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目的探讨针药合用联合认知训练对卒中后轻度认知功能障碍(MCI)的疗效。方法将符合入选标准的90例患者随机分为针刺组、中药组和针药组。3组患者在个性化认知康复训练的基础上,分别给予针刺、中药和针药治疗。治疗前后分别用改良长谷川痴呆量表(HDS)、Barthel指数(BI)和Fugl-meyer运动功能评分量表(FMA)对各组患者进行评定。结果 3组患者治疗后HDS、BI和FMA评分较治疗前均有明显提高(P<0.01);针药组疗效分别优于针刺组和中药组(P<0.05),而针刺组和中药组疗效无显著统计学差异(P>0.05)。结论针药合用能改善卒中后MCI患者的认知功能,提高患者的日常生活能力和运动功能,且针药合用具有协同增效作用。
Objective To investigate the effect of combined acupuncture and medicine training on mild cognitive impairment (MCI) after stroke. Methods 90 patients who met the inclusion criteria were randomly divided into acupuncture group, traditional Chinese medicine group and acupuncture group. Three groups of patients were given acupuncture, traditional Chinese medicine and acupuncture respectively on the basis of personalized cognitive rehabilitation training. The patients in each group were evaluated before and after treatment with modified Hasegawa dementia scale (HDS), Barthel index (BI) and Fugl-meyer motor function scale (FMA). Results The scores of HDS, BI and FMA in three groups were significantly higher than those before treatment (P <0.01). The acupuncture group was better than acupuncture group and traditional Chinese medicine group (P <0.05), while acupuncture group and traditional Chinese medicine There was no significant difference between the two groups (P> 0.05). Conclusion Combined acupuncture and medicine can improve the cognitive function of patients with MCI after stroke and improve their daily living ability and motor function, and acupuncture and medicine synergies.