目的：观察疏波、密波、疏密波电针对缺血性脑卒中后轻度认知障碍临床疗效的影响。方法将符合诊断标准的60例患者随机分为疏波组、密波组和疏密波组,每组20例。各组在针刺的基础上百会、神庭施以电针。疏波组选择疏波治疗,密波组选择密波治疗,疏密波组选择疏密波治疗,观察2个疗程后3组患者的临床疗效。3组采用MMSE评分、日常生活活动能力评定(ADL),由同一操作者于治疗前后各检查1次。结果疏波组总有效率为55.0%,密波组总有效率为65.0%,疏密波组总有效率为90.0%,3组总有效率比较差异有统计学意义(P＜0.05)；3组患者治疗后MMSE评分有明显提高,ADL评分明显下降,治疗前后差异有统计学意义(P＜0.01),3组治疗后组间比较差异有统计学意义(P＜0.01)。结论疏波、密波、疏密波电针均可改善轻度认知障碍,但疏密波总体疗效优于疏波和密波。
ObjectiveTo observe the efficacy of electroacupuncture with different wave patterns, sparse wave, intense wave, and sparse-intense wave, on the therapeutic efficacy in treating mild cognitive disorder after ischemic stroke.MethodSixty eligible patients were randomized into a sparse wave group, an intense wave group, and a sparse-intense wave group, 20 in each group. The three groups were given electroacupuncture at Baihui (GV20) and Shenting (GV24) in addition to the basic acupuncture treatment.The Mini-mental State Examination (MMSE) and Activities of Daily Living (ADL) were adopted for evaluation before and after the intervention by the same practitioner.ResultThe total effective rate was 55.0% in the sparse wave group, 65.0% in the intense wave group, and 90.0% in the sparse-intense wave group, and thedifferenceswere statistically significant among the three groups (P<0.05); afterintervention, the MMSE score increased significantly and ADL score decreased significantly in the three groups (P<0.01), and the inter-group differences were statistically significant after intervention(P<0.01).ConclusionElectroacupuncture with sparse wave, intense wave, or sparse-intense wave all can improve mild cognitive disorder, while the general therapeutic efficacy of sparse-intense wave is higher than sparse wave and intense wave.
孙远征;杨圆圆
黑龙江中医药大学附属第二医院，哈尔滨 150001黑龙江中医药大学，哈尔滨 150001
医药卫生
疏密波;电针;卒中;认知障碍
Sparse-intense wave;Electroacupuncture;Stroke;Cognitive disorder
《上海针灸杂志》 2014 (012)
1114-1116 / 3
10.13460/j.issn.1005-0957.2014.12.1114
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