摘要
目的探讨头皮针长时间留针法结合认知功能康复训练治疗脑卒中患者认知功能障碍的效果。方法选择脑卒中认知功能障碍患者84例，随机分为头皮针长时间留针法结合康复训练组（观察组）42例和单纯康复训练组（对照组）42例。2组患者均予神经内科常规药物治疗、常规运动康复训练及针对认知功能障碍的康复训练，均未使用改善脑功能的药物。观察组同时采用头皮针长时间留针法。分别在治疗前和治疗10周后采用洛文斯顿作业疗法认知评定量表（LOTCA）进行疗效评定。结果2组治疗前、后组内LOTCA评分比较，差异均有统计学意义（P〈0．05），观察组优于对照组；2组治疗后组间评分比较，差异具有统计学意义（P〈0．05）。结论头皮针长时间留针法结合认知功能康复训练可有效提高脑卒中认知功能障碍患者的认知能力，其疗效优于单纯康复训练。
Objective To observe effect of scalp acupuncture combined with cognitive rehabilitation training in ameliorating cognitive dysfunction in stroke patients. Methods Eighty-four stroke patients with cognitive dysfunction were randomly divided into a treatment group （ n = 42） and a control group （ n = 42）. All of the patients in both groups received routine therapy including cognitive rehabilitation training by professional therapists aimed at im- proving their orientation, perception, attention and thinking. The patients in the treatment group also received pro- longed scalp acupuncture, in which the acupuncture needle remained in the scalp for 6 hours. All cases were evaluated using Loewenstein＇s occupational therapy cognition assessment （LOTCA） before and 10 weeks after treatment. Results The LOTCA scores were significantly different before and after treatment in both groups. The effect in the treatment group was significantly better than in the control group. Conclusions Prolonged scalp acupuncture combined with cognitive rehabilitation training can significantly improve the cognitive ability of stroke patients.
出处
《中华物理医学与康复杂志》
CAS
CSCD
北大核心
2010年第7期520-522,共3页
Chinese Journal of Physical Medicine and Rehabilitation
基金
浙江省基层中医药适宜技术项目（2008SA006）
