CAJ | 학술논문

目的：探讨电针头部“神”穴对脑卒中后认知功能障碍的影响。方法脑卒中后出现认知功能障碍的35例患者分为电针组(n=19)和对照组(n=16)，对照组行常规治疗，电针组加用电针四神聪、神庭、本神，共4周。治疗前后采用简易精神状态检查(MMSE)和蒙特利尔认知评估(MoCA)进行评定。结果治疗后电针组MMSE及MoCA评分增加值优于对照组(P<0.05)。MoCA分项比较，电针组在视空间与执行、注意与集中、计算、回忆及定向力方面增加值优于对照组(P<0.05)。结论电针头部“神”穴可改善患者认知功能。
목적：탐토전침두부“신”혈대뇌졸중후인지공능장애적영향。방법뇌졸중후출현인지공능장애적35례환자분위전침조(n=19)화대조조(n=16)，대조조행상규치료，전침조가용전침사신총、신정、본신，공4주。치료전후채용간역정신상태검사(MMSE)화몽특리이인지평고(MoCA)진행평정。결과치료후전침조MMSE급MoCA평분증가치우우대조조(P<0.05)。MoCA분항비교，전침조재시공간여집행、주의여집중、계산、회억급정향력방면증가치우우대조조(P<0.05)。결론전침두부“신”혈가개선환자인지공능。
Objective To investigate the effects of electroacupuncture on head Shen-acupoints on cognitive dysfunction after stroke. Methods 35 cases with cognitive dysfunction after stroke were divided into treatment group (n=19) and control group (n=16). The control group received conventional treatment, while the treatment group received electroacupuncture on Sishencong (EX-HN1), Shenting (GV24) and Benshen (GB13) in addition. They were assessed with Mini-Mental State Examination (MMSE) and Montreal Cognitive Assessment (MoCA) before and after 4-week treatment. Results The scores of MMSE and MoCA increased more in the treatment group than in the con-trol group (P<0.05). The scores of visuospatial abilities and executive functions, attention and concentration, calculation, memory and orien-tation of MoCA improved more in the treatment group than in the control group (P<0.05). Conclusion Electroacupuncture on head Shen-acupoints can improve cognitive function in patients after stroke.