头皮针长时间留针法结合康复训练对脑卒中认知障碍患者生存质量的影响(1)
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摘 要:目的:探讨头皮针长时间留针法结合康复训练对脑卒中患者认知障碍患者的生存质量的疗效。方法:选择脑卒中认知障碍患者84例,随机分为两组。两组患者均予神经内科常规药物治疗及常规统一的运动康复训练治疗,头皮针长时间留针法结合康复训练组(治疗组)42例,采用头皮针长时间留针结合康复训练治疗;单纯康复训练组(对照组)42例,单纯采用认知康复训练治疗;分别在治疗前和治疗10周后采用洛文斯顿作业疗法(LOTCA)认知评定量表进行认知功能评定,采用世界卫生组织生存质量评定量表简表(WHOQDL—BREF)中文版对其进行生存质量(quality of life QOL)评定。结果:两组患者治疗前后LOTCA认知评定量表评分,两组组间比较差异具有显著性意义(P<0.01)。治疗组治疗后WHOQOL—BREF各领域的评分及总分与对照组比较,差异均有统计学意义(P<0.05);两组治疗前后总分差值比较,治疗组明显优于对照组(P<0.05)。结论:头皮针长时间留针法结合康复训练可明显提高脑卒中认知障碍患者的认知能力,改善生存质量。
关键词:头皮针长时间留针;康复训练;脑卒中;认知障碍;生存质量
中图分类号:R245.3 文献标识码:B 文章编号:1673-7717(2010)04-0796-03
Effect in quality of life of Scalp Acupuncture for Long Time Combined with Rehabilitation Training on the Stroke Patients with Cognitive Disfunction
FU Jianming,GU Xudong,YAO Yunhai, WANG Jing, LI Liang, GU Min,REN Yun,YIN Hankui,JIN Minmin
(Rehabilitation Medical Center of the Second Hospital of Jiaxing City,Jiaxing 314000,Zhejiang,China)
Abstract:Objective:To observe effect in quality of life of scalp acupuncture for long time combined with rehabilitation training on the stroke patients with cognitive disfunction. Methods: 84 stroke patients with cognitive disorder were randomly divided into the treatment group (n=42) and the control group (n=42). All patients of two groups were treated with routine therapy and cognitive rehabilitation training by professional physiotherapists, but the patients of treatment group were combined with scalp acupuncture for long time. All cases were regularly evaluated by Loewenstein occupational therapy cognition assessment(LOTCA) and WHOQDL-BREF before and 10 weeks after treatment. Results: The scores on LOTCA had significant difference in the two groups before and after treatment(P<0.05). Effects of the treatment group are superior to that of the control group(P<0.01). Conclusion: The methods which scalp acupuncture for long time combined with rehabilitation training can significantly improve cognitive ability, Effects of treatment group are superior to that of the control group.
Key words:scalp acupuncture for long time; rehabilitation training; stroke; cognitive disfunction; quality of life ......
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