本研究證實中風後所造成之認知功能缺損可以經由電針治療改 善。由於認知功能又包含很多次項目，這些功能單獨表現代表的是較為 低階的認知功能，不同的組合則會形成較高階與複雜的認知功能。本研 究結果發現電針對於改善較為低階的認知功能（例如：Orientation , Perception, Praxis, Memory）達到統計學上的意義。
受心理功能而影響之生活品質也有明顯的進步，其中語言能力表達 的改善是令生活滿意度增加的最大因素。
由於中風後的復健為現今社會醫療之一大課題，因此未來展望可有 以下四大方向：
（1） 本研究的個案數較少，未來可以繼續增加個案持續追蹤。希望能 有更大量之個案，可以依據其認知能力受損之程度加以分組做評 估比較。
（2） 評估工具上可以增加採用更為客觀（objective）之方式，例如 fMRI、局部腦血流量檢查(HMPAO-SPECT)以及血清學檢查（例如 superoxide dismutase, SOD 或是 lipid peroxide, LPO）。
（3） 進一步針對不同中風病患類型、病程、性別、年齡等因子，進行 更大規模之研究。
（4）以電針作為治療方式，比較中風後與阿茲海默症病患認知功能改 善情形。
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附件一
Mini-Mental Status Examination
Say: I am going to ask you some questions and give you some problems to solve. Please try to answer as best you can.
Check box if correct answer given within 10 seconds
What year is this? (1 point)
Say: I am going to name three objects. After I have said all three objects I want you to repeat them.
Remember what they are because I am going to ask you to name them again in a few minutes.
Check if correctly repeated on first attempt within 20 seconds. If unable to repeat all three, repeat until they are learned, or up to a maximum of 5 times.
BOY (1 point)
CHAIR (1 point)
BALL (1 point)
Choose either task: Serial 7 subtractions from 100 (5 uniterupted subtractions after initial
explanation) or spelling the word "WORLD" backwards after assuring that the patient can spell this
word normally.
Omission or reversal of 2 letters (3 points)
Omission or reversal of 3 letters (2 points)
Reversal of 4 letters (e.g. DRLWO, LDRWO) (1 point)
No answer (0 points)
Say: Now what were those three items I asked you to remember? Check each correct response regardless of order, allow 10 seconds.
BOY (1 point)
CHAIR (1 point)
BALL (1 point)
Show wristwatch. Say: What is this called?
Patient responds watch or wristwatch within 10 seconds (not clock, time, etc...) (1 point) Show pencil. Say: What is this called?
Correct response is "pencil", not pen. (1 point)
I'd like you to repeat a phrase after me -- say "no ifs ands or buts."
Correct (exact) repitition within 10 seconds. (1 point)
Show patient a paper with this written command: "CLOSE YOUR EYES."
Patient closes eyes. (1 point)
Ask patient's handedness. Instruct patient to take a piece of paper in the opposite hand, fold it in half once with both hands and place it on the floor (within 30 seconds).
Patient takes paper with the proper hand. (1 point)
Patient folds paper with both hands. (1 point)
Patient places folded paper on the floor. (1 point)
Ask patient to write a complete sentence on a piece of paper (within 30 seconds).
Sentence makes sense (ignore spelling) (1 point)
Show the patient a drawing of two pentagons intersected by a four sided figure. Say: Copy this design please.
Correct drawing within 30 seconds. (1 point)
Total Criteria Point Count:
0附件二 LOTCA-G A. Orientation
1. Orientation for place(ORP) 步驟-詢問病患下列問題
2. Orientation for time (ORT) 步驟-治療師詢問下列問題
評分--每個正確的問題回答可得兩分，(問題 a 中答對兩項才能
5. Everyday objects(EO)
步驟—按照順序拿五種病患常見的物品給病患看:牙刷、胡椒罐、
6. Visual identification of objects (VO)
步驟—展示 4 張畫有日常生活用具的圖片給病患看，(鞋子、椅子、
剪刀、眼鏡)。
Level 1:病患被要求說出每項物品的名稱。
7. Visual identification of shapes (VS)
步驟—依序展示四張不同形狀的圖卡給病人看，圓圈、三角形、
4 分:在 level 1 2 3 認出全部的物品。
8. Overlapping figures (OF)
步驟—治療師給病患看有三樣重疊物品(香蕉、梨子和蘋果)的卡
10. Spatial perception (SP)
步驟—治療師坐在病患的前方，
1. 指出我的右眼。
c. 象徵性動作(symbolic actions)
步驟—治療師說
D. Visuomotor organization
12. Copy geometric forms(CGF)
步驟—治療師給病人一張紙和一支鉛筆，跟病患說「我要給你看
13. Reproduction of a two dimensional model (RM)
步驟—治療師把治療手冊上第 13 頁的圖案和相關的塑膠片給病患
14. Pegboard Construction (PC)
步驟—治療師將 14 頁的圖形與豆豆板拿給病患看，要求病患按 照 14 頁的圖形在豆豆板上拼出來。
評分—1 分:完全無法完成。
2 分:只能拼出垂直和水平的線，沒有辦法拼出對角斜線或 是無法將三角形完成。
3 分:完成圖形，但是不是在豆豆板上正確的位置。
4 分:正確無誤的完成圖形。
15. Block Design (BD)
步驟—治療師將 15 頁的圖形與彩色積木拿給病患看，治療師說：
16. Reproduction of a Puzzle (RP)
步驟—治療師給病患看 16 頁上的圖形，請病患拿相對應的九塊
E. Thinking operations 18. Categorization (C)
步驟—治療師將八張卡片隨意散佈在桌上，卡片的圖案是帆船、
F. Memory subtests scoring a. A Famous Personality (FP)
步驟—治療師說在測驗的開始我給你看的一張名人的照片，你記得
G.. attention and concentration
步驟—評分的標準是根據施測時的觀察。
評分—1 分:注意力時間非常短，沒有辦法專心五分鐘以上，而且需 要不斷的重複提示問題或指示。
２分:可以短時間集中注意力，專心可達１５分鐘，有時候需要 重複提
示問題或指示。
３分:在注意力和專心方面只有輕微的困難，但是在重新專注 後，可以
完成測試。
４分:沒有問題。
附件三
SF-36
本調查目的在探討您對自己健康的看法。這些資訊將能幫助您記錄 您的感受，以及您在執行日常生活的能力。
敬請回答下列各問題並圈選一適當答案。如您對某一問題的回答不 能確定，還是請您盡可能選一個最適合的答案。在本部份所指過去一個 月內﹐係指從今天往前算三十天內。
1. 一般來說，您認為您目前的健康狀況是
（請僅圈選一項答案）
極好的...1
很好...2
好...3
普通...4
不好...5
2. 和一年前比較，您認為您目前的健康狀況是？ （請僅圈選一項答案） 比一年前好很多...1
比一年前好一些...2
和一年前差不多...3
比一年前差一些...4
比一年前差很多...5
3. 下面是一些您日常可能從事的活動，請問您目前健康狀況會不會限制
5.在過去一個月內，您是否曾因為情緒問題(例如，感覺沮喪或焦慮)，
而在工作
上或其他日常活動方面有下列的問題?
（每行請僅圈選一項答案）
是 否
a.做工作或其它活動的時間減少 1 2
b.完成的工作量比您想要完成的較少 1 2
c.做工作或其它活動時不如以往小心 1 2
6. 在過去一個月內，您的身體健康或情緒問題，對您與家人或朋友、鄰 居、社團間的平常活動的妨礙程度如何？
(請僅圈選一項答案)
完全沒有妨礙...1
有一點妨礙...2
中度妨礙…...3
相當多妨礙...4
妨礙到極點...5
7. 在過去一個月內，您身體疼痛程度有多嚴重？(請僅圈選一項答案)
完全不痛...1
非常輕微的痛...2
輕微的痛...3
中度的痛...4
嚴重的痛...5
非常嚴重的痛...……..6
8. 在過去一個月內，身體疼痛對您的日常工作(包括上班及家務)妨礙程 度如何？(請僅圈選一項答案) 完全沒有妨礙...1
有一點妨礙...2
中度妨礙...3
相當多妨礙 ... ...4
妨礙到極點...5
9. 下列各項問題是關於過去一個月內您的感覺及您對周遭生活的感
9. 下列各項問題是關於過去一個月內您的感覺及您對周遭生活的感