【目的】观察磁圆梅针叩刺督脉及背部膀胱经联合针刺治疗卒中后认知障碍及运动功能障碍的临床疗效。【方法】选取 2024 年1 月至2025 年6 月北京中医药大学附属护国寺中医医院针灸科住院的80 例明确诊断为卒中后认知障碍的患者为研究 对象。按随机数字表将患者随机分为观察组和对照组，每组各40 例。2 组患者均给予常规药物及康复治疗。对照组给予针刺 治疗，观察组在对照组治疗的基础上，给予磁圆梅针叩刺督脉及背部膀胱经。连续治疗4 周。治疗1 个月后进行随访。观察 2 组患者治疗前后简易精神状态评价量表（MMSE）评分的变化情况，以及蒙特利尔认知评估量表（MoCA）评分的情况。比 较2 组患者治疗前后Barthel 指数量表评分和Fugl-Meyer 运动功能评估量表（FMA）评分的变化情况。【结果】（1）治疗后及随访 时，2 组患者的MMSE 评分、MoCA 评分均明显改善（P＜0.05），且观察组在改善MMSE 评分、MoCA 评分方面明显优于对照 组，差异有统计学意义（P＜0.05）。（2）治疗后及随访时，2 组患者的Barthel 指数评分、Fugl-Meyer 评分均明显改善（P＜0.05）， 且观察组在改善Barthel 指数评分、Fugl-Meyer 评分方面明显优于对照组，差异有统计学意义（P＜0.05）。【结论】磁圆梅针叩 刺督脉及背部膀胱经联合针刺治疗卒中后认知障碍及运动功能障碍，能明显改善患者的认知障碍，提高患者的日常生活能 力和运动能力，且效果具有可持续性。同时该疗法简便可行，易于长期坚持，可于家庭内推广使用。

Objective To observe the clinical efficacy of magnetic round plum-blossom needle tapping along the governor vessel and the bladder meridian on the back combined with acupuncture in treating cognitive impairment and motor dysfunction after stroke. Methods A total of 80 inpatients diagnosed with post-stroke cognitive impairment in the Acupuncture Department of Huguosi Traditional Chinese Medicine Hospital Affiliated to Beijing University of Chinese Medicine from January 2024 to June 2025 were selected as the study subjects. The patients were randomly divided into an observation group and a control group using a random number table，with 40 cases in each group. Both groups received conventional medication and rehabilitation treatment. The control group was treated with acupuncture，while the observation group received additional magnetic round plum-blossom needle tapping along the governor vessel and the bladder meridian on the back. The treatment lasted for four consecutive weeks，and a follow-up was conducted one month after the treatment. Changes in the Mini-Mental State Examination（MMSE）scores and Montreal Cognitive Assessment（MoCA）scores were observed in both groups before and after treatment. The changes in Barthel Index scores and Fugl-Meyer Assessment（FMA）scores were also compared between the two groups before and after treatment. Results（1）After treatment and at follow-up， the MMSE scores and MoCA scores of patients in both groups were significantly improved（P＜0.05），and the observation group was significantly superior to the control group in improving MMSE scores and MoCA scores，with statistically significant differences（P＜0.05）.（2）After treatment and at follow-up，the Barthel Index scores and Fugl-Meyer scores of patients in both groups were significantly improved（P＜0.05），and the observation group was significantly superior to the control group in improving Barthel Index scores and Fugl-Meyer scores，with statistically significant differences（P＜0.05）. Conclusion Magnetic round plum-blossom needle tapping along the governor vessel and the bladder meridian on the back combined with acupuncture can significantly improve cognitive impairment，enhance daily living abilities and motor functions in patients with post-stroke cognitive impairment and motor dysfunction，and the effect is sustainable. Meanwhile，this therapy is simple and feasible， easy to adhere to in the long term，and can be promoted for use at home.

R246.9

北京市西城区卫生健康委员会青年科技人才培养项目（科技新星）（编号：XWKX2024-01）