CAJ | 학술논문

目的：观察针刺五脏俞结合头针对脑卒中后认知功能及血浆同型半胱氨酸（ Hcy ）的影响，为该病探讨一种安全、有效的治疗方案。方法：将80例入围患者随机分为治疗组和对照组，每组各40例，在常规药物治疗的基础上分别予（针刺五脏俞加头针和认知功能训练法）和（头针加认知功能训练法），比较两组患者在治疗前、1个疗程后、2个疗程后简易精神状态检查法评分表（ MMSE）和Hcy的变化，评价疗效。结果：两组患者治疗后MMSE及Hcy均较前改善（均P＜0．05），且治疗组疗效优于对照组（ P＜0．05）。结论：针刺五脏俞加头针和认知功能训练对脑卒中后认知功能的改善及Hcy的影响优于头针认知功能训练，值得临床推广应用。
목적：관찰침자오장유결합두침대뇌졸중후인지공능급혈장동형반광안산（ Hcy ）적영향，위해병탐토일충안전、유효적치료방안。방법：장80례입위환자수궤분위치료조화대조조，매조각40례，재상규약물치료적기출상분별여（침자오장유가두침화인지공능훈련법）화（두침가인지공능훈련법），비교량조환자재치료전、1개료정후、2개료정후간역정신상태검사법평분표（ MMSE）화Hcy적변화，평개료효。결과：량조환자치료후MMSE급Hcy균교전개선（균P＜0．05），차치료조료효우우대조조（ P＜0．05）。결론：침자오장유가두침화인지공능훈련대뇌졸중후인지공능적개선급Hcy적영향우우두침인지공능훈련，치득림상추엄응용。
Objective:To observe Five Zang-organs Yu acupuncture combined with head-needling for cogni-tive function after stroke and the influence of plasma homocysteine ( Hcy) , and to explore a safe and effective treatment.Methods:80 patients were randomly divided into a treatment group and a control group,with 40 cases in each group.On the basis of the routine treatment, the treatment group received Five Zang-organs Yu com-bined with head-needling plus cognitive function training method and the control group received head-nee-dling and cognitive function training method.Compare patients in two groups before treatment, after 1 course, after 2 courses of simple mental state test scale ( MMSE) and the change of the Hcy,and to evaluate the curative effect.Results:In two groups after treatment MMSE and Hcy were improved(P<0.05), and the curative effect of the treatment group was better than that of the control group ( P<0.05 ) .Conclusion:In two groups after treatment the cognitive function after stroke( MMSE) is improved and plasma homocysteine ( Hcy) is affected, and the treatment group is better than the control group.