艾灸联合认知康复训练对脑卒中患者认知功能及日常生活能力的影响
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R743.3

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Effect of Moxibustion Combined with Cognitive Rehabilitation Training on Cognitive Function and Activities of Daily Living of Patients with Cerebral Apoplexy
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    摘要:

    目的:观察艾灸联合认知康复训练对脑卒中患者认知功能及日常生活能力的影响。方法:选取80 例脑卒中患者,按随机数字表法分为观察组及对照组各40 例。对照组给予常规康复训练,观察组在对照组基础上给予艾灸联合认知康复训练。比较2 组临床疗效,比较2 组治疗前后中医证候积分、Fugl-meger 运动功能量表(FMA) 评分、美国国立卫生研究院卒中量表(NIHSS) 评分、日常生活活动功能量表(ADL) 评分、血清指标[S-100β 蛋白、成纤维细胞生长因子-23(FGF-23)、Klotho 蛋白] 值的变化。结果:治疗后,观察组临床疗效总有效率为87.50%,对照组为65.00%,2 组比较,差异有统计学意义(P<0.05)。治疗后,2 组中医证候积分均较治疗前下降,观察组中医证候积分低于对照组,差异均有统计学意义(P<0.05)。治疗后,2 组FMA 评分中各项评分及总分均较治疗前升高,观察组各项评分及总分均高于对照组,差异均有统计学意义(P<0.05)。治疗后,2 组NIHSS 评分均较治疗前下降,ADL 评分均较治疗前上升,差异均有统计学意义(P<0.05);治疗后,观察组NIHSS 评分低于对照组,ADL 评分高于对照组,差异均有统计学意义(P<0.05)。治疗后,2 组S-100β、FGF-23、Klotho 水平均较治疗前下降,观察组上述3 项水平均低于对照组,差异均有统计学意义(P<0.05)。结论:艾灸联合认知康复训练可改善脑卒中患者认知功能,提高患者日常生活能力,对康复有促进作用。

    Abstract:

    Abstract: Objective: To observe the effect of moxibustion combined with cognitive rehabilitation training on cognitive function and activities of daily living of patients with cerebral apoplexy. Methods: A total of 80 cases of patients with cerebral apoplexy were selected and divided into the observation group and the control group according to the random number table method, with 40 cases in each group. The control group was given routine rehabilitation training, and the observation group was additionally given moxibustion combined with cognitive rehabilitation training based on the treatment of the control group. The clinical effects in the two groups were compared. The changes in scores of Chinese medicine syndromes, Fugl- meger Motor Function Assessment(FMA), National Institutes of Health Stroke Scale(NIHSS) and Activities of Daily Living(ADL) as well as values of serum indexes including S- 100β protein, fibroblast growth factor-23(FGF-23) and Klotho protein before and after treatment in the two groups were compared. Results:After treatment,the total effective rate of clinical effect was 87.50% in the observation group and 65.00% in the control group,the difference being significant(P<0.05). After treatment,Chinese medicine syndrome scores in the two groups were decreased when compared with those before treatment,and the Chinese medicine syndrome score in the observation group was lower than that in the control group, differences being significant(P<0.05). After treatment,the scores of all items in FMA and the total scores in the two groups were increased when compared with those before treatment,and the above scores in the observation group were higher than those in the control group,differences being significant(P<0.05). After treatment, NIHSS scores in the two groups were decreased when compared with those before treatment, and ADL scores were increased, differences being significant(P<0.05); the NIHSS score in the observation group was lower than that in the control group,and the ADL score was higher,differences being significant(P<0.05). After treatment,the levels of S- 100β,FGF- 23 and Klotho in the two groups were decreased when compared with those before treatment,and the values of the above three indexes in the observation group were lower than those in the control group,differences being significant(P<0.05). Conclusion: The therapy of moxibustion combined with cognitive rehabilitation training for patients with cerebral apoplexy can improve their cognitive function and activities of daily living, and promote rehabilitation.

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邱慧琴.艾灸联合认知康复训练对脑卒中患者认知功能及日常生活能力的影响[J].新中医,2022,54(18):150-154

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  • 在线发布日期: 2022-09-28
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