《中国康复理论与实践》

《中国康复理论与实践》 ›› 2015, Vol. 21 ›› Issue (01): 79-081.

• 临床研究 • 上一篇    下一篇

头针治疗脑外伤后认知障碍的临床效果

黄芳，王晓红，邵彬，黄礼群
   

  1. 广州军区武汉总医院康复理疗科，湖北武汉市430070。
  • 收稿日期:1900-01-01 修回日期:1900-01-01 出版日期:2015-01-25 发布日期:2015-01-25

Effects of Scalp Acupuncture on Cognition in Patients after Traumatic Brain Injury

HUANG Fang, WANG Xiao-hong, SHAO Bin,HUANG Li-qun.
   

  1. Department of Rehabilitation and Physiotherapy, Wuhan General Hospital of Guangzhou Military, Wuhan, Hubei 430070,China
  • Received:1900-01-01 Revised:1900-01-01 Published:2015-01-25 Online:2015-01-25

PDF (PC)

摘要： 目的观察头针治疗脑外伤后认知障碍的临床疗效。方法42 例脑外伤后认知障碍患者随机分为治疗组(n=23)和对照组(n=19)。对照组予认知功能训练及盐酸多奈哌齐治疗，治疗组在此基础上予头针治疗，共3 个月。分别于治疗前、治疗1 个月后、治疗3 个月后应用蒙特利尔认知功能评定(MoCA)及事件相关电位P300 进行评估。结果治疗3 个月后，两组患者P300 和Mo-CA评分均较治疗前显著改善(P<0.001)，治疗组均显著优于对照组(P<0.001)。结论头针对改善脑外伤后认知障碍有一定疗效。

关键词: 脑外伤, 认知功能, 头针, 事件相关电位, 蒙特利尔认知功能评定

Abstract:

Objective To observe the effects of scalp acupuncture on cognitive impairments after traumatic brain injury (TBI). Methods 42 cases of TBI were randomized into experiment group (n=23) and control group (n=19). The control group accepted cognitive training and Donepezil, and the experiment group accepted scalp acupuncture in addition for 3 months. They were assessed with event related potential P300 and Montreal Cognitive Assessment (MoCA) before, 1 and 3 months after treatment. Results The results of P300 and MoCA improved significantly 3 months after treatment (P<0.001) in both groups, and improved more in the experiment group than in the control group (P<0.001). Conclusion Scalp acupuncture could improve outcomes of cognitive impairments after TBI.

Key words: traumatic brain injury, cognitive function, scalp acupuncture, event related potential, Montreal Cognitive Assessment