Observing The Clinical Efficacy Of Acupuncture At Acupoints Atound The Facial Features On Treating The Cognitive Impairment After Stroke

Objective:To investigate the clinical efficacy of acupuncture at acupoints around the facial features to treat cognitive impairment following a stroke,finding a therapeutic regimen which is effective,operable,and socially acceptable,hoping to improve patients’cognitive function,promoting the comprehensive rehabilitation of physical and mental function,returning to society as soon as possible.Method:Sixty stroke patients were randomized into an observation group and a control group,30 cases in each one.Based on the basic medical treatment,routine rehabilitation training and ordinary acupuncture,Donepezil HCl 5mg qn po was adopted in the control group for 8 weeks.Acupuncture was applied in the observation group.The appoints were Cuanzhu(BL2)bilaterally,Sizhukong(SJ23)bilaterally,Tinggong(SI19)bilaterally,Tinghui(GB2)bilaterally,Suliao(DU25),Shuigou(DU26),Duiduan(DU27),Chengjiang(RN24).The treatment was given once a day,6 days a week,and 8-week treatment was acquired in the two groups.MMSE,NCSE,NPI-Q and MBI were adopted before the treatment,4 weeks after the treatment,8 weeks after the treatment to assess the efficacy.All of the data was analyzed using SPSS 18.0.Results:①Research result on MBI shows that among the repeated measure results for experiment group and control group,the P value of time<0.01,the P value of time*grouP>0.05,the P value of group therapy>0.05.On the comparison for each experiment time,evaluation of MMSE for patients in the two groups doesn’t have statistical difference(all P>0.05)after 4 and 8 weeks’ treatment.②Research result on NCSE shows that among the repeated measure results for experiment group and control group,the P value of time<0.05,the P value of time*grouP>0.05,the P value of group therapy>0.05.On the comparison for each experiment time,evaluation of NCSE for patients in the two groups lacks statistical difference(all P>0.05)after 4 and 8 weeks’ treatment.③Research result on NPI-Q shows that among the repeated measure results for experiment group and control group,the P value of time<0.01,the P value of time*group<0.01,the P value of group therapy<0.01.On the comparison for each experiment time,evaluation of NPI-Q for patients in the two groups have statistical difference(all P<0.05)after 4 and 8 weeks’ treatment.④Research result on MBI shows that among the repeated measure results for experiment group and control group,the P value of time<0.01,the P value of time*group<0.01,the P value of group therapy>0.05.On the comparison for each experiment time,evaluation of MBI for patients in the two groups doesn’t have statistical difference after 4 weeks’ treatment(P>0.05),evaluation of MBI for patients in the two groups have statistical difference after 8weeks’ treatment(P<0.01).Conclusion:Acupuncture at acupoints around the facial features can significantly improve cognitive function of patients after a stroke.It also can improve daily ability and relieve behavioral and psychological symptoms,which are better than the effects of control group.The function increases over time,which means that this therapeutic schedule requires dose-effect of accumulation in somehow,and has curative effect.