文业成 李艳 王佳丽 吴清明

【摘要】 目的：对比通元针法结合认知功能训练與单纯认知功能训练治疗中风后认知功能障碍（PSCI）患者的疗效及对患者认知功能、自理能力的影响。方法：选取2018年5月-2019年5月于本院就诊的中风后认知功能障碍的患者60例。按随机数字表法将其分为治疗组和对照组，每组30例。对照组予以基础治疗及认知功能训练，治疗组在对照组基础上予以通元针刺法治疗。比较两组的临床疗效及治疗前后的MMSE评分及MBI评分。结果：治疗前，两组MMSE、MBI评分比较，差异均无统计学意义（P>0.05）;治疗后，两组MMSE、MBI评分均高于治疗前，且治疗组均高于对照组，差异均有统计学意义（P<0.05）。治疗组治疗总有效率为90.00%，显著高于对照组的66.67%，差异有统计学意义（P<0.05）。结论：通元针法联合认知功能训练能有效改善PSCI患者认知功能及自理能力，并具有可靠的疗效。

【关键词】 通元针法 中风后认知功能障碍 认知功能训练

Effect of Tongyuan Acupuncture Combined with Cognitive Function Training on Post-stroke Cognitive Impairment and Its Influence on Cognitive Function and Self-care Ability of Patients/WEN Yecheng， LI Yan， WANG Jiali， WU Qingming. //Medical Innovation of China， 2020， 17（13）： -155

[Abstract] Objective： To compare the effect of tongyuan acupuncture combined with cognitive function training and simple cognitive function training on patients with post-stroke cognitive impairment （PSCI） and their cognitive function and self-care ability. Method： A total of 60 patients with post-stroke cognitive impairment admitted to our hospital from May 2018 to May 2019 were selected. According to the random number table method， they were divided into the treatment group and the control group， 30 cases in each group. The control group received basic treatment and cognitive function training， the treatment group received tongyuan acupuncture therapy on the basis of the control group. The clinical efficacy and MMSE and MBI scores of the two groups were compared before and after treatment. Result： Before treatment， there were no statistically significant differences in MMSE and MBI scores between the two groups （P>0.05）. After treatment， MMSE and MBI scores in both groups were higher than those of before treatment， and the treatment group were higher than those in the control group， the differences were statistically significant （P<0.05）. The total effective rate in the treatment group was 90.00%， significantly higher than 66.67% in the control group， the difference was statistically significant （P<0.05）. Conclusion： The combination of acupuncture and cognitive function training can effectively improve the cognitive function and self-care ability of PSCI patients， and has reliable efficacy.

[Key words] Tongyuan acupuncture Post-stroke cognitive impairment Cognitive function training

First-authors address： Second Affiliated Hospital of Hunan University of Traditional Chinese Medicine， Changsha 410005， China

doi：10.3969/j.issn.1674-4985.2020.13.038

中風又称为“脑卒中”，目前好发于中老年人，具有发病率高、致残率高、死亡率高的“三高”特点的疾病[1-3]。由于发病突然，大多患者得不到及时有效的诊治，导致了本病半数以上患者可能留有后遗症[4-5]。中风后认知功能障碍（post-stroke cognitive impairment， PSCI）是中风后常见的后遗症之一，主要表现为中风后所致的一系列诸如语言、记忆、理解、定向力、视空间能力等的异常，严重影响患者的生活质量，增加了死亡及再入院风险，给患者家庭及社会造成负担[6-8]。因此，本研究通过比较通元针刺法联合认知功能训练与单纯认知功能训练治疗本病患者的疗效及对患者认知功能、自理能力的影响，现报道如下。

1 资料与方法

1.1 一般资料 选取2018年5月-2019年5月于本院针灸科门诊、脑病科门诊及脑病科住院部就诊的中风后认知功能障碍的患者60例。西医……