Clinical Control Study Of Post-stroke Vascular Cognitive Impairment Treatment With Galvano-acupuncture And Cognitive Training

ObjectiveTo evaluate the dominance and curative effect of galvano-acupuncture and cognitive training in post-stroke vascular cognitive impairment (turbid phlegm obstructing orifices type), and to provide a effective, convenient and safe treatment option on primary insomnia.MethodsSeventy-one cases of primary insomnia character as post-stroke vascular cognitive impairment (turbid phlegm obstructing orifices type), were chosen, and divided randomly into controlled group (treated with cognitive training), and treatment group(treated with galvano-acupuncture and cognitive training) averagely. All of them were treated for three courses and followed up after the treatment for one month. The symptoms of turbid phlegm obstructing orifices, the index of MMSE, the index of ADL, the index of NFDS, and the quality of life, were compared between the two groups. The short-term and long-term curative effect was observed. Establish a database and the experimental data is statistically analyzed by using the SPSS17.0Results1. Both the controlled group and the treatment group have remarkable effect on improving the symptoms of turbid phlegm obstructing orifices type. The total effectiveness of controlled group is71.43%, white the heal rate is2.86%, the significant efficiency rate is20.00%, the efficiency rate is48.57%, the inefficiency rate is28.57%. And the total effectiveness of treatment group is83.33%, white the heal rate is16.67%, the significant efficiency rate is44.44%, the efficiency rate is22.22%, the inefficiency rate is16.67%. It means the treatment group is better than the controlled group in improving the symptoms of turbid phlegm obstructing orifices type, by the galvano-acupuncture can make the body stronger. Except that, the treatment group is earlier in making effect.2. Both the two groups have remarkable effect on improving the cognitive ability, by the analysis of the MMSE. The total effectiveness of controlled group is77.14%, white the significant efficiency rate is28.57%, the efficiency rate is48.57%, the inefficiency rate is22.86%, and no one is going worse. And the total effectiveness of treatment group is80.56%, white the significant efficiency rate is33.33%, the efficiency rate is47.22%, the inefficiency rate is19.44%, and no one is going worse. It means the treatment group is better than the controlled group in improving the cognitive ability, and in this research the treatment group is earlier in making effect.3. Both the two groups have remarkable effect on improving the activities of daily living, by the analysis of the ADL. The total effectiveness of controlled group is82.86%, white the significant efficiency rate is34.29%, the efficiency rate is48.57%, the inefficiency rate is17.14%, and no one is going worse. And the total effectiveness of treatment group is86.11%, white the significant efficiency rate is33.33%, the efficiency rate is52.78%, the inefficiency rate is13.89%, and no one is going worse. It means the treatment group is better than the controlled group in improving the activities of daily living, and in this research the treatment group is earlier in making effect.4. Both the two groups have remarkable effect on rehealing the neurological function, by the analysis of the NFDS. The total effectiveness of controlled group is77.14%, white the significant efficiency rate is25.71%, the efficiency rate is51.43%, the inefficiency rate is20.00%, and one person is going worse. And the total effectiveness of treatment group is88.89%, white the significant efficiency rate is36.11%, the efficiency rate is52.78%, the inefficiency rate is11.11%, and no one is going worse. It means the treatment group is better than the controlled group in improving the neurological function, and in this research the treatment group is earlier in making effect.5. Both the two groups have remarkable effect on improving the quality of life, by the analysis of the Short Form36Health Survey Questionnaire (SF-36). And the result also shows that the score of in the treatment group is significantly improved, which has the statistical significant difference (P<0.05). The treatment group has the remarkable effect on all the eight sides of the SF-36, white the controlled group only has remarkable effect on the RP(Role Physical), the BP(Bodily Pain), the SF(Social Functioning), and the RE(Role Emotional).6. One month later, we follow up the patients, and find that the treatment group has the low relapse rate.ConclusionBoth the galvano-acupuncture and cognitive training have definite curative effect on post-stroke vascular cognitive impairment(turbid phlegm obstructing orifices type), by the analysis of the symptoms of turbid phlegm obstructing orifices type, the index of MMSE, the index of ADL, the index of NFDS, and the index of SF-36. And the galvano-acupuncture plus the cognitive training can inforce the effect, with low relapse rate. So we should extend the application of the combined treatment.