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针刺联合康复训练有利于提高脑梗死患者的疗效、认知功能和日常生活活动能力。

Acupuncture-Moxibustion Combined with Rehabilitation Training Is Conducive to Improving the Curative Effect, Cognitive Function, and Daily Activities of Patients with Cerebral Infarction.

机构信息

Department of Rehabilitation Medicine, Wuhan Sixth Hospital, Affiliated Hospital of Jianghan University, Wuhan, 430000 Hubei Province, China.

Department of Urology, Wuhan Sixth Hospital, Affiliated Hospital of Jianghan University, Wuhan, 430000 Hubei Province, China.

出版信息

Comput Math Methods Med. 2022 May 21;2022:4430345. doi: 10.1155/2022/4430345. eCollection 2022.

Abstract

OBJECTIVE

To elucidate the effect of acupuncture-moxibustion combined with rehabilitation training (RHT) on the curative effect, cognitive function (CF), and activities of daily living (ADL) of patients with cerebral infarction (CI).

METHODS

This study enrolled 150 patients with CI admitted to the Wuhan Sixth Hospital, Affiliated Hospital of Jianghan University from June 2020 to July 2021. Among them, 80 patients who were treated with acupuncture-moxibustion combined with RHT were included in the research group, and 70 patients who received acupuncture-moxibustion alone were included in the control group. The efficacy, CF, and ADL were observed in both groups, and the influences of the two therapies on serum uric acid (UA), high-sensitivity C-reactive protein (hs-CRP), and cystatin C (Cys-C) were compared. Among the various indexes, the CF of patients was assessed by the Montreal Cognitive Assessment (MoCA), and the ADL was evaluated by the Barthel index.

RESULTS

After treatment, the research group presented significantly better efficacy, CF, and ADL than the control group, with lower levels of serum UA, hs-CRP, and Cys-C than the control group and before treatment.

CONCLUSION

Acupuncture-moxibustion combined with RHT can inhibit serum UA, hs-CRP, and Cys-C levels of patients with CI while improving the curative effect, CF, and ADL, which is worthy of clinical promotion.

摘要

目的

阐明针灸结合康复训练(RHT)对脑梗死(CI)患者的疗效、认知功能(CF)和日常生活活动(ADL)的影响。

方法

本研究纳入了 2020 年 6 月至 2021 年 7 月期间在江汉大学附属医院武汉市第六医院就诊的 150 例 CI 患者。其中,80 例接受针灸结合 RHT 治疗的患者被纳入研究组,70 例接受单纯针灸治疗的患者被纳入对照组。观察两组患者的疗效、CF 和 ADL,并比较两种疗法对血清尿酸(UA)、高敏 C 反应蛋白(hs-CRP)和胱抑素 C(Cys-C)的影响。在各项指标中,患者的 CF 通过蒙特利尔认知评估(MoCA)进行评估,ADL 通过巴氏指数进行评估。

结果

治疗后,研究组的疗效、CF 和 ADL 明显优于对照组,血清 UA、hs-CRP 和 Cys-C 水平低于对照组和治疗前。

结论

针灸结合 RHT 可抑制 CI 患者的血清 UA、hs-CRP 和 Cys-C 水平,同时提高疗效、CF 和 ADL,值得临床推广。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4483/9148241/6fff144f83cf/CMMM2022-4430345.001.jpg

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