中国针灸2026，Vol.46Issue(2)：161-167,7.DOI:10.13703/j.0255-2930.20241128-k0003
应用单组目标值法评价眼针带针康复对卒中后患者认知功能及运动功能康复效果的研究
Evaluation of the effectiveness of periocular acupuncture rehabilitation therapy with needle retention for cognitive and motor function recovery in post-stroke patients using the single-group target value method
摘要
Abstract
Objective To evaluate the effectiveness of periocular acupuncture rehabilitation therapy with needle retention(PARNR)for promoting the recovery of cognitive and motor functions in post-stroke patients using the single-group target value method.Methods A total of 102 post-stroke patients were included(periocular acupuncture rehabilitation group),using a prospective and consecutive collection,and treated with PARNR.Besides conventional medication,the patients received periocular acupuncture at bilateral upper-jiao area,lower-jiao area,liver area and kidney area,once daily,at interval of 2-day after consecutive 5-day intervention.The treatment for 4 weeks was required.Before and after treatment,and in follow-up 12 weeks after treatment completion,the scores of mini-mental state examination(MMSE),Montreal cognitive assessment scale(MoCA),Fugl-Meyer assessment scale(FMA)and modified Barthel index(MBI)were evaluated separately.The comparison was performed for the target values of the therapeutic effect between traditional acupuncture and moxibustion(acupuncture and moxibustion group)and conventional rehabilitation(conventional rehabilitation group).The target values were derived from the Meta-analysis with the highest evidence level in the same category.Results At each time point before and after treatment,the scores of MMSE,MoCA,FMA and MBI in the periocular acupuncture rehabilitation group showed the time effect(P＜0.001,P＜0.01),and the scores were increasing over time.Regarding the improvements in cognitive function,the target value method revealed that the MMSE score was not statistically different(P＞0.05),the MoCA score was lower in the periocular acupuncture rehabilitation group after treatment(P＜0.01);and the MMSE score was higher(P＜0.01),and the MoCA score was not statistically different(P＞0.05)in the follow-up,compared with the target values in the acupuncture and moxibustion group.For the improvements in motor function,when compared with the target values in the acupuncture and moxibustion group,the scores of FMA and MBI were lower after treatment(P＜0.001);the FMA score was not different statistically(P＞0.05)and the MBI score was higher(P＜0.05)in the follow-up in the periocular acupuncture rehabilitation group.After treatment and in follow-up,except for the FMA,MBI scores after treatment,the above outcomes in the periocular acupuncture rehabilitation group were all superior to the target values in the conventional rehabilitation group(P＜0.001).Conclusion The periocular acupuncture rehabilitation therapy with needle retention is comparable to traditional acupuncture and moxibustion in improving post-stroke cognitive and motor functions and superior to conventional rehabilitation therapy.关键词
卒中/眼针带针康复/针灸/认知功能/运动功能/单组目标值法Key words
stroke/periocular acupuncture rehabilitation therapy with needle retention/acupuncture and moxibustion/cognitive function/motor function/single-group target value method引用本文复制引用
王梅,韩梅,王鹏琴,邵妍,赵曦彤,刘映洁,陈峣,马逍遥,陈斌,杨森,高晨..应用单组目标值法评价眼针带针康复对卒中后患者认知功能及运动功能康复效果的研究[J].中国针灸,2026,46(2):161-167,7.基金项目
辽宁省科技厅中央引导地方科技发展资金项目:科技创新基地建设 2023JH6/100200005 （）
国家自然科学基金资助项目:82004477 （）
辽宁省教育厅课题项目:2024-JYTCB-065 （）
辽宁省科技计划联合计划项目:2024-BSLH-156 （）
