Skip to main content

Advertisement

SpringerLink
Log in

Effects of long-time needle retaining at Baihui (GV20) on post-stroke cognitive impairment

百会穴久留针对中风后认知障碍的影响

  • Special Topic Study
  • Published:
Journal of Acupuncture and Tuina Science Aims and scope Submit manuscript

Abstract

Objective

To observe the clinical efficacy of long-time needle retaining at Baihui (GV20) on post-stroke cognitive impairment (PSCI) and its effects on the cognitive ability and living ability of the patients.

Methods

A total of 62 PSCI patients were divided into a control group and an observation group by the random number table method, with 31 cases in each group. The control group was treated with routine treatment for stroke in the recovery period plus cognitive training. The observation group received additional acupuncture at Baihui (GV20) with long-time needle retaining based on the same intervention in the control group. The Montreal cognitive assessment (MoCA) was used to evaluate the cognitive ability of patients. The activities of daily living (ADL) scale was used to evaluate the living ability of patients. And the mini-mental state examination (MMSE) scale was used to evaluate the mental state, concentration, language, and abstraction cognition of patients. After 4 weeks, the curative efficacy was observed, and the scores of cognitive level, living ability, mental state and concentration, language, and abstraction understanding ability were compared between the two groups.

Results

During the trial, 1 patient in each group dropped out due to personal reasons and was unable to continue the treatment. After 4 weeks of treatment, the total effective rate was 83.3% in the observation group and 66.7% in the control group, and the difference between the two groups was statistically significant (P<0.05); the scores of MoCA, ADL, and MMSE, and scores of concentration, language ability, and abstraction understanding ability were all increased, and were statistically different from those before treatment in each group (P<0.05); the scores in the observation group were all higher than those in the control group, and the differences between the groups were statistically significant (P<0.05).

Conclusion

On the basis of routine treatment and cognitive training, the clinical efficacy of additional acupuncture at Baihui (GV20) with long-time needle retaining in the treatment of PSCI is better than that of routine treatment plus cognitive training; the treatment can better improve the cognitive function and mental state of patients, and improve their living ability.

摘要

目的

观察针刺百会穴久留针治疗中风后认知障碍(PSCI)的临床疗效, 以及对患者认知和生活能力的影响。

方法

将62例PSCI患者以随机数字表法分为对照组和观察组, 每组31例。对照组接受常规中风恢复期治疗联合认知训练, 观察组在对照组干预基础上加用针刺百会穴久留针。治疗前后采用蒙特利尔认知评估量表(MoCA)评估患者的认知水平; 采用日常生活活动(ADL)量表评估患者生活能力; 采用简易智力状态评价量表(MMSE)评估患者精神状态及注意力、语言能力和抽象认知能力。治疗4周后观察两组疗效; 比较两组认知水平、生活能力、精神状态以及注意力、语言、抽象理解等评分。

结果

研究过程中两组各有1例因个人原因无法继续治疗而退出研究。治疗4周后, 观察组总有效率为83.3%, 对照组为66.7%, 两组差异有统计学意义(P<0.05); 两组MoCA、ADL、MMSE以及注意力、语言能力、抽象理解能力评分均增加, 与本组治疗前均有统计学差异(P<0.05), 且观察组各项评分均高于对照组, 组间差异有统计学意义(P<0.05)。

结论

在常规治疗及认知训练基础上加用针刺百会穴久留针治疗PSCI的临床疗效优于常规治疗联合认知训练, 可更好地改善患者认知功能和精神状态, 提高患者的生活能力。

This is a preview of subscription content, log in via an institution to check access.

Access this article

Log in via an institution

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Institutional subscriptions

Similar content being viewed by others

References

  1. SONG Y Y. Effect of acupuncture on blood lipid level in patients with acute cerebral infarction. Zhongguo Yejin Gongye Yixue Zazhi, 2018, 35(5): 596–597.

    Google Scholar 

  2. HUANG J, LI R Q, WU M L, LIU R C, FENG X D. Effects of electroacupuncture at Shenting and Baihui acupoints on learning and memory ability of rats with ischemia reperfusion and expression of autophagy related proteins. Zhonghua Zhongyiyao Xuekan, 2019, 37(4): 838–841.

    CAS  Google Scholar 

  3. BAN W G, TENG X Y, GONG F F, LU L N, XU W T, QI H. Effect of puncturing the thirteen ghost points combined with cluster needling at the scalp acupoints on the expression of miRNA-335 in patients with post-stroke cognitive impairment. Shanghai Zhenjiu Zazhi, 2021, 40(12): 1395–1400.

    Google Scholar 

  4. WANG H L, CUI Y X, HU F M, LIU G H, DUAN H B, YUAN C X. Observation on the efficacy of strengthened early shallow surround needling at Baihui acupoint in the treatment of depression after ischemic stroke. Xiandai Zhongxiyi Jiehe Zazhi, 2020, 29(4): 363–366.

    Google Scholar 

  5. JIANG X, CHEN S X, JI J. Effect of Xinglou Chengqi decoction on cognitive impairment in patients with cerebral ischemic stroke. Zhongguo Xiandai Yisheng, 2021, 59(34): 136–139.

    Google Scholar 

  6. YANG Q L, YU W J, ZHANG Z X, LI P, LÜ Q W, HU Z J. Advances in modern rehabilitation treatment of cognitive impairment after stroke. Anmo Yu Kangfu Yixue, 2022, 13(9): 72–76.

    Google Scholar 

  7. ZHU M Y, LU Y, DAI X Y, LIU Y B. Meta-analysis of clinical efficacy and safety of transcranial magnetic stimulation in the treatment of post-stroke cognitive impairment. Zhongguo Kangfu Yixue Zazhi, 2021, 36(12): 1555–1560.

    Google Scholar 

  8. WANG L, WANG Z X, SU L, SHI L Y. Regularity of acupoint selection in treatment of post-stroke cognitive impairment (PSCI) with acupuncture in last 15 years based on data mining. Shijie Zhongyiyao, 2022, 17(3): 413–417, 423.

    Google Scholar 

  9. WANG X D, TAN T, MA H X, CHEN Y Q. Meta-analysis of pressing moxibustion at Baihui of vertigo. Zhongguo Yixue Chuangxin, 2022, 19(8): 160–165.

    Google Scholar 

  10. WANG K, DONG Q. Experts consensus on post-stroke cognitive impairment management 2021 Chinese society of vascular cognitive impairment. Zhongguo Cuzhong Zazhi, 2021, 16(4): 376–389.

    Google Scholar 

  11. China Stroke Association Round Table Expert Group on Post-stroke Cognitive Impairment Research. Expert consensus on research on prevention and treatment of post-stroke cognitive impairment in China. Zhongguo Cuzhong Zazhi, 2020, 15(2): 158–166.

    Google Scholar 

  12. JI S Z, JIN X L, HAO Y, SHEN W, LIANG X, WANG J W, ZHAO J Y, ZHAO J J, CAO X L, ZHANG X Z, HOU X B, WANG S J, ZHANG H, YANG J, WANG L L, HU H, LIN A J, TIAN J B, WU Y Q, WU H, ZHANG Y L. Characteristic of change in cognitive function of stroke patients with NIHSS of 0 point and analysis on TCM syndrome element. Zhonghua Zhongyiyao Zazhi, 2016, 31(5): 1812–1815.

    Google Scholar 

  13. RONG Y H, TENG J. Discussion on YU Chang’s academic ideas of stroke disease and modern clinical application. Zhongguo Zhongyi Jizheng, 2022, 31(2): 345–347, 354.

    Google Scholar 

  14. WANG R, ZHANG R L. The effect of acupuncture and moxibustion combined with rehabilitation training on the sequelae of stroke and the effect of sleep quality. Shijie Shuimian Yixue Zazhi, 2022, 9(1): 55–56.

    CAS  Google Scholar 

  15. YANG F, LUO K T, ZHU J H, XU Y M. Effect of long-time needle retaining at Baihui (GV20) on cognitive impairment in post-stroke patients. J Acupunct Tuina Sci, 2017, 15(6): 398–402.

    Article  Google Scholar 

  16. CHEN L, JIAO P, LI F H. Acupuncture at Baihui, Shenting point and rehabilitation training for post-stroke cognitive dysfunction. Zhongguo Laonian Baojian Yixue, 2020, 18(2): 11–13.

    Google Scholar 

  17. CHEN X M, PANG L N, WANG Z F. Hippocampal anti-inflammatory effect of electroacupuncture at Baihui and Shenting on cognitive dysfunction induced by systemic inflammation. Kangfu Xuebao, 2021, 31(5): 415–419, 424.

    Google Scholar 

  18. QI C H, CUI L H, YUAN Y, TIAN Y, YANG J, XING X, ZHANG S, CHEN Y W. Efficacy observation of long-retaining scalp acupuncture plus interactive training for upper-extremity dysfunction after cerebral stroke. J Acupunct Tuina Sci, 2021, 19(1): 43–48.

    Article  Google Scholar 

  19. CHEN F Y, LIU X P, BAO Y H, CHU J M, ZHU M, YU J, ZHANG W S. Effect of scalp acupuncture with long needle-retaining duration plus electroacupuncture by Brunnstrom stage on ambulation ability and quality of life in post-stroke hemiplegia. Shanghai Zhenjiu Zazhi, 2018, 37(9): 977–981.

    Google Scholar 

  20. HAN Q C, SUN Z R, YIN H N, LIU Y. Action mechanism of acupuncture in treatment of post-stroke cognitive impairment based on theory of brain-gut axis. Zhongyiyao Xinxi, 2022, 39(4): 10–15, 46.

    Google Scholar 

Download references

Acknowledgments

This work was supported by the Project of Anhui Provincial Natural Science Foundation of China (安徽省自然科学基金项目, No. 1808085MH278).

Author information

Authors and Affiliations

  1. The Second Affiliated Hospital of Anhui University of Chinese Medicine, Hefei, 230000, China

    Jie Wang  (汪节), Tingting Zhu  (朱婷婷), Xiaokai Zhu  (朱晓凯), Qiying He  (何其英), Ting Gao  (高婷) & Yu Wang  (王宇)

Authors
  1. Jie Wang  (汪节)
    View author publications

    You can also search for this author in PubMed Google Scholar

  2. Tingting Zhu  (朱婷婷)
    View author publications

    You can also search for this author in PubMed Google Scholar

  3. Xiaokai Zhu  (朱晓凯)
    View author publications

    You can also search for this author in PubMed Google Scholar

  4. Qiying He  (何其英)
    View author publications

    You can also search for this author in PubMed Google Scholar

  5. Ting Gao  (高婷)
    View author publications

    You can also search for this author in PubMed Google Scholar

  6. Yu Wang  (王宇)
    View author publications

    You can also search for this author in PubMed Google Scholar

Corresponding author

Correspondence to Jie Wang  (汪节).

Ethics declarations

The authors declare that there is no potential conflict of interest in this article.

Statement of Informed Consent

Informed consent was obtained from all individual participants or their relatives in this study.

Additional information

Author: WANG Jie, M.M., associate chief physician

Rights and permissions

Reprints and permissions

About this article

Check for updates. Verify currency and authenticity via CrossMark

Cite this article

Wang, J., Zhu, T., Zhu, X. et al. Effects of long-time needle retaining at Baihui (GV20) on post-stroke cognitive impairment. J. Acupunct. Tuina. Sci. 21, 273–278 (2023). https://doi.org/10.1007/s11726-023-1385-1

Download citation

  • Received:

  • Accepted:

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s11726-023-1385-1

Keywords

关键词

中图分类号

文献标志码

Search

Navigation