Clinical observation of long-time needle retaining at Baihui (GV 20) on post-stroke cognitive disorder of qi deficiency and blood stasis

Abstract

To observe the clinical efficacy of long-time needle retaining at Baihui (GV 20) on post-stroke cognitive disorder of qi deficiency and blood stasis. A total of 70 patients (3 cases dropping) with post-stroke cognitive disorder of qi deficiency and blood stasis were randomized into an observation group (34 cases) and a control group (33 cases). Neurological routine treatment and western medicine rehabilitation therapy were given in the control group as the basic treatment, on the basis of the treatment as the control group, long-time needle retaining at Baihui (GV 20) was applied in the observation group. The treatment was given once every other day, 3 times a week for a total of 4 weeks. The National Institute of Health stroke scale (NIHSS), mini-mental state examination (MMSE), Montreal cognitive assessment (MoCA) and qi deficiency blood stasis syndrome scale score were observed before and after treatment, and the clinical efficacy was compared between the two groups. After 4 weeks of treatment, the NIHSS scores of the two groups were lower than those before treatment (both P<0.01), and the MMSE and MoCA scores were higher than those before treatment (P<0.05, P<0.01), and the scores in the observation group were better than those in the control group (all P<0.01). After treatment, the scores of qi deficiency and blood stasis syndrome were lower than those before treatment (all P<0.01). The scores of the shortness of breath, facial color, tongue pulse and dizziness in the observation group were better than those in the control group (all P<0.05), there was no significant difference in the degree of spontaneous sweating between the two groups (P>0.05). The total effective rate was 94.1% (32/34) in the observation group, which was higher than 75.8% (25/33) in the control group (P<0.05). Long-time needle retaining at Baihui (GV 20) is safe and effective in treating with post-stroke cognitive disorder of qi deficiency and blood stasis.