上海针灸杂志2016，Vol.35Issue(12)：1410-1413,4.DOI:10.13460/j.issn.1005-0957.2016.12.1410
雷火灸大椎、肾俞结合认知训练治疗缺血性脑卒中后轻度认知功能障碍疗效观察
Therapeutic Observation of Thunder-fire Moxibustion at Dazhui (GV14) and Shenshu (BL23) plus Cognitive Training for ;Mild Cognitive Impairment Due to Ischemic Cerebral Stroke
摘要
Abstract
Objective To observe the clinical efficacy of thunder-fire moxibustion at Dazhui (GV14) and Shenshu (BL23) in treating mild cognitive impairment (MCI) due to ischemic cerebral stroke. Method Sixty patients with MCI due to ischemic cerebral stroke were randomized into a treatment group and a control group, 30 cases each. The control group was intervened by joint treatment plus cognitive training, while the treatment group was by thunder-fire moxibustion in addition to that given to the control group. The two groups were evaluated by the Montreal Cognitive Assessment (MoCA), Mini-Mental State Examination (MMSE) and Wechsler Memory Scale (WMS), the major symptoms were observed, and the clinical efficacies were compared between the two groups. The two groups were both treated for 8 weeks. Result The total effective rate was 80.0%in the treatment group, versus 70.0% in the control group, and the difference was statistically significant(P<0.05). Conclusion The selected acupoints can improve the cognition and activities of daily living (ADL) in MCI patients;thunder-fire moxibustion at Dazhui and Shenshu plus cognitive training can produce a better clinical efficacy than dry cognitive training. Therefore, we can combine thunder-fire moxibustion with modern rehabilitation to enhance the therapeutic efficacy in preventing and treating MCI.关键词
针灸疗法/雷火针灸疗法/卒中/认知障碍/认知训练/Barthel指数/蒙特利尔认知量表/简易精神状态检查表/韦氏记忆量表Key words
Acupuncture-moxibustion/Thunder-fire drugs-moxa roll moxibustion/Stroke/Cognitive impairment/Cognitive training/Barthel Index/Montreal Cognitive Assessment/Mini-Mental State Examination/Wechsler Memory Scale分类
医药卫生引用本文复制引用
严宏达,杨楠,赵明华,郑利群..雷火灸大椎、肾俞结合认知训练治疗缺血性脑卒中后轻度认知功能障碍疗效观察[J].上海针灸杂志,2016,35(12):1410-1413,4.基金项目
广东省中山市医学科研基金项目(2015A020330) （2015A020330）
