和B组(P＜0.01)。结论头穴丛刺结合认知训练可以降低脑梗死患者体内皮质醇含量，改善认知功能。

关键词: 脑梗死, 认知功能障碍, 头穴丛刺, 认知训练

Abstract: ObjectiveTo explore the influence of cluster needling of scalp acupuncture combined with rehabilitation techniques on cognition dysfunction in patients with cerebral infarction.Methods60 patients with cerebral infarction following cognitive impairment were randomly divided into 3 groups: Group A (the cluster needling of scalp acupuncture), group B (cognition training) and group C (cluster needling of scalp acupuncture combined with cognition training). All groups received routine neuropathic treatment. All patients were assessed by the Mini-Mental State Examination (MMSE) before and a month after treatment. The therapeutic effect was observed by change of P300 latency and solid contents of blood plasma cortisol a month after the treatment.ResultsThere was significant difference in the score of MMSE, P300 latency, and solid contents of blood plasma cortisol in 3 groups before and after the treatment(P<0.05). Compared to groups A and B, group C got a higher score of MMSE, shorter latency of P300 and lower solid contents of blood plasma cortisol (P＜0.01). ConclusionCluster needling of scalp acupuncture combined with cognition training may reduce solid contents of blood plasma cortisol and improve cognition function in patients with cerebral infarction.

Key words: cerebral infarction, cognitive dysfunction, cluster needling of scalp acupuncture, cognition training