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目的:观察靳三针结合认知康复训练治疗脑卒中恢复期患者认知障碍的临床疗效。方法:选取2016年1月至12月在广东省中西医结合医院康复科住院的患者80例,按不平衡指数最小的分配原则分为联合治疗组(靳三针+认知康复训练)和认知训练组(认知康复治疗),治疗期间联合治疗组剔除病例4例,脱落2例;认知训练组剔除病例3例,脱落2例,最终联合治疗组剩34例,认知训练组35例。治疗前后及1个月随访时两组均运用精神状态简易量表(MMSE)及改良Barthel指数(MBI)量表对患者进行认知功能及日常生活能力的评估。结果:治疗后及随访时两组患者的MMSE评分、MBI评分均较治疗前明显提高(P<0.05),且联合治疗组较认知训练组评分增高更明显,差异有统计学意义(P<0.05),治疗结束后1个月随访时联合治疗组仍具有优势(P<0.05)。结论:靳三针结合认知康复训练能有效改善脑卒中恢复期患者的认知功能,提高日常自理能力,较单纯的认知训练效果更好。
Abstract：Objective:To observe the clinical effect of Jin's 3-needle combined with cognitive rehabilitation training in the treatment of cerebral stroke patients with cognitive impairment. Methods:Eighty patients hospitalized in the Department of Rehabilitation,Guangdong Hospital of Integrated traditional Chinese and Western Medicine,from January to December in 2016 were randomly divided into observation group(Jin's 3-needle combined with cognitive rehabilitation training) and control group(cognitive rehabilitation training) according to the principle of "minimum distribution of unbalanced index". During the treatment,4 patients in the observation group were removed,and 2 patients were lost,while 4 patients in the control group were removed,2 patients were lost. Finally,in the observation group there were 34 cases,and in the control group there were 35 cases. Before and after the treatment as well as 1 month after the treatment,the two groups were assessed with the mini-mental state examination(MMSE) for cognitive function and the modified Barthel index(MBI) scale for daily living ability. Results:After the treatment and 1 month after the treatment,MMSE score and MBI score were significantly improved than those before treatment(P<0.05);the observation group was significantly higher than the control group on MMSE score and MBI score(P> 0.05);1 months after the treatment the observation group still showed better effect(P<0.05). Conclusion:Jin's 3-needle combined with cognitive training can effectively improve the cognitive function of patients with stroke and improve the self-care ability of daily life,showing better effect than the single cognitive training.
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基本信息:
DOI：10.16295/j.cnki.0257-358x.2018.05.005
中图分类号:R743.3
引用信息:
[1]曾丽兰,周晓铃,黄振,等.靳三针结合认知康复训练治疗脑卒中恢复期患者认知障碍的临床研究[J].山东中医杂志,2018,37(05):367-370.DOI:10.16295/j.cnki.0257-358x.2018.05.005.
基金信息:
省部级开放基金课题项目(编号:80010434)
2018-05-05
2018-05-05