中国中医药信息杂志
中國中醫藥信息雜誌
중국중의약신식잡지
CHINESE JOURNAL OF INFORMATION ON TRADITIONAL CHINESE MEDICINE
2015年
1期
22-25
,共4页
梁慧英%游国清%廖琳%王一兵%黄营湘
樑慧英%遊國清%廖琳%王一兵%黃營湘
량혜영%유국청%료림%왕일병%황영상
针灸%颅脑外伤%认知障碍%认知训练%简明精神状态量表%洛文斯顿认知功能评定测验
針灸%顱腦外傷%認知障礙%認知訓練%簡明精神狀態量錶%洛文斯頓認知功能評定測驗
침구%로뇌외상%인지장애%인지훈련%간명정신상태량표%락문사돈인지공능평정측험
acupuncture and moxibution%traumatic brain injury%cognitive impairment%cognitive training%MMSE%LOTCA
目的:观察针灸配合认知训练对颅脑外伤(TBI)致认知障碍的临床疗效。方法采用MINIMIZE分层软件将60例TBI患者随机分为对照组和治疗组。对照组予认知训练+常规治疗,治疗组予针灸+认知训练+常规治疗,疗程4周。采用简明精神状态量表(MMSE)、洛文斯顿认知功能评定测验(LOTCA)评定2组患者治疗前后的认知功能。结果有5例患者中途退出,最终对照组27例、治疗组28例完成治疗。治疗后,对照组和治疗组MMSE、LOTCA 的总分及各子项目得分均较治疗前增加(P<0.05),治疗组各项得分均高于对照组(P<0.05)。结论针灸配合认知训练能提高MMSE和LOTCA得分,改善TBI所致的认知障碍,疗效优于单纯认知训练。
目的:觀察針灸配閤認知訓練對顱腦外傷(TBI)緻認知障礙的臨床療效。方法採用MINIMIZE分層軟件將60例TBI患者隨機分為對照組和治療組。對照組予認知訓練+常規治療,治療組予針灸+認知訓練+常規治療,療程4週。採用簡明精神狀態量錶(MMSE)、洛文斯頓認知功能評定測驗(LOTCA)評定2組患者治療前後的認知功能。結果有5例患者中途退齣,最終對照組27例、治療組28例完成治療。治療後,對照組和治療組MMSE、LOTCA 的總分及各子項目得分均較治療前增加(P<0.05),治療組各項得分均高于對照組(P<0.05)。結論針灸配閤認知訓練能提高MMSE和LOTCA得分,改善TBI所緻的認知障礙,療效優于單純認知訓練。
목적:관찰침구배합인지훈련대로뇌외상(TBI)치인지장애적림상료효。방법채용MINIMIZE분층연건장60례TBI환자수궤분위대조조화치료조。대조조여인지훈련+상규치료,치료조여침구+인지훈련+상규치료,료정4주。채용간명정신상태량표(MMSE)、락문사돈인지공능평정측험(LOTCA)평정2조환자치료전후적인지공능。결과유5례환자중도퇴출,최종대조조27례、치료조28례완성치료。치료후,대조조화치료조MMSE、LOTCA 적총분급각자항목득분균교치료전증가(P<0.05),치료조각항득분균고우대조조(P<0.05)。결론침구배합인지훈련능제고MMSE화LOTCA득분,개선TBI소치적인지장애,료효우우단순인지훈련。
Objective To observe the clinical efficacy of acupuncture and moxibustion combined with cognitive training in treating cognitive impairment after traumatic brain injury (TBI). MethodsSixty patients were recruited into the study and randomly divided into the control group and the treatment group according to the MINIMIZE software. Patients in the control group were treated with cognitive training and regular treatment. Besides the traditional treatment, patients in the treatment group were additionally treated with acupuncture and moxibution. The treatment lasted four weeks. Mini-Mental State Examination (MMSE) and Loewenstein Occupational Therapy Cognitive Assessment (LOTCA) were applied to evaluate the patients’ cognitive function before and after the treatment.Results In the end, there were 27 patients in the control group and 28 patients in the treatment group, because 5 patients withdrew from the study. After treatment, scores of MMSE, LOTCA and their sub-items in the control group and the treatment group increased significantly (P<0.05), and the scores in the treatment group were higher than the control group (P<0.05).Conclusion Combination of acupuncture, moxibution, and cognitive training could help patients after TBI to increase the scores of MMSE and LOTCA, and improve the cognitive impairment caused by TBI. Its therapeutic effect is superior than the pure cognitive training.