| 杨红艳,朱彩红,骆凌云,郑竣隆,贺丹,郝文杰.头部铜砭刮痧对脑卒中后轻中度认知功能障碍患者的干预研究[J].中国医药导报,2024,21(4):153-156 |
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| 头部铜砭刮痧对脑卒中后轻中度认知功能障碍患者的干预研究 |
| Intervention study of head copper bian-stone scraping for mild to moderate cognitive disorder in stroke |
| 收稿日期： 修订日期：2023-08-02 |
| DOI：10.20047/j.issn1673-7210.2024.04.35 |
| 关键词: 铜砭刮痧 认知训练 脑卒中 认知功能障碍 干预研究 |
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| 基金项目:北京中医药薪火传承“3+3”工程冯学功基层老中医传承工作室（2018-JC-11） |
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| 摘要:目的 探究头部铜砭刮痧治疗脑卒中后轻中度认知功能障碍患者的临床效果。 方法 选取北京中西医结合医院2022年1月至2023年6月收治的80例脑卒中后并发轻度至中度认知障碍的患者作为研究对象。采用随机数字表法将患者分为对照组和试验组，各40例。两组均接受常规治疗护理和认知训练，试验组同时接受头部铜砭刮痧治疗，患者入院后第2～6天，1次/d，30 min/次，以后每周5次，持续时间共8周，期间如有患者中途出院，则在门诊完成此项操作。治疗前后两组患者均采用蒙特利尔认知量表（MOCA）、简易精神状态检查表（MMSE）、Barthel指数评定量表（BMI）进行评定。 结果 治疗后，两组MoCA评分较治疗前均升高，且试验组高于对照组（P＜0.05）。治疗后，两组MBI评分较治疗前均升高，且试验组高于对照组（P＜0.05）。治疗后，两组MMSE评分较治疗前均升高，且试验组高于对照组（P＜0.05）。 结论 头部铜砭刮痧疗法能有效地提高脑卒中后轻到中度认知障碍患者认知功能，临床推广应用价值高 |
| Abstract:Objective To explore the clinical effect of head copper bian-stone scraping therapy on patients with mild to moderate cognitive impairment after stroke. Methods A total of 80 patients with mild to moderate cognitive impairment after stroke who were hospitalized in Beijing Hospital of Integrated Traditional Chinese and Western Medicine from January 2022 to June 2023 were selected as the study subjects, and they were divided into control group and experimental group by random number table method, with 40 cases in each group. Patients in both groups received conventional treatment and nursing, and cognitive training, while the observation group also received holographic head copper bian-stone scraping treatment, once a day for 30 minutes from the 2nd to the 6th day after admission, and then five times a week for a total of eight weeks. During this period, if the patient was discharged midway, the operation was completed in the outpatient department. The Montreal cognitive scale (MoCA), the mini mental state examination (MMSE) and the modified Barthel index (BMI) were used before treatment and eight weeks after treatment. Results After treatment, the MoCA scores of both groups increased compared to before treatment, and the experimental group was higher than the control group (P＜0.05). After treatment, the MMSE scores of both groups increased compared with before treatment, and the experimental group was higher than the control group (P＜0.05). After treatment, the MBI scores of both groups increased compared with before treatment, and the experimental group was higher than the control group (P＜0.05). Conclusion The head copper bian-stone scraping therapy can effectively improve the cognitive function of patients with mild to moderate cognitive impairment after stroke, and the clinical application value is high. |
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