Abstract:

AIM: To investigate the effect of scalp acupuncture on the score of MoCA (Montreal cognitive function score effect) and serum of  Hcy in stroke patients with cognitive disorder before and after treatment. METHODS: 90 patients, who met the inclusion criteria were randomly divided into control group(cognitive training group),massage group (head self massage and cognitive training group)，scalp acupuncture group(scalp acupuncture plus cognitive training group),30 cases in each group.The MoCA scale and content of Hcy in serum were evaluated before and after 15 d treatment respectively in three groups. RESULTS: Before and after 15 d treatment, the content of Hcy had no significant difference among three groups（all P＞0.05）. Before treatment,the score of MoCA also had no significant difference among three groups.After treatment of 15 d, the score of MoCA had no significant difference between the control group and massage group (tA-B=1.30,P>0.05); between the control group and scalp acupuncture group , massage group and scalp acupuncture group, the difference had statistically significant difference (tA-C=3.66,tB-C=2.48, P<0.05). CONCLUSION: Scalp acupuncture treatment has no effect on the change of serum Hcy levels in stroke patients with cognitive impairment, but can improve the MoCA score, namely to improve cognitive function of stroke patients and it is worthy of clinical application.

Key words: scalp acupuncture, stroke, cognitive impairment, MoCA, Hcy