文章摘要
刘丽,夏文广,徐婷.头皮针结合重复经颅磁刺激治疗脑梗死后认知功能障碍的临床观察[J].中国康复,2019,34(3):123-126
头皮针结合重复经颅磁刺激治疗脑梗死后认知功能障碍的临床观察
Clinical Observation of Scalp Acupuncture Combined with Repetitive Transcranial Magnetic Stimulation (rTMS) for Cognitive Impairment after Cerebral Infarction
  
DOI:
中文关键词: 头皮针  重复经颅磁刺激  脑梗死  认知功能障碍  联合治疗
英文关键词: scalp acupuncture  repetitive transcranial magnetic stimulation  cerebral infarction  cognitive impairment  combined treatment
基金项目:重大疑难疾病中西医临床协作试点项目(国中医药办医政发《2018》3号-39);湖北省卫生计生委中医药中西医结合重点科研项目([2017]20号-ZD13)
作者单位
刘丽 湖北省中西医结合医院康复医学中心武汉 430000 
夏文广 湖北省中西医结合医院康复医学中心武汉 430000 
徐婷 湖北省中西医结合医院康复医学中心武汉 430000 
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中文摘要:
  目的:观察头皮针结合重复经颅磁刺激治疗脑梗死后认知功能障碍的疗效。方法:随机将120例符合纳入标准的脑梗死后认知功能障碍患者分为A1组(n=40)、A2组(n=39)和B组(n=41),A1组采用头皮针治疗法治疗,A2组采用重复经颅磁刺激法治疗,B组采用头皮针结合重复经颅磁刺激治疗。连续治疗10次为一疗程,疗程间休息2d,共治疗3个疗程。观察3组患者治疗前后蒙特利尔认知评估量表(MoCA)和简易智能状态检查量表(MMSE)的评定结果。结果:3组患者每一疗程治疗后MoCA和MMSE评分都比治疗前有显著的提高(P<0.05,0.01),B组2项评分均更高于A1、A2组(P<0.01)。结论:头皮针结合重复经颅磁刺激治疗脑梗死后认知功能障碍的临床观察疗效明显,且其操作简便、安全性较高,值得在临床推广应用。
英文摘要:
  Objective: To observe the curative effect of scalp acupuncture combined with repetitive transcranial magnetic stimulation in treating cognitive dysfunction after cerebral infarction. Methods: All 120 patients with cognitive dysfunction after cerebral infarction were divided randomly into control group 1 (group A1) (n=40), control group 2 (group A2) (n=39) and observation group (group B) (n=41). The group A1 was treated with scalp acupuncture, the group A2 was treated with repeated transcranial magnetic stimulation, and the group B was treated with scalp acupuncture combined with repetitive transcranial magnetic stimulation. The three groups were evaluated with the Montreal Cognitive Assessment (MoCA) and the Mini mental State Examination (MMSE) before and after treatment, and the curative effect was examined. Results: The cognitive ability of the three groups was improved after treatment. The MoCA and MMSE scores after each course of treatment were significantly higher than before treatment, and the group B was more effective than the group A1 and group A2 (P<0.01, 0.05). Conclusion: The scalp acupuncture combined with repetitive transcranial magnetic stimulation is effective in the treatment of cognitive dysfunction after cerebral infarction, and the operation of this method is simple and safe.
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