头皮埋针联合耳穴压籽治疗脑卒中后认知障碍40例

目的 观察头皮埋针联合耳穴压籽治疗脑卒中后认知功能障碍（post- stroke cognitive impairment，PSCI）的临床疗效。方法 将80例脑卒中后认知功能障碍患者按照随机数字表法分组成对照组、治疗组，每组40例。对照组予尼莫地平片、吡拉西坦片治疗，治疗组在对照组疗法基础上予头皮埋针联合耳穴压籽治疗，共治疗4周。〖JP2〗治疗前后和随访时分别采用简易精神状态检查量表(mini- mental state evaluation, MMSE)、蒙特利尔认知功能评估量表(Montreal cognitive assessment, MoCA)和Barthel指数（Barthel index，BI）评估患者的认知功能。结果 治疗4周后及随访时，两组患者MMSE、MoCA、BI评分均显著升高（P<0.05）。治疗后4周和随访时，治疗组患者MMSE、MoCA评分显著高于对照组（P<0.05），而两组患者BI评分的差异无统计学意义（P>0.05）。结论 头皮埋针联合耳穴压籽可以明显改善PSCI患者的认知功能。

Clinical Effect of Scalp Needle- Embedding Therapy Combined with Auricular Point Sticking in Treatment of Post- stroke Cognitive Impairment: An Analysis of 40 Cases

Objective To investigate the clinical effect of scalp needle- embedding therapy combined with auricular point sticking in the treatment of post- stroke cognitive impairment (PSCI).Methods A total of 80 patients with PSCI were divided into control group and treatment group using a random number table,with 40 patients in each group.The patients in the control group were given nimodipine tablets and piracetam tablets,and those in the treatment group were given scalp needle- embedding therapy combined with auricular point sticking in addition to the treatment in the control group.Mini- Mental State Evaluation (MMSE),Montreal Cognitive Assessment (MoCA) scale, and Barthel index (BI) were used to evaluate cognitive function before and after treatment and at the time of follow- up.Results After 4 weeks of treatment and at the time of follow- up,both groups had significant increases in MMSE score,MoCA score,and BI (P<0.05),and the treatment group had significantly higher MMSE score and MoCA score than the control group (P<0.05),while there was no significant difference in BI between the two groups (P>0.05).Conclusion Scalp needle- embedding therapy combined with auricular point sticking can significantly improve the cognitive function of patients with PSCI.