Yuan Hong-Wei, Liu Yun-Xia, Zhang Han, Liu Ye, Li Xin-Lu, Ni Jin-Xia
Department of Acupuncture and Moxibustion, Dongzhimen Hospital, Beijing University of CM, Beijing100700, China.
Zhongguo Zhen Jiu. 2022 Aug 12;42(8):839-43. doi: 10.13703/j.0255-2930.20210811-0005.
To compare the clinical effect of (promoting the governor vessel and regaining consciousness) acupuncture and moxibustion combined with cognitive training and the simple cognitive training for post-stroke mild cognitive impairment (PSMCI).
Eighty-four patients with PSMCI were randomly divided into an observation group and a control group, with 42 cases in each group (3 cases in the observation group and 2 cases in the control group dropped off). The observation group was treated by acupuncture and moxibustion combined with cognitive training, acupuncture was given at Baihui (GV 20), Sishencong (EX-HN 1), Shenting (GV 24), etc., and moxibustion was given at Shenting (GV 24) , Baihui (GV 20), Shendao (GV 11), Fengfu (GV 16) and Xinshu (BL 15). The control group was only given cognitive training. All the above treatment was given once a day, 5 times a week, for 4 consecutive weeks. The scores of Montreal cognitive assessment (MoCA), mini-mental state examination (MMSE), activity of daily living (ADL) and stroke-specific quality of life (SS-QOL) were compared between the two groups before treatment, after treatment, 4 weeks and 12 weeks after treatment.
After treatment, 4 weeks and 12 weeks after treatment, the MoCA, MMSE and SS-QOL scores of the two groups were all higher than those before treatment (<0.05), and the ADL scores were lower than those before treatment (<0.05). In the observation group, the MoCA and MMSE scores were higher than those of the control group after treatment, 4 weeks and 12 weeks after treatment (<0.05), and the SS-QOL score was higher than that of the control group 12 weeks after treatment (<0.05).
Both acupuncture and moxibustion combined with cognitive training and simple cognitive training can improve cognitive function, daily living ability and quality of life in patients with PSMCI, and the combined therapy is superior to simple cognitive training in improving cognitive function and long-term quality of life in patients with PSMCI.
比较醒脑开窍针刺联合认知训练与单纯认知训练对脑卒中后轻度认知障碍（PSMCI）的临床疗效。
将84例PSMCI患者随机分为观察组和对照组，每组42例（观察组脱落3例，对照组脱落2例）。观察组采用醒脑开窍针刺联合认知训练治疗，针刺百会（GV20）、四神聪（EX-HN1）、神庭（GV24）等穴位，艾灸神庭（GV24）、百会（GV20）、神道（GV11）、风府（GV16）、心俞（BL15）。对照组仅给予认知训练。上述治疗均每日1次，每周5次，连续治疗4周。比较两组治疗前、治疗后、治疗后4周及12周的蒙特利尔认知评估（MoCA）、简易精神状态检查表（MMSE）、日常生活活动能力（ADL）及脑卒中特异性生活质量（SS-QOL）评分。
治疗后、治疗后4周及12周，两组MoCA、MMSE及SS-QOL评分均高于治疗前（P<0.05），ADL评分低于治疗前（P<0.05）。观察组治疗后、治疗后4周及12周MoCA、MMSE评分高于对照组（P<0.05），治疗后12周SS-QOL评分高于对照组（P<0.05）。
醒脑开窍针刺联合认知训练与单纯认知训练均能改善PSMCI患者的认知功能、日常生活能力及生活质量，且联合疗法在改善PSMCI患者认知功能及长期生活质量方面优于单纯认知训练。
