Needle retaining after electroacupuncture combined with cognitive training for post-stroke cognitive impairment: a multi-center randomized controlled trial

SU Kai-qi; LV Zhuan; WU Ming-Li; LUO Meng; GAO Jing; LI Rui-qing; ZHANG Zhi-Xin; HU Bin; FENG Xiao-dong

doi:10.13703/j.0255-2930.20221115-k0008

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Needle retaining after electroacupuncture combined with cognitive training for post-stroke cognitive impairment: a multi-center randomized controlled trial

Clinical Research | 更新时间：2024-06-03

- Needle retaining after electroacupuncture combined with cognitive training for post-stroke cognitive impairment: a multi-center randomized controlled trial
- Chinese Acupuncture & Moxibustion Vol. 43, Issue 11, Pages: 1221-1225(2023)
- 作者机构：
  
  1.河南中医药大学第一附属医院康复中心，郑州 450000
  2.河南省中医院康复科
  3.河南中医药大学第三附属医院康复科
  4.河南中医药大学康复医学院，郑州 450046
- 作者简介：
- 基金信息：
- DOI：10.13703/j.0255-2930.20221115-k0008
  CLC： R 246.6
- Received：15 November 2022，
  
  Online First：11 October 2023，
  
  Published：12 November 2023
- 稿件说明：
移动端阅览
苏凯奇,吕转,吴明莉等.电针后留针联合认知训练治疗脑卒中后认知功能障碍：多中心随机对照试验[J].中国针灸,2023,43(11):1221-1225.

SU Kai-qi,LV Zhuan,WU Ming-Li,et al.Needle retaining after electroacupuncture combined with cognitive training for post-stroke cognitive impairment: a multi-center randomized controlled trial[J].Chinese Acupuncture & Moxibustion,2023,43(11):1221-1225.
苏凯奇,吕转,吴明莉等.电针后留针联合认知训练治疗脑卒中后认知功能障碍：多中心随机对照试验[J].中国针灸,2023,43(11):1221-1225. DOI： 10.13703/j.0255-2930.20221115-k0008.

SU Kai-qi,LV Zhuan,WU Ming-Li,et al.Needle retaining after electroacupuncture combined with cognitive training for post-stroke cognitive impairment: a multi-center randomized controlled trial[J].Chinese Acupuncture & Moxibustion,2023,43(11):1221-1225. DOI： 10.13703/j.0255-2930.20221115-k0008.

摘要

目的

比较电针后留针联合认知训练与电针联合认知训练治疗脑卒中后认知功能障碍（PSCI）的临床疗效。

方法

将206例PSCI患者随机分为留针组（103例，脱落9例）和电针组（103例，脱落6例）。两组患者均接受常规内科基础治疗及康复治疗，留针组予神庭、百会电针治疗（前15 min连续波，频率50 Hz，后15 min疏密波，频率2 Hz/50 Hz）后继续留针1 h，留针期间行认知训练；电针组予相同电针治疗30 min后（不留针）行认知训练。两组均每天1次，每周5次，共治疗8周。分别于治疗前及治疗8周后观察两组患者中医证候积分；于治疗前及治疗4、8周后观察两组患者简易精神状态检查量表（MMSE）、蒙特利尔认知评估量表（MoCA）、日常生活能力评分；并于治疗8周后评定两组临床疗效。

结果

治疗8周后，两组患者中医证候积分高于治疗前（

0.05）；留针组患者中医证候积分高于电针组（

0.05）。治疗4、8周后，两组患者MMSE、MoCA、日常生活能力评分均高于治疗前（

0.05）；留针组患者治疗4、8周后MMSE、MoCA评分及治疗8周后日常生活能力评分高于电针组（

0.05）。留针组总有效率为90.4%（85/94），高于电针组的82.5%（80/97，

0.05）。

结论

电针后留针联合认知训练和电针联合认知训练均可有效治疗PSCI，改善患者临床症状、认知功能和日常生活能力，电针后留针联合认知训练疗效更优。

Abstract

Objective

To compare the efficacy of needle retaining after electroacupuncture combined with cognitive training and electroacupuncture combined with cognitive training in the treatment of post-stroke cognitive impairment (PSCI).

Methods

A total of 206 patients with PSCI were randomized into a needle retaining group (103 cases

9 cases dropped out) and an electroacupuncture group (103 cases

6 cases dropped out). In addition to the conventional basic medical treatment and the rehabilitation treatment

in the needle retaining group

electroacupuncture at Shenting (GV 24) and Baihui (GV 20) was applied

with continuous wave of 50 Hz in the first 15 min and with disperse-dense wave of 2 Hz/50 Hz in the last 15 min

the needles were continuously retained for 1 h after electroacupuncture

during which cognitive training was adopted; in the electroacupuncture group

cognitive training was performed after the same electric stimulation exerted for 30 min

without additional needles retaining. The treatment was given once a day

5 times a week for totally 8 weeks in the two groups. Before and after 8-week treatment

the TCM syndrome score was observed; before and after 4

8-week treatment

the scores of mini-mental state examination (MMSE)

Montreal cognitive assessment (MoCA) and ability of daily living were observed in the two groups. The clinical efficacy of the two groups was evaluated after 8-week treatment.

Results

After 8-week treatment

the TCM syndrome scores were increased compared with those before treatment in both groups (

0.05); the TCM syndrome score in the needle retaining group was higher than that in the electroacupuncture group (

0.05).After 4

8-week treatment

the scores of MMSE

MoCA and ability of daily living were increased compared with those before treatment in both groups (

0.05); MMSE

MoCA scores after 4

8-week treatment and ability of daily living score after 8-week treatment in the needle retaining group were higher than those in the electroacupuncture group (

0.05). The total effective rate was 90.4% (85/94) in the needle retaining group

which was superior to 82.5% (80/97) in the electroacupuncture group (

0.05).

Conclusion

Both needle retaining after electroacupuncture combined with cognitive training and electroacupuncture combined with cognitive training can effectively treat PSCI

improve the clinical symptom

cognitive function and ability of daily living in PSCI patients. Needle retaining after electroacupuncture combined with cognitive training has a better therapeutic effect.

关键词

Keywords

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