| BackgroundIschemic stroke after mild cognitive impairment is to the, recently proposed new concepts of disease by cerebral vascular disease caused by early or mild cognitive impairment, and cognitive impairment has not yet reached the criteria of dementia a syndrome. According to statistics, more than half of the brain stroke patients with cognitive impairment. The whole process cognitive activities involved in the rehabilitation of patients with cognitive impairment, not only has a certain effect on the functional rehabilitation, but also closely related to the quality of life of patients after stroke. The modern medicine has not yet been found have obvious curative effect of the drug on cognitive function, and most of the drug has side effects, contraindications, easy recurrence and other undesirable characteristics. Therefore, to investigate the side effect is small, economical and effective method to improve the quality of life of patients with cognitive dysfunction and has certain social significance and economic benefits.ObjectiveObservation and comprehensive evaluation of warm acupuncture Baihui acupoint mainly the clinical efficacy of the mild cognitive impairment after ischemic stroke treatment, so as to provide a fast onset of action, efficacy, simple treatment for clinical.MethodThis study uses the randomized method,64 patients were randomly divided into treatment group and control group of 32 cases. Treatment group with acupuncture and moxibustion Baihui acupuncture treatment, as follows: acupuncture point temperature:Baihui electroacupuncture group:zhisanzheng and shenting point, the point (a); acupuncture points:Yintang, people, Fengfu, Taichong, Taixi, Neiguan, Feng uplift and Sanyinjiao (SP 6), and selecting points according to symptoms:mouth askew and suffering from side to warehouse; hemiplegia and affected side Quchi, Zusanli, Sanyinjiao, on the side Hegu; aphasia plus Lianquan. Dialectical acupoint selection:kidney essence deficiency deficiency with too streams, Xuanzhong; sputum turbidity resistance Qiao certificate with Feng uplift and Zhongwan; blood stasis syndrome with Geshu, Xuehai; liver yang hyperactivity Taichong, Ganshu; fiery Sheng with certificate in chambers, Quchi; viscera stagnation and turbid with certificate Zhongwan, Tianshu; Qi and blood deficiency syndrome with foot three years, Qihai. After routine disinfection, tip and points to 15 degrees to 30 degrees, along the subcutaneous flat thorn about 1.5 inches Baihui flat spines to 1.2 inches, reaching a depth of galea, to 60 times/min speed uniform twirling, efforts to local numbness and distension or to the diffuse feeling is advisable, time for 1 min. In retention process, take about 2 cm long moxa stick a, set on the needle handle, from the skin of 23cm, from the lower end of the lit moxibustion. In the combustion process, such as patients feel scalding unbearable, the acupoint can be in a hard disk, with diminished firepower. A total of 2 strong moxa. After EA group selection G6805-1 type multi function electro acupuncture therapeutic apparatus, access to the electrode, the output wave type dilatational wave, the output intensity to patients can tolerate, energized 30min.1 times a day,5 times a week for 6 weeks.ResultWill two group of patient age, sex, course of disease, and other general information and treatment in the two groups of MMSE, Moca, ADL, sdsvd score index were compared by statistical analysis no significant difference (P> 0.05), indicating that the two groups can be compared.1. The total effect:after the end of treatment, the treatment group cured cases, cases were markedly effective, effective cases, invalid cases. The total effective rate was; while the control group cured cases, cases were markedly effective, effective cases, invalid cases, the total efficiency. Effect of treatment group is better than the control group, the difference was statistically significant (P<0.05)2. Its comparison:two groups after treatment, MMSE, Moca, ADL, sdsvd score index before and after treatment were improved in comparison, the differences were statistically significant (P< 0.05), showing two kinds of therapy for ischemic stroke after mild cognitive impairment has a better therapeutic effect.After 3 treatment groups:the treatment group compared with the control group, the MMSE, MoCA, ADL, SDSVD (P<0.05), showed that the treatment group than the control group.ConclusionAbove results that two kinds of treatment of ischemic stroke after mild cognitive disorders has better curative effect, but acupuncture and moxibustion Baihui with electroacupuncture treatment can better improve the ischemic stroke patients with mild cognitive impairment of cognitive function, the patient’s symptoms and signs have greatly improved. |
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