摘要
目的探讨余伯亮“通督五线”针法联合中药汤剂治疗卒中后认知障碍的效果。方法选择2022年12月—2024年3月该院接诊的80例脑卒中后认知障碍患者,按照随机数表法分为观察组、对照组,每组40例。对照组采用常规西医治疗,观察组联合余伯亮“通督五线”针法、中药汤剂治疗,均持续治疗4周。比较两组治疗后临床疗效、蒙特利尔认知量表(Montreal cognitive scale,MoCA)评分、简易精神状态检查量表(mini-mental state examination,MMSE)评分、日常生活能力量表(activity of daily living scale,ADL)评分、中医证候积分、脑卒中专用生活质量量表(stroke special quality of life scale,SS-QOL)及不良反应发生率。结果观察组临床疗效比对照组好(P<0.05);治疗后,观察组MoCA评分、MMSE评分、ADL评分分别为(25.22±1.72)、(25.85±1.83)、(72.59±6.37)分,均高于对照组的(23.51±1.69)、(23.82±1.61)、(66.18±6.51)分,差异有统计学意义(P<0.05);治疗后,观察组中医证候积分为(9.32±1.67)分,低于对照组的(11.06±1.79),SS-QOL评分为(182.02±16.39)分,高于对照组的(164.33±17.02)分,差异有统计学意义(P<0.05)。结论余伯亮“通督五线”针法联合中药汤剂治疗卒中后认知障碍的疗效明显,值得临床推广。
Objective To explore the effect of YU Boliang′s“dredging Du meridian five-line”acupuncture combined with traditional Chinese medicine decoction on cognitive impairment after stroke.Methods A total of 80 patients with post-stroke cognitive impairment admitted to the hospital from December 2022 to March 2024 were selected and divided into observation group and control group according to random number table method,with 40 cases in each group.The control group was treated with conventional Western medicine,and the observation group was treated with YU Boliang′s“dredging Du meridian five-line”acupuncture and traditional Chinese medicine decoction.All patients were treated for 4 weeks.The clinical efficacy,Montreal cognitive scale(MoCA)score,mini-mental state examination(MMSE)score,activity of daily living scale(ADL)score,traditional Chinese medicine syndrome score,stroke special quality of life scale(SS-QOL)and incidence of adverse reactions were compared between the two groups after treatment.Results Compared with that of the control group,the clinical efficacy of the observation group was higher(P<0.05).After treatment,MoCA score,MMSE score and ADL score in the observation group were(25.22±1.72)points,(25.85±1.83)points and(72.59±6.37)points,which were higher than those of the control group[(23.51±1.69)points,(23.82±1.61)points and(66.18±6.51)points],with statistical significance(P<0.05).After treatment,the traditional Chinese medicine syndrome score of the observation group was(9.32±1.67)points,which was lower than that of the control group[(11.06±1.79)points],and the SS-QOL score was(182.02±16.39)points,which was higher than that of the control group[(164.33±17.02)points],with statistical significance(P<0.05).Conclusion YU Boliang′s“dredging Du meridian five-line”acupuncture combined with traditional Chinese medicine decoction has obvious curative effect in the treatment of cognitive impairment after stroke,worthy of clinical promotion.
作者
胡翌
林丽旋
张国强
谭章财
HU Yi;LIN Lixuan;ZHANG Guoqiang;TAN Zhangcai(Wuyi Hospital of Traditional Chinese Medicine,Jiangmen 529000,Guangdong,China)
出处
《辽宁中医杂志》
北大核心
2026年第2期157-160,共4页
Liaoning Journal of Traditional Chinese Medicine
基金
广东省医学科研基金项目(A2017610)
广东省江门市科技计划项目(2023YL03006)。
关键词
脑卒中
认知障碍
中药汤剂
针刺
中医证候积分
生活质量
stroke
cognitive impairment
traditional Chinese medicine decoction
acupuncture
traditional Chinese medicine syndrome score
quality of life
