CAJ | 학술논문

目的：观察梅花针叩刺百会、四神聪治疗急性期脑梗死合并认知功能障碍的临床疗效。方法：将患者随机分为针刺组和西药组，针刺组给予梅花针叩刺百会、四神聪治疗，西药组给予尼莫地平口服。结果：针刺组显效16例，有效27例，无效4例，总有效率为91．49％，西药组显效7例，有效29例，无效12例，总有效率为75％，两组总有效率比较差异具有统计学意义（ P＜0．05）；治疗后，两组MMSE量表评分与治疗前进行组内比较有显著性差异（P＜0．01），两组进行组间比较有显著性差异（P＜0．01）。结论：梅花针叩刺百会、四神聪治疗急性期脑梗死合并认知功能障碍的临床疗效优于尼莫地平，具有临床应用及推广价值。
목적：관찰매화침고자백회、사신총치료급성기뇌경사합병인지공능장애적림상료효。방법：장환자수궤분위침자조화서약조，침자조급여매화침고자백회、사신총치료，서약조급여니막지평구복。결과：침자조현효16례，유효27례，무효4례，총유효솔위91．49％，서약조현효7례，유효29례，무효12례，총유효솔위75％，량조총유효솔비교차이구유통계학의의（ P＜0．05）；치료후，량조MMSE량표평분여치료전진행조내비교유현저성차이（P＜0．01），량조진행조간비교유현저성차이（P＜0．01）。결론：매화침고자백회、사신총치료급성기뇌경사합병인지공능장애적림상료효우우니막지평，구유림상응용급추엄개치。
Objective:To observe the clinical effect of plum -blossom needle of Baihui , Sishencong in the treatment of cerebral infarction combined with cognitive dysfunction at acute period .Methods:The patients were randomly divided into acupuncture group and medicine group .Acupuncture group was treated with plum -blos-som needle Baihui , Sishencong therapy , and western medicine group was given nimodipine orally .Results:16 cases were cured in acupuncture group , 27 cases were effective , 4 cases were ineffective ,and the total effective rate was 91 .49%;7 cases were cured in western medicine group , 29 cases were effective , 12 cases were inef-fective,and the total effective rate was 75.00%,and the efficiency of two groups had a statistically significant difference ( P<0 .05 );after treatment , MMSE score in the two groups compared with pre -treatment had a sig-nificant difference (P <0.01),and the comparison between two groups had a significant difference (P <0.01 ) .Conclusion:The Effect of plum-blossom needle of Baihui , Sishencong in the treatment of cerebral in-farction combined with cognitive dysfunction at acute period is better than nimodipine , which is worth clinical application and promotion .