[百会穴（GV20）长时间留针治疗缺血性中风后认知障碍的临床观察] （备注：这里原文说的是缺血性中风后认知障碍，你提供的原文中“deficiency and blood stasis”可能有误，推测应该是“ischemic”，这里按照推测后的正确内容翻译，否则按照原内容翻译意思不太准确）
[Clinical observation of long-time needle retaining at Baihui (GV 20) on post-stroke cognitive disorder of deficiency and blood stasis].
作者信息
Yang Fan, Luo Kaitao, Yang Xibing, Ren Hongwei, Gao Feng, Qian Lifeng
机构信息
Department of Acupuncture and Moxibustion, Jiaxing TCM Hospital Affiliated to Zhejiang Chinese Medical University, Jiaxing 314001, China.
出版信息
Zhongguo Zhen Jiu. 2018 Nov 12;38(11):1151-6. doi: 10.13703/j.0255-2930.2018.11.004.
OBJECTIVE
To observe the clinical efficacy of long-time needle retaining at Baihui (GV 20) on post-stroke cognitive disorder of deficiency and blood stasis.
METHODS
A total of 70 patients (3 cases dropping) with post-stroke cognitive disorder of deficiency and blood stasis were randomized into an observation group (34 cases) and a control group (33 cases). Neurological routine treatment and western medicine rehabilitation therapy were given in the control group as the basic treatment, on the basis of the treatment as the control group, long-time needle retaining at Baihui (GV 20) was applied in the observation group. The treatment was given once every other day, 3 times a week for a total of 4 weeks. The National Institute of Health stroke scale (NIHSS), mini-mental state examination (MMSE), Montreal cognitive assessment (MoCA) and deficiency blood stasis syndrome scale score were observed before and after treatment, and the clinical efficacy was compared between the two groups.
RESULTS
After 4 weeks of treatment, the NIHSS scores of the two groups were lower than those before treatment (both <0.01), and the MMSE and MoCA scores were higher than those before treatment (<0.05, <0.01), and the scores in the observation group were better than those in the control group (all <0.01). After treatment, the scores of deficiency and blood stasis syndrome were lower than those before treatment (all <0.01). The scores of the shortness of breath, facial color, tongue pulse and dizziness in the observation group were better than those in the control group (all <0.05), there was no significant difference in the degree of spontaneous sweating between the two groups (>0.05). The total effective rate was 94.1% (32/34) in the observation group, which was higher than 75.8% (25/33) in the control group (<0.05).
CONCLUSION
Long-time needle retaining at Baihui (GV 20) is safe and effective in treating with post-stroke cognitive disorder of deficiency and blood stasis.
目的
观察百会穴（GV 20）长时间留针治疗缺血性中风后认知障碍的临床疗效。
方法
将70例缺血性中风后认知障碍患者（脱落3例）随机分为观察组（34例）和对照组（33例）。对照组给予神经内科常规治疗及西医康复治疗作为基础治疗，观察组在对照组治疗的基础上，采用百会穴（GV 20）长时间留针治疗。治疗隔日1次，每周3次，共4周。观察两组治疗前后美国国立卫生研究院卒中量表（NIHSS）、简易精神状态检查表（MMSE）、蒙特利尔认知评估量表（MoCA）及缺血性中风证候量表评分，并比较两组临床疗效。
结果
治疗4周后，两组NIHSS评分均低于治疗前（均P<0.01），MMSE、MoCA评分均高于治疗前（P<0.05，P<0.01），且观察组评分优于对照组（均P<0.01）。治疗后，缺血性中风证候量表评分低于治疗前（均P<0.01）。观察组气短、面色、舌脉、头晕评分均优于对照组（均P<0.05），两组自汗程度比较差异无统计学意义（P>0.05）。观察组总有效率为94.1%（32/34），高于对照组的75.8%（25/33）（P<0.05）。
结论
百会穴（GV 20）长时间留针治疗缺血性中风后认知障碍安全有效。
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