電針治療對中風後認知能力及生活品質改善之效益研究;Efficacy of electroacupuncture on impaired cognition and quality of life in stroke patients

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題名:	電針治療對中風後認知能力及生活品質改善之效益研究;Efficacy of electroacupuncture on impaired cognition and quality of life in stroke patients
作者:	周珮琪;Pei-Chi Chou
貢獻者:	中國醫藥大學：中國醫學研究所碩士班
關鍵詞:	中風;電針;復健;認知能力;生活品質;stroke;electroacupuncture;rehabilitation;cognition;quality of life
日期:	2006-07-11
上傳時間:	2009-08-10 16:01:05 (UTC+8)
摘要:	台灣65歲以上人口約有1.4~5% 有認知能力障礙，其中血管型痴呆(vascular dementia, VD)約佔所有痴呆造成原因的10%~50%。在所有因中風而發生的障礙中，認知能力障礙是最為持續且嚴重使病患失能的問題。中風後局部腦血循環改變，腦部血流量減少，這些都和認知能力障礙有關。認知障礙合併不同程度之肢體功能受限，往往使中風病患的生活品質大受影響。許多文獻報告指出經皮電刺激(transcutaneous electrical nerve stimulation, TENS)對認知能力的促進有正向的幫助。由於電針（electroacupncture）結合了針灸與經皮電刺激的效果，在臨床上是廣泛被接受而且實際應用於臨床治療的工具。本研究採取針刺右側神門穴及內關穴，接入低頻脈衝治療機，刺激頻率1 Hz，電流範圍10-30 mA，留針15分鐘，每週二次，為期八週。評估工具選用MMSE、LOTCA-G、SF-36、SSQOL。本研究結果發現電針對於改善較為低階的認知功能（例如：Orientation , Perception , Praxis ,Memory）達到統計學上的意義。受心理功能而影響之生活品質也有明顯的進步，其中語言能力表達的改善是令生活滿意度增加的最大因素。 Effects of electroacupuncture treatment on impaired cognition and quality of life in stroke patients The objective of the present study was to investigate the effect of electroacupuncture on cognitive function and health-related quality of life in stroke patients. The study employed a prospective, randomized, single blind design. 17 participants were assigned to the treatment group and 16 to control group. Electroacupuncture was applied to acupuncture points PC6 and HT7 for 20 minutes twice a week for 8 weeks in treatment group while participants in each group continued rehabilitation. Cognitive assessment (LOTCA-G) and quality of life assessment (SF-36 and SS-QOL) were carried out in each group before and after the electroacupuncture treatment. The results showed as follows: Significant improvement was detected in 4 subtests of LOTCA-G: orientation, perception, praxis and memory (P<0.05) in treatment group. Significant improvement was also indicated in subscales of SF-36 (RP, VT, SF, RE, MH, MCS) and SS-QOL (language) (P<0.05). No correlation was noted between the variables of LOTCA-G and SF-36/SS-QOL except 4 matches: Memory (LOTCA-G) and Mental Component Summary (SF-36): r=0.492; Memory (LOTCA-G) and Personality (SS-QOL): r=0.485; Praxis (LOTCA-G) and Language (SS-QOL): r=0.616; Orientation (LOTCA-G) and Language (SS-QOL): r=0.534. Our conclusion is that the results of this study confirm the effect and benefit of electroacupuncture on cognition and quality of life in stroke patients. Future research will provide more detailed results and be altered to the limitations of this study.
顯示於類別:	[中國醫學研究所] 博碩士論文

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