Clinical effects of Tongfu Xingshen Decoction combined with abdominal acupuncture plus warm acupuncture and moxibustion on elderly patients with post-stroke cognitive impairment
10.3969/j.issn.1001-1528.2024.12.015
- VernacularTitle:通腑醒神汤联合腹针加温针灸对老年脑卒中后认知障碍患者的临床疗效
- Author:
Jia-yi LI
1
;
Yan ZHANG
;
Kun WANG
;
Wei LIU
;
Guang-xing MA
;
Wei SUN
Author Information
1. 青岛市中医医院针推康复中心,山东 青岛 266000
- Publication Type:Journal Article
- Keywords:
Tongfu Xingshen Decoction;
abdominal acupuncture;
warm acupuncture and moxibustion;
stroke;
cognitive impairment
- From:
Chinese Traditional Patent Medicine
2024;46(12):3997-4001
- CountryChina
- Language:Chinese
-
Abstract:
AIM To investigate the clinical effects of Tongfu Xingshen Decoction combined with abdominal acupuncture plus warm acupuncture and moxibustion on elderly patients with post-stroke cognitive impairment.METHODS Ninety-eight patients were randomly assigned into control group (49 cases) for 1-month intervention of both abdominal acupuncture and warm acupuncture and moxibustion,and observation group (49 cases) for 1-month intervention of Tongfu Xingshen Decoction,abdominal acupuncture and warm acupuncture and moxibustion.The changes in clinical effects,MoCA score,NIHSS score,SDSVD score,ADL score,neurotransmitters (DA,5-HT,NE),hemorheological indices (high shear viscosity,low shear viscosity,plasma viscosity,hematocrit),hemodynamic indices (average blood flow velocity,average blood flow volume,characteristic impedance,dynamic impedance),cell apoptosis indices (Bcl-2,Bax,Caspase3).RESULTS The observation group demonstrated higher total effective rate than the control group (P<0.05).After the treatment,the two groups displayed increased MoCA score,ADL score,neurotransmitters,average blood flow velocity,average blood flow volume,Bcl-2 (P<0.05),and decreased NIHSS score,SDSVD score,hemorheological indices,characteristic impedance,dynamic impedance,Bax,Caspase3 (P<0.05),especially for the observation group (P<0.05).CONCLUSION For the elderly patients with post-stroke cognitive impairment,Tongfu Xingshen Decoction combined with abdominal acupuncture plus warm acupuncture and moxibustion can improve cognitive functions and enhance clinical efficacy.
