穴位按摩结合常规认知康复训练治疗卒中后认知障碍的临床观察

目的 观察基于中医神明理论的穴位按摩结合常规认知康复训练对卒中后认知障碍患者认知功能、日常生活能力及血浆β淀粉样蛋白1-42(Aβ1-42)水平的影响.方法 将66例卒中后认知障碍患者随机分为对照组和治疗组,每组33例.对照组采用常规认知康复训练,治疗组在对照组基础上加用基于中医神明理论的穴位按摩.两组疗程均为12周,...

Clinical observation on acupressure combined with cognitive rehabilitation training for cognitive impairment after stroke

Objective conventional cognitive rehabilitation training on cognitive function,activities of daily living and plasma concentrations of β-amyloid 1-42(Aβ;)in patients with post-stroke cognitive impairment.Methods control group(n=33)and a treatment group(n=33). The control group was administered with conventional cognitive rehabilitation training,and the treatment group was additionally administered with TCM Shen-Ming theory-based acupressure besides the treatment measures of the control group. The course of treatment of the two groups lasted 12 weeks,and the changes of Montreal Cognitive Assessment(MoCA)score,activities of daily living(ADLs)scale score and plasma concentrations of Aβ;were observed and compared.Results after treatment,MoCA scores increased(P<0.05)and ADL scores and the plasma concentrations of Aβ;decreased(P<0.05)in both groups.According to the inter-group comparison after treatment,MoCA score was higher in the treatment group than that in the control group(P<0.05),the plasma concentrations of Aβ;in the treatment group were lower than the concentrations in the control group(P<0.05),and there was no significant difference in ADL score between two groups(P>0.05).ConclusionCompared with the single use of cognitive rehabilitation training,the combined use of TCM Shen-Ming theory-based acupressure and cognitive rehabilitation training has achieved satisfactory results in treating post-stroke cognitive impairment,which can better improve patients’ cognitive function,facilitate activities of daily living and lower plasma concentrations of Aβ;.