针刺井穴联合头针对卒中后认知障碍及负性情绪的影响

Effect of Acupuncture at Well-Type Acupoint Combined with Scalp Acupuncture on Post-Stroke Cognitive Impairment and Negative Emotions

摘要: 目的：本研究旨在探讨针刺井穴联合头针治疗卒中后认知障碍疗效及对负性情绪的影响。方法：80例患者被分为两组，每组40例。对照组接受头针联合常规针刺，治疗组接受针刺井穴联合头针治疗。比较两组患者的认知功能、生活质量、负性情绪、临床疗效及不良反应。结果：发现治疗组的总有效率显著优于对照组(P < 0.05)。治疗后，治疗组的MMSE评分、MoCA评分及S-QOL评分显著提高，且优于对照组(P < 0.05)；治疗组的负性情绪量表评分显著降低，且优于对照组(P < 0.05)；治疗组的不良反应发生率显著低于对照组。结论：针刺井穴联合头针相较于头针联合常规针刺，在改善卒中后认知障碍患者的认知功能、减轻负性情绪、提高生活质量以及减少不良反应方面具有显著优势。

Abstract: Objective: The purpose of this study is to investigate the efficacy of acupuncture at Well-Type Acupoint combined with scalp acupuncture in treating post-stroke cognitive impairment and its impact on negative emotions. Methods: Eighty patients were divided into two groups, with 40 patients in each group. The control group received scalp acupuncture combined with conventional acupuncture, while the treatment group received acupuncture at Well-Type Acupoint combined with scalp acupuncture. The cognitive function, quality of life, negative emotions, clinical outcomes, and adverse reactions were compared between the two groups. Results: The total effective rate of the treatment group was significantly higher than that of the control group (P < 0.05). After treatment, the MMSE, MoCA, and S-QOL scores in the treatment group were significantly improved, and were superior to those in the control group (P < 0.05). Additionally, the negative emotion scale scores in the treatment group decreased significantly, outperforming the control group (P < 0.05). The incidence of adverse reactions in the treatment group was significantly lower than that in the control group. Conclusion: Compared to scalp acupuncture combined with conventional acupuncture, acupuncture at Well-Type Acupoint combined with scalp acupuncture demonstrates significant advantages in improving cognitive function, alleviating negative emotions, enhancing quality of life, and reducing adverse reactions for patients with post-stroke cognitive impairment.