不同波形电针治疗缺血性脑卒中后轻度认知障碍疗效观察.pdfVIP

·1114 · Shanghai J Acu-mox, Dec 2014, Vol 33, No 12 文章编号:1005-0957(2014)12-1114-03 ·临床研究· 不同波形电针治疗缺血性脑卒中后轻度认知障碍疗效观察 1 2 孙远征 ,杨圆圆 (1.黑龙江中医药大学附属第二医院,哈尔滨 150001;2.黑龙江中医药大学2012 级硕士生,哈尔滨 150001) 【摘要】 目的 观察疏波、密波、疏密波电针对缺血性脑卒中后轻度认知障碍临床疗效的影响。方法 将符合诊断标准 的60 例患者随机分为疏波组、密波组和疏密波组,每组20 例。各组在针刺的基础上百会、神庭施以电针。疏波组选择疏 波治疗,密波组选择密波治疗,疏密波组选择疏密波治疗,观察2 个疗程后3 组患者的临床疗效。3 组采用MMSE 评分、日常 生活活动能力评定(ADL),由同一操作者于治疗前后各检查1次。结果 疏波组总有效率为55.0%,密波组总有效率为65.0%, 疏密波组总有效率为90.0%,3 组总有效率比较差异有统计学意义(P＜0.05);3 组患者治疗后MMSE 评分有明显提高,ADL 评 分明显下降,治疗前后差异有统计学意义(P＜0.01),3 组治疗后组间比较差异有统计学意义(P＜0.01)。结论 疏波、密波、 疏密波电针均可改善轻度认知障碍,但疏密波总体疗效优于疏波和密波。 【关键词】 疏密波;电针;卒中;认知障碍 【中图分类号】 R246.6 【文献标志码】 A DOI:10.13460/j.issn.1005-0957.2014.12.1114 Therapeutic Observation of Electroacupuncture with Different Wave Patterns for Mild Cognitive Disorder After Ischemic 1 2 Stroke SUN Yuan-zheng , YANG Yuan-yuan . 1.The Second Affiliated Hospital of Heilongjiang University of Chinese Medicine, Harbin 150001, China; 2.Postgraduate Candidate of the Year 2012, Heilongjiang University of Chinese Medicine, Har bin 150001, China [Abstract] Objective To observe the efficacy of electroacupuncture with different wave patterns, sparse wave, intense wave, and sparse-intense wave, on the therapeutic efficacy in treating mild cognitive disorder after ischemic stroke. Method Sixty eligible patients were randomized into a sparse wave group, an intense wave group, and a sparse-intense wave group, 20 in each group. The three groups were given electroacupuncture at Baihui (GV20) and Shenting (GV24) in addition to the basic acupuncture treatment. The Mini-mental State Examination (MMSE) and Activities of Daily Living (ADL) were adopted for evaluation before and a