[Effects of moxibustion at Yongquan (KI 1) on cognition function and lower limb motor function in patients with post-stroke cognitive impairment of kidney essence deficiency].

Yan-Sheng Ye, Qing-Tang Yang, Ding-Yu Zhu, Kai-Xiang Deng, Hui-Juan Lin, Xin Zhang, Ting Ji, Meng-Zhen Zhuo, Yu-Mao Zhang
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Abstract

Objective: To observe the effects of moxibustion at Yongquan(KI 1) on the cognitive function and lower limb motor function in patients with post-stroke cognitive impairment of kidney essence deficiency.

Methods: Eighty-four patients with post-stroke cognitive impairment of kidney essence deficiency were randomly divided into an observation group(42 cases,1 case dropped off)and a control group(42 cases,1 case dropped off).The control group was treated with medication,electroacupuncture,rehabilitation training and repetitive transcranial magnetic stimulation(rTMS);on the basis of the treatment as the control group,moxibustion at bilateral Yongquan(KI 1)was adopted in the observation group.Both groups were treated once a day,5 days a week with 2-day interval,4 weeks were required. The Montreal cognitive assessment (MoCA) score, mini-mental state examination (MMSE) score, Fugl-Meyer assessment-lower extremity (FMA-LE) score, Berg balance scale (BBS) score, functional independence measure (FIM) score, modified fall efficacy scale (MFES) score and scale for the differentiation of syndromes of vascular dementia (SDSVD) score before and after treatment were observed in the two groups.

Results: After treatment,the MoCA, MMSE, FMA-LE, BBS, FIM and MFES scores were higher than those before treatment in both groups (P<0.05), and the scores in the observation group were higher than those in the control group (P<0.05). After treatment,the SDSVD scores were lower than those before treatment in both groups (P< 0.05), and the SDSVD score in the observation group was lower than that in the control group (P< 0.05).

Conclusion: Moxibustion at Yongquan(KI 1) can improve the cognitive function and motor and balance function of lower limbs in patients with post-stroke cognitive impairment of kidney essence deficiency,reduce the risk of fall and improve the quality of life.

艾灸涌泉穴对脑卒中后肾精虚证认知功能障碍患者认知功能及下肢运动功能的影响[j]。
目的:观察艾灸涌泉穴(KI 1)对脑卒中后肾虚认知障碍患者认知功能及下肢运动功能的影响。方法:84例脑卒中后肾精虚证认知障碍患者随机分为观察组(42例,下降1例)和对照组(42例,下降1例)。对照组采用药物治疗、电针、康复训练及重复经颅磁刺激(rTMS)治疗;观察组在对照组治疗的基础上,采用双侧涌泉灸(KI 1)治疗。两组治疗均为每日1次,每周5天,间隔2天,疗程为4周。观察两组患者治疗前后的蒙特利尔认知评估(MoCA)评分、最小精神状态检查(MMSE)评分、Fugl-Meyer评估-下肢(FMA-LE)评分、Berg平衡量表(BBS)评分、功能独立性量表(FIM)评分、改良跌倒疗效量表(MFES)评分、血管性痴呆证候辨证量表(SDSVD)评分。结果:治疗后,两组患者MoCA、MMSE、FMA-LE、BBS、FIM、MFES评分均高于治疗前(PPP< 0.05),观察组患者SDSVD评分低于对照组(P< 0.05)。结论:灸涌泉穴(KI 1)可改善脑卒中后肾虚认知障碍患者的认知功能及下肢运动平衡功能,降低跌倒风险,提高生活质量。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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