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| Clinical study of warm acupuncture combined with sensory integration training in cerebral infarction patients with cognitive impairment |
| Hits 227 Download times 119 Received:October 10, 2023 |
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| DOI
10.11656/j.issn.1672-1519.2024.03.13 |
| Key Words
warm needle governor pulse;sensory integration training;cerebral infarction;cognitive impairment |
| Author Name | Affiliation | | WANG Tianci | Nanjing University of Chinese Medicine Lianyungang Affiliated Hospital, Lianyungang 222000, China | | XU Chuanwei | Nanjing University of Chinese Medicine Lianyungang Affiliated Hospital, Lianyungang 222000, China | | JIANG Yongqu | Nanjing University of Chinese Medicine Lianyungang Affiliated Hospital, Lianyungang 222000, China | | ZHAO Dan | Jiangsu Provincial Seashore Sanatorium, Lianyungang 222042, China |
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| Abstract
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| [Objective] To explore the clinical effect of warm acupuncture combined with sensory integration training on cerebral infarction patients with cognitive impairment. [Methods] Ninety-eight patients with cerebral infarction and cognitive impairment in Nanjing University of Chinese Medicine Lianyungang Affiliated Hospital from January 2022 to January 2023 were selected and divided into observation group and control group according to computer random number method,49 cases in each group. The control group was given sensory integration training,and the observation group was given warm acupuncture combined sensory integration training. The curative effect was evaluated after 3 months of treatment. TCM syndrome scores were assessed before treatment and 3 months after treatment. Montreal Cognitive Assessment Scale(MoCA) and Rivermead Behavioral Memory Test Second version(RBMT-Ⅱ) were used to assess cognitive function. National Institute of Stroke Scale(NIHSS) was used to assess the degree of neurological impairment. Cerebral blood flow perfusion parameters Cerebral blood volume(CBV),cerebral blood flow(CBF),peak time(TTP),mean transit time(MTT) and nerve conduction function were examined. [Results] The total effective rate of traditional Chinese medicine syndrome in the observation group was 95.92%,which was higher than 73.47% in the control group (P<0.05). After 3 months of treatment,TCM syndrome scores and NIHSS scores of both groups decreased,while MoCA and RBMT-Ⅱ scores increased. Compared between groups,TCM syndrome scores and NIHSS scores of the observation group were lower than those of the control group,while MoCA and RBMT-Ⅱ scores were higher than those of the control group (P<0.05). After 3 months of treatment,CBV and CBF in both groups were increased and TTP and MTT were shortened compared with those before treatment (P<0.05). Compared between groups,CBF in observation group was greater than that in control group,and TTP was shorter than that in control group(P<0.05). After 3 months of treatment,the P300 latency and(δ+θ)/(α+β) ratio of the two groups were smaller than before treatment,and the P300 amplitude was larger than before treatment. Compared between groups,the P300 latency and (δ+θ)/(α+β) ratio of the observation group were smaller than the control group,and the P300 amplitude was larger than the control group(P<0.05). [Conclusion] Warm acupuncture combined with sensory integration training has a significant effect on cognitive impairment in cerebral infarction,and it can effectively reduce symptoms and cognitive dysfunction,reduce the degree of neurological impairment,improve cerebral blood flow perfusion,and help promote the recovery of nerve conduction function. |
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