上海针灸杂志2023，Vol.42Issue(12)：1235-1239,5.DOI:10.13460/j.issn.1005-0957.2023.12.1235
针刺联合重复经颅磁刺激治疗卒中后认知障碍的疗效观察及对记忆力和P300波幅的影响
Observation of the therapeutic effect of acupuncture combined with repetitive transcranial magnetic stimulation on cognitive impairment after stroke and its effect on memory and P300 amplitude
摘要
Abstract
Objective To observe the clinical efficacy of Tong Du Xing Shen acupuncture combined with repetitive transcranial magnetic stimulation in the treatment of cognitive impairment after stroke and its effect on cognitive function,memory and P300 amplitude.Method Eighty patients with post-stroke cognitive impairment were studied and randomly divided into a control group(39 patients)and an observation group(41 patients).Both groups were treated with cognitive function rehabilitation training.The control group was treated with repetitive transcranial magnetic stimulation,and the observation group was treated with Tong Du Xing Shen acupuncture combined with repetitive transcranial magnetic stimulation.The clinical efficacy of the two groups was compared,and the changes of Montreal cognitive assessment(MoCA)score,Rivermead behavioral memory test-Ⅱ(RBMT-Ⅱ)score,modified Barthel index(MBI)score,and head P300 amplitude and latency were observed before and after treatment.Result The total effective rate of the observation group was higher than that of the control group(P＜0.05).After treatment,the scores of MoCA,RBMT-Ⅱ and MBI and the amplitude of head P300 in the two groups were higher than those before treatment(P＜0.05),and they were higher in the observation group than in the control group(P＜0.05).The P300 latency of the two groups was lower than that before treatment(P＜0.05),and that of the observation group was lower than that of the control group(P＜0.05).Conclusion In addition to the cognitive function rehabilitation training,acupuncture combined with repetitive transcranial magnetic stimulation can effectively improve the cognitive function of patients with post-stroke cognitive impairment,enhance memory,improve the ability of daily living,and increase the amplitude of P300,and the curative effect is better than the treatment of repetitive transcranial magnetic stimulation alone.关键词
针刺疗法/电针/经颅磁刺激/中风后遗症/认知障碍/记忆力Key words
Acupuncture therapy/Electroacupuncture/Transcranial magnetic stimulation/Post-stroke sequelae/Cognitive impairment/Memory分类
医药卫生引用本文复制引用
赵楠楠,尚高岗,赵鑫..针刺联合重复经颅磁刺激治疗卒中后认知障碍的疗效观察及对记忆力和P300波幅的影响[J].上海针灸杂志,2023,42(12):1235-1239,5.基金项目
秦皇岛市科学技术研究与发展计划项目(202004A095) （202004A095）
