中华物理医学与康复杂志
中華物理醫學與康複雜誌
중화물리의학여강복잡지
CHINESE JOURNAL OF PHYSICAL MEDICINE AND REHABILITATION
2010年
7期
520-522
,共3页
傅建明%顾旭东%王晶%姚云海%张晓玲%李亮%顾敏%任芸%尹汉逵%金敏敏
傅建明%顧旭東%王晶%姚雲海%張曉玲%李亮%顧敏%任蕓%尹漢逵%金敏敏
부건명%고욱동%왕정%요운해%장효령%리량%고민%임예%윤한규%금민민
头皮针长时间留针%康复训练%脑卒中%认知功能障碍
頭皮針長時間留針%康複訓練%腦卒中%認知功能障礙
두피침장시간류침%강복훈련%뇌졸중%인지공능장애
Scalp acupuncture%Rehabilitation training%Stroke%Cognitive dysfunction
目的 探讨头皮针长时间留针法结合认知功能康复训练治疗脑卒中患者认知功能障碍的效果.方法 选择脑卒中认知功能障碍患者84例,随机分为头皮针长时间留针法结合康复训练组(观察组)42例和单纯康复训练组(对照组)42例.2组患者均予神经内科常规药物治疗、常规运动康复训练及针对认知功能障碍的康复训练,均未使用改善脑功能的药物.观察组同时采用头皮针长时间留针法.分别在治疗前和治疗10周后采用洛文斯顿作业疗法认知评定量表(LOTCA)进行疗效评定.结果 2组治疗前、后组内LOTCA评分比较,差异均有统计学意义(P<0.05),观察组优于对照组;2组治疗后组间评分比较,差异具有统计学意义(P<0.05).结论 头皮针长时间留针法结合认知功能康复训练可有效提高脑卒中认知功能障碍患者的认知能力,其疗效优于单纯康复训练.
目的 探討頭皮針長時間留針法結閤認知功能康複訓練治療腦卒中患者認知功能障礙的效果.方法 選擇腦卒中認知功能障礙患者84例,隨機分為頭皮針長時間留針法結閤康複訓練組(觀察組)42例和單純康複訓練組(對照組)42例.2組患者均予神經內科常規藥物治療、常規運動康複訓練及針對認知功能障礙的康複訓練,均未使用改善腦功能的藥物.觀察組同時採用頭皮針長時間留針法.分彆在治療前和治療10週後採用洛文斯頓作業療法認知評定量錶(LOTCA)進行療效評定.結果 2組治療前、後組內LOTCA評分比較,差異均有統計學意義(P<0.05),觀察組優于對照組;2組治療後組間評分比較,差異具有統計學意義(P<0.05).結論 頭皮針長時間留針法結閤認知功能康複訓練可有效提高腦卒中認知功能障礙患者的認知能力,其療效優于單純康複訓練.
목적 탐토두피침장시간류침법결합인지공능강복훈련치료뇌졸중환자인지공능장애적효과.방법 선택뇌졸중인지공능장애환자84례,수궤분위두피침장시간류침법결합강복훈련조(관찰조)42례화단순강복훈련조(대조조)42례.2조환자균여신경내과상규약물치료、상규운동강복훈련급침대인지공능장애적강복훈련,균미사용개선뇌공능적약물.관찰조동시채용두피침장시간류침법.분별재치료전화치료10주후채용락문사돈작업요법인지평정량표(LOTCA)진행료효평정.결과 2조치료전、후조내LOTCA평분비교,차이균유통계학의의(P<0.05),관찰조우우대조조;2조치료후조간평분비교,차이구유통계학의의(P<0.05).결론 두피침장시간류침법결합인지공능강복훈련가유효제고뇌졸중인지공능장애환자적인지능력,기료효우우단순강복훈련.
Objective To observe effect of scalp acupuncture combined with cognitive rehabilitation training in ameliorating cognitive dysfunction in stroke patients. Methods Eighty-four stroke patients with cognitive dysfunction were randomly divided into a treatment group ( n = 42) and a control group (n = 42 ) . All of the patients in both groups received routine therapy including cognitive rehabilitation training by professional therapists aimed at improving their orientation, perception, attention and thinking. The patients in the treatment group also received prolonged scalp acupuncture, in which the acupuncture needle remained in the scalp for 6 hours. All cases were evaluated using Loewenstein's occupational therapy cognition assessment (LOTCA) before and 10 weeks after treatment. Results The LOTCA scores were significantly different before and after treatment in both groups. The effect in the treatment group was significantly better than in the control group. Conclusions Prolonged scalp acupuncture combined with cognitive rehabilitation training can significantly improve the cognitive ability of stroke patients.
