Clinical Observation On The Treatment Of Mild Cognitive Impairment Combined With Insomnia After Cerebral Infarction With Head And Occipital Massage

Objective: Study of mechanism of head and occipital massage in the treatment of mild cognitive impairment after cerebral infarction;discuss if they have some relationship between the mild cognitive impairment and sleep disorders after cerebral infarction.and study whether the progress of sleep disorders would make mild cognitive impairment after cerebral infarction worse;whether it can improve therapeutic effect of mild cognitive impairment from sleep angle after cerebral infarction,delaying the progression of cognitive impairment.To find a theoretical basis for the new method of treating cognitive disorders by massage.Methods: According to the mild cognitive impairment after cerebral infarction and sleep disorder diagnostic criteria,into 60 eligible patients with mild cognitive impairment after cerebral infarction complicated with sleep disorders,which were randomly divided into control group(30 cases),in the treatment group(30 cases),and the patients in the treatment group and control group would respectively make score for mini mental state examination scale(Minimum Mental State Examination,MMSE),Montreal cognitive assessment(Montreal Cognitive,Assessment,MOCA),Pittsburgh sleep quality index(Pittsburgh Sleep Quality Index,PSQI)before and after treatment.after the end of treatment,data processing and statistics,all information will be input to the EXCEL table,establish a database,using SPASS17.0 statistical software statistical processing.The data were analyzed by test or nonparametric Wilcoxon rank sum test according to the nature of the data.Results: After treatment,MMSE,MOCA,PSQI score of treatment group and control were compared by statistical analysis,P<0.05,showed that the curative effect in the treatment group was better than the control group,the head and occipital massage combined with cognitive training can improve the delay or improve mild cognitive impairment after cerebral infarction.The control group 'PSQI score before and after treatment P>0.05,no significant difference,and the treatment group combined with sleep disorders 'PSQI score by statistical analysis P<0.05,with statistical significance,patients with sleep disorder in the treatment group and the patients with sleep disorders in control group by comparison with MMSE,MOCA,PSQI score in P<0.01,it's showed significant difference which showed that the head and occipital tuina has certain curative effect on sleep disorder after cerebral infarction in the treatment of sleep disorders,and at the same time,will promote the improvement of mild cognitive impairment or delay the progression of cognitive disorders.Massage in the head and occipital approach can be used as a treatment which is non drug methods for mild cognitive impairment after cerebral infarction,and may have better therapeutic effect on the mild cognitive impairment combine with sleep disorders after cerebral infarction,when we try to cure sleep disorders may delay the onset of mild cognitive impairment,Maybe the relationship between the mild cognitive impairment and sleep disorder is positive related.In the future,the tuina can be used as a new method for the treatment of mild cognitive impairment after cerebral infarction.Because It is easy to operate,safe and healthy.Conclusion:Observation index:MMSE,MOCA,PSQI.