针灸临床杂志2025，Vol.41Issue(5)：11-16,6.DOI:10.19917/j.cnki.1005-0779.025085
经颅重复针刺法治疗脑卒中后轻度认知障碍随机对照试验
Repeated Transcranial Acupuncture in Treatment of PSMCI:A Randomized Controlled Trial
摘要
Abstract
Objective:To observe the clinical effect of repeated transcranial acupuncture on post-stroke mild cognitive impairment(PSMCI).Methods:64 patients with PSMCI were randomly divided into the study group(n=32,2 cases dropped off)and the control group(n=32,2 cases dropped off).The acupoints of Sishencong(EX-HN1),Yintang(EX-HN3),Taiyang(EX-HN9),Touwei(ST8),Fengchi(GB20),Wailaogong(EX-UE24),Xuanzhong(GB39)and cognitive emotional area were selected in both groups.0.30 mm×25 mm filiform needles were used in cognitive emotional area,and 0.30 mm × 40 mm filiform needles were used for other acupoints.Repeated transcranial acupuncture was performed in the cognitive emotional area in the study group;whereas the control group was treated with routine acupuncture.Patients in both groups were treated once a day and rested for 2 days after 5 consecutive treatments for a total of 8 weeks.The overall cognitive function(MoCA,MMSE),memory function(AVLT-H)and activities of daily living(ADL)were compared between before and after the treatment in both groups.Clinical efficacy was assessed after the treatment in both groups.Results:The scores of MoCA and MMSE were increased after the treatment compared to those before the treatment in the two groups(P＜0.05),and the increases were more significant in the study group than those in the control group after the treatment(P＜0.05).The scores of immediate recall,long delayed recall,and recognition of AVLT-H were higher after the treatment than those before the treatment in the two groups(P＜0.05),and the scores were higher in the study group than those in the control group after the treatment(P＜0.05).In terms of the score of ADL,it was lower after the treatment than that before the treatment in the study group(P＜0.05);whereas in which there was no statistical difference between before and after the treatment in the control group(P＞0.05).The score of ADL was lower in the study group than that in the control group after the treatment(P＜0.05).The total effective rate was 90.00％(27/30)in the study group,which was significantly higher than 76.67％(23/30)in the control group(P＜0.05).Conclusion:Repeated transcranial acupuncture can improve the overall cognitive function,episodic memory function and activities of daily living of the patients with PSMCI,and it can delay the development of dementia to some extent.关键词
脑卒中/轻度认知障碍/经颅重复针刺法/随机对照试验Key words
Stroke/Mild cognitive impairment/Repeated transcranial acupuncture/Randomized controlled trial分类
医药卫生引用本文复制引用
王益言,王东岩,李慎微,董旭,刘月,赵东雪,邢继杰..经颅重复针刺法治疗脑卒中后轻度认知障碍随机对照试验[J].针灸临床杂志,2025,41(5):11-16,6.基金项目
国家自然科学基金面上项目,编号:82374601、81774426. （）
