上海针灸杂志2025，Vol.44Issue(1)：64-69,6.DOI:10.13460/j.issn.1005-0957.2025.01.0064
针刺联合热敏灸治疗卒中后认知障碍的临床观察
Clinical observation of acupuncture combined with heat-sensitive moxibustion in the treatment of post-stroke cognitive impairment
摘要
Abstract
Objective To observe the clinical efficacy of"San Tong Xing Nao acupuncture"combined with heat-sensitive moxibustion in the treatment of post-stroke cognitive impairment(PSCI).Method Ninety patients with PSCI were randomly divided into the acupuncture group,the thermal moxibustion group and the combined group,with 30 cases in each group.Patients in each of the three groups were treated with conventional internal medicine and rehabilitation,based on which,the acupuncture group was treated with"San Tong Xing Nao"acupuncture,the heat-sensitive moxibustion group was treated with heat-sensitive moxibustion,and the combined group was treated with"San Tong Xing Nao"acupuncture combined with heat-sensitive moxibustion.The mini-mental state examination(MMSE),Montreal cognitive assessment(MoCA),modified Barthel index(MBI)score,amplitude and latency of auditory event-related potential P300,and changes in serum homocysteine(Hcy)and interleukin-6(IL-6)levels were observed in the three groups before and after treatment.Result The MoCA,MMSE and MBI scores of the three groups were higher than those before treatment,and those in the combined group were higher than those in the acupuncture and heat-sensitive moxibustion groups,with statistically significant differences(P＜0.05).The P300 latency of the combined group was shorter than that of the acupuncture group and heat-sensitive moxibustion group,and the amplitude of P300 in the combined group was longer than that in the acupuncture and heat-sensitive moxibustion groups;the differences were statistically significant(P＜0.05).Serum Hcy and IL-6 levels were reduced in the three groups after treatment,and those in the combined group was lower than those in the acupuncture and heat-sensitive moxibustion groups;the difference was statistically significant(P＜0.05).Conclusion The combination of heat-sensitive moxibustion with"San Tong Xing Nao acupuncture"on the basis of conventional internal medicine and rehabilitation treatment can help to improve the cognitive function and daily life ability of PSCI patients.关键词
针灸疗法/热敏灸/针药并用/中风后遗症/认知障碍Key words
Acupuncture-moxibustion therapy/Heat-sensitive moxibustion/Acupuncture-medication combined/Post-stroke sequelae/Cognitive impairment分类
医药卫生引用本文复制引用
施凤飞,鲍杰伟,张衍辉,邹坤,刘清,康明非..针刺联合热敏灸治疗卒中后认知障碍的临床观察[J].上海针灸杂志,2025,44(1):64-69,6.基金项目
江西省中医药管理局科技计划项目(2023A0127) （2023A0127）
江西省教育厅科学技术研究项目(GJJ2200945) （GJJ2200945）
江西省名老中医药专家学术经验继承项目[赣财社指(2022)81号] （2022）
