自拟化痰醒神方联合醒脑开窍针刺法治疗脑卒中后认知障碍的临床效果

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[Abstract]Objective： To investigate the clinical effect of self-made Huatan XingshenFormula combined with Xignao Kaiqiao acupuncture in the treatment of post-stroke cognitive impairment （PSCI）.Method： A total of 90 patients with PSCI admited to Xinyu Hospital of Traditional Chinese Medicine from May 2023 to May 2025 were selected. They were divided into the TCM group （ n =30），acupuncture group n =30） and combination therapy group （ n =30）using the random number table method.The TCM group was treated with the self-made Huatan Xingshen Formula，the acupuncture group was treated with Xingnao Kaiqiao acupuncture，the combination therapy group was treated with self-made Huatan Xingshen Formula combined with Xingnao Kaiqiao acupuncture. All three groups were treated for 2 weeks.The MoCA scores， modified Barthel index （MBI） scores，and the TCM symptoms scores of the three groups were compared before and after treatment.The therapeutic effect was evaluated based on the changes of TCM syndromes scores.Result：After the treatment，the scores of MoCA and MBI in hree groups increased compared to those before the treatment， and those in the combination therapy group were significantly higher than those of the TCM group and the acupuncture group （ P- <0.05）.After the treatment， the scoresof TCM syndromes in three groups were lower than those before the treatment，and that inthe combination therapy group was significantly lower than that in the TCM group and the acupuncture group （ P <0.05）. After the treatment，the total efectiverate of the combination therapy group was higher than thatofthe TCM groupand the acupuncture group （ P <0.05）.Conclusion： The self-made Huatan Xingshen Formula combined with Xingnao Kaiqiao acupuncturecan significantly improve the cognitive function anddaily living abilityof patients with PSCI， and its therapeutic effect is superior to that of the single therapy.

[Keywords] Self-made Huatan Xingshen Formula Xingnao Kaiqiao acupuncturePost-stroke cognitive impairment

First-author's address： Department of Neurology，Xinyu Hospital of Traditional Chinese Medicine， Kinyu 338000， China

doi：10.3969/j.issn.1674-4985.2026.08.009

脑卒中后认知障碍（PSCI）是脑率中后常见的功能障碍综合征，表现为多领域认知功能损害[1-2]，不仅影响患者预后，而且会加重患者家庭负担[3]。（剩余6729字）