本文選題：輕度認(rèn)知障礙 + 卒中��； 參考：《中國(guó)全科醫(yī)學(xué)》2017年S2期

【摘要】：目的觀察經(jīng)皮穴位電刺激(TEAS)對(duì)腦卒中后認(rèn)知功能障礙(PSCI)患者認(rèn)知功能和日常生活能力的影響。方法選取2015年1月—2016年6月贛南醫(yī)學(xué)院附屬康復(fù)醫(yī)院老年康復(fù)科及神經(jīng)康復(fù)科住院的PSCI患者90例,按照患者意愿及就診順序分為TEAS組、電針組和對(duì)照組,每組30例。3組患者均行常規(guī)治療,TEAS組和電針組在此基礎(chǔ)上給予電刺激神庭、百會(huì)等穴位。于治療前、治療2周、4周后采用洛文斯頓作業(yè)治療用認(rèn)知評(píng)定量表(LOTCA)、北京版蒙特利爾認(rèn)知功能評(píng)估量表(MoCA)和改良版Barthel指數(shù)(MBI)進(jìn)行評(píng)價(jià)。結(jié)果治療前,3組患者LOTCA、MoCA、MBI評(píng)分比較,差異無(wú)統(tǒng)計(jì)學(xué)意義(P0.05);治療2周、4周后,3組患者LOTCA、MoCA、MBI評(píng)分比較,差異均有統(tǒng)計(jì)學(xué)意義(P0.05);其中,治療2周,電針組及TEAS組LOTCA、MoCA、MBI評(píng)分高于對(duì)照組(P0.05);治療4周,電針組LOTCA、MoCA、MBI評(píng)分高于對(duì)照組,TEAS組LOTCA、MoCA、MBI評(píng)分高于對(duì)照組及電針組(P0.05)。對(duì)照組治療前后LOTCA、MoCA、MBI評(píng)分比較,差異無(wú)統(tǒng)計(jì)學(xué)意義(P0.05);電針組及TEAS組治療前后LOTCA、MoCA、MBI評(píng)分比較,差異均有統(tǒng)計(jì)學(xué)意義(P0.05);其中電針組及TEAS組治療2周、4周后LOTCA、MoCA、MBI評(píng)分較治療前升高(P0.05)。結(jié)論 TEAS與電針一樣,刺激神庭、百會(huì)等穴位可以改善PSCI,且提高患者的日常生活能力;同時(shí)在一定時(shí)間階段TEAS治療效果與療程呈正比,但電針治療不具有時(shí)間依賴性。
[Abstract]:Objective to observe the effect of transcutaneous acupoint electrical stimulation (TEAS) on cognitive function and ADL in patients with cognitive dysfunction (PSCI) after stroke. Methods from January 2015 to June 2016, 90 PSCI patients in the Department of Geriatric Rehabilitation and the Department of Neurorehabilitation, affiliated Rehabilitation Hospital of Gannan Medical College, were divided into TEAS group, electroacupuncture group and control group. 30 patients in each group were treated with routine therapy. Both groups were given electrical stimulation of Shenting, Baihui and other acupoints on this basis. Before and after 2 weeks and 4 weeks of treatment, the patients were evaluated with LOTCAA, Beijing Montreal Cognitive function Assessment scale and modified Barthel Index. Results before treatment, there was no significant difference in the MBI scores of LOTCAG and MoCAN in the three groups, but there was no significant difference in the MBI scores between the three groups after 2 weeks and 4 weeks of treatment (P < 0.05), among which, there was significant difference in the scores of LOTCAA and MoCAA MBI between the three groups (P 0.05), 2 weeks of treatment, 2 weeks of treatment, After 4 weeks of treatment, the scores of LOTCAA MoCAMBI in electroacupuncture group and TEAS group were higher than those in control group and electroacupuncture group respectively, and the scores of LOTCAA MoCAMBI in electroacupuncture group were higher than those in control group and electroacupuncture group (P 0.05). In the control group, there was no significant difference in LOTCAMoCAMBI scores before and after treatment, there was no significant difference in the scores of LOTCAMoCAMBI before and after treatment, while in the electroacupuncture group and the TEAS group before and after treatment, the differences were statistically significant (P 0.05), among which the LOTCAMoCAMBI scores in the electroacupuncture group and the TEAS group were significantly higher than those in the pre-treatment group after 2 weeks and 4 weeks of treatment. Conclusion like electroacupuncture, stimulating Shenting and Baihui acupoints can improve TEAS and improve the ability of daily life of patients, and at the same time, the effect of TEAS is proportional to the course of treatment in a certain period of time, but electroacupuncture treatment is not time-dependent.
【作者單位】： 贛南醫(yī)學(xué)院附屬康復(fù)醫(yī)院康復(fù)治療中心;贛南醫(yī)學(xué)院附屬康復(fù)醫(yī)院神經(jīng)康復(fù)科;贛南醫(yī)學(xué)院附屬康復(fù)醫(yī)院老年康復(fù)科;
【基金】：江西省贛州市指導(dǎo)性科技計(jì)劃(社會(huì)發(fā)展)項(xiàng)目(GZ2015ZSF312) 贛南醫(yī)學(xué)院人才基金啟動(dòng)項(xiàng)目(QD201501)
【分類號(hào)】：R743.3

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本文編號(hào)：1951822