针药并用治疗脑梗死后轻度认知障碍疗效观察

目的观察针药并用治疗脑梗死后轻度认知障碍的临床疗效及对日常生活能力的影响。方法将60例脑梗死后轻度认知障碍患者随机分为治疗组和对照组,每组30例。两组患者均给予神经内科入院常规治疗。治疗组采用针刺配合药物治疗,对照组采用单纯药物治疗。两组患者均连续治疗2个月后评价疗效。结果治疗组总有效率为86.7%,对照组为63.3%,两组比较差异有统计学意义(P<0.05)。两组患者治疗后MMSE评分、MESSS评分及Barthel指数评分与同组治疗前比较,差异均有统计学意义(P<0.01,P<0.05)。治疗组治疗后MMSE评分、MESSS评分及Barthel指数评分与对照组比较,差异均有统计学意义(P<0.05)。结论针药并用是一种治疗脑梗死后轻度认知障碍的有效方法。

Therapeutic Observation on Acupuncture for Mild Cognitive Impairment after Cerebral Infarction

Objective To observe the clinical efficacy of acupuncture and its effect on activity of daily living in treating mild cognitive impairment（MCI） after cerebral infarction.Method Sixty patients with MCI after cerebral infarction were randomized into a treatment group and a control group,30 in each.Conventional neurological treatment was applied to all patients in the two groups.The treatment group was intervened by acupuncture plus medication,and the control group was by medication alone.The clinical efficacy was evaluated after 2-month successive treatment in both groups.Result The total effective rate was 86.7% in the treatment group versus 63.3% in the control group,and the difference was statistically significant（P〈0.05）.The intra-group comparison of Mini-Mental State Examination（MMSE）,Modified Edinburgh-Scandinavia Stroke Scale（MESSS）,and Barthel Index（BI） scores showed marked differences before and after treatment in both groups（P〈0.01,P〈0.05）.After treatment,the differences were statistically significant between the two groups in comparing MMSE,MESSS and BI scores（P〈0.05）.Conclusion Acupuncture is an effective approach in treating MCI after cerebral infarction.