摘要
目的:观察头穴丛刺法联合认知训练治疗脑梗死后认知功能障碍的疗效。方法:脑梗死后认知功能障碍患者60例,随机分为观察组及对照组各30例。2组均给予认知训练,观察组加用头穴丛刺疗法。治疗前后评定简明精神状态量表(MMSE)、血浆皮质醇水平、事件相关电位变化。结果:治疗4周后,2组MMSE评分均较治疗前显著提高,且观察组提高更显著(均P<0.01);2组血浆皮质醇水平均较治疗前明显下降,且观察组下降更显著(均P<0.01);2组事件相关电位中的P3潜伏时均较治疗前明显缩短(P<0.01,0.05),且观察组更短于对照组(P<0.01);观察组P3波幅较治疗前显著提高(P<0.05)。结论:头穴丛刺疗法联合认知训练可更好地改善脑梗死患者认知障碍程度,值得临床推广、应用。
Objective：To observe the curative effectiveness of cluster needling of scalp point combined with cogni- tive training for cognitive impairment after cerebral infarction. Methods： Sixty eases of cognitive impairment after cerebral infarction were divided into observation group and control group equally. Both groups were treated with cog- nition treatment,and observation group received cluster needling of scalp point additionally. MMSE, plasma cortisol level,and event-related potential were evaluated before and after treatment. Results=After treatment for 4 weeks,the MMSE scores in both groups were higher than pre-treatment,more significantly in observation group（all P〈0.01） ; plasma cortisol levels in both groups were reduced as compared with pre-treatment, more significantly in observation group（all P〈0.01）;event-related potential latency of Pa in both groups was shorter than pre-treatment（P〈0.01, 0.05） ,more significantly in observation group（P〈0. 05）;the Pa amplitude in observation group was higher than pre-treatment（P〈0. 05）. Conclusion： The therapy of cluster needling of scalp point combined with cognitive training can improve cognitive function after cerebral infarction, and deserves further clinical applications.
出处
《中国康复》
2012年第5期327-329,共3页
Chinese Journal of Rehabilitation
