认知康复训练结合头皮针治疗脑卒中后认知功能障碍的疗效观察

摘要

目的 观察认知康复训练结合头皮针治疗脑卒中后认知功能障碍的疗效.方法 将郑州人民医院康复医学科收治的120例脑卒中后认知功能障碍的患者随机分为头皮针治疗组、认知康复训练组、头皮针治疗联合认知康复训练组 (联合治疗组) 和对照组各30例, 均给予神经内科常规药物治疗, 头皮针治疗组、认知训练组、联合组分别给予头皮针治疗、认知康复训练、头皮针治疗结合认知康复训练, 对照组除常规神经内科给药外不进行其他系统训练或药物治疗.治疗前及治疗后1个月、3个月、6个月分别用蒙特利尔认知估量表 (MoCA) 进行评定.结果 治疗后3个月及6个月3组相对于对照组的MoCA评分均有升高, 差异有统计学意义 (P＜0.05);与治疗后3个月相比, 治疗后6个月MoCA评分无显著提升 (P＞0.05) .治疗后3个月及6个月, 联合治疗组MoCA评分相对于单纯头皮针治疗组和单纯认知康复训练组明显升高, 差异有统计学意义 (P＜0.05) .相对于对照组, 治疗后3个月3组韦氏评分均有显著提升 (P＜0.05) .结论 认知康复训练结合头皮针治疗可明显改善脑卒中后认知障碍患者的认知功能.%Objective To observe the effect of cognitive rehabilitation training combined with scalp acupuncture on cognitive dysfunction after stroke.Methods 120 patients with cognitive impairment after stroke admitted in Zhengzhou people's Hospital were randomly divided into the scalp needle therapy group, the cognitive rehabilitation training group, the scalp needle therapy combined with cognitive rehabilitation training group (joint treatment group) and the control group, each group with 30 patients.The cognitive training group and the joint group were given scalp needle therapy, cognitive rehabilitation training, scalp needle therapy combined with cognitive rehabilitation training.The control group did not carry out other systematic training or drug treatment in addition to the conventional neurology medicine.The Montreal cognitive assessment scale (MoCA) was used before and 1 months, 3 months and 6 months after treatment respectively.Results The MoCA scores of the three groups were significantly higher than those of the control group at 3 months and 6 months after treatment (P＜0.05), but there was no significant improvement in MoCA scores at 6 months after treatment (P＞0.05).At the same time, the MoCA score of the combined treatment group was significantly higher than that of the scalp acupuncture group and the cognitive rehabilitation training group at 3 months and 6 months after treatment (P＜0.05).In addition, compared with the control group, the Wechsler scores of the three groups at 3 months after treatment were significantly improved (P＜0.05).Conclusion Cognitive rehabilitation training combined with scalp acupuncture can significantly improve the cognitive function of patients with cognitive impairment after stroke.