针刺结合西药治疗血管性痴呆的临床疗效观察

发布时间：2018-04-30 06:37

本文选题：轻中度血管性痴呆 + 针刺疗法　；参考：《湖北中医药大学》2012年硕士论文

【摘要】：目的：通过对比针刺结合西药与单纯西药治疗轻中度血管性痴呆的临床疗效差别,探讨针刺在治疗血管性痴呆中的意义,验证其临床疗效,为其临床推广提供依据。方法： 48例患者均为湖北省武汉市中医医院脑病科住院及门诊病人,随机分为治疗组24例和对照组24例。两组在常规西医治疗的同时,对照组另外给予尼麦角林片口服,治疗组在对照组基础上加用“活血通络,益髓健脑”针刺法治疗,取穴：百会、四神聪、合谷、血海、悬钟、太冲。观察4周后治疗组与对照组治疗前后在简易精神状态检查表(MMSE)、日常生活能力量表(ADL)积分的变化。计算其疗效指数,并将数据进行统计学分析。结果：两组患者治疗后认知功能疗效通过简易精神状态检查表得分比较,治疗组在治疗后总有效率为75%；对照组总有效率为50%。两组治疗后总有效率经统计学处理p0.05,有显著性差异。治疗组疗效优于对照组。两组患者在日常生活能力方面比较,治疗组在治疗后总有效率为79.17%；对照组总有效率为50%,经统计学处理p0.05,有显著性差异,治疗组疗效优于对照组。结论： “活血通络”针刺疗法可以提高轻中度血管性痴呆的临床疗效,可明显改善患者认知功能及日常生活能力,进而提高患者的生存质量。VD属临床疑难病证,在目前尚缺乏理想的治疗药物和方法的情况下,采用针刺结合药物综合治疗不失为一种有效、可行的方法。同时针刺治疗无毒副作用,安全可靠,值得临床推广。
[Abstract]:Objective: By comparing the clinical efficacy of acupuncture combined with western medicine and western medicine in treating mild to moderate vascular dementia, the significance of acupuncture in the treatment of vascular dementia was discussed, the clinical efficacy was verified, and the basis for its clinical popularization was provided. Methods: All 48 patients were inpatients and outpatients in the Department of Encephalopathy, Wuhan traditional Chinese Medicine Hospital, Hubei Province. They were randomly divided into treatment group (n = 24) and control group (n = 24). The two groups were treated with routine western medicine, while the control group was also given niergoline tablets orally. The treatment group was treated with acupuncture therapy of "activating blood circulation and dredging collaterals, benefiting the marrow and strengthening the brain" on the basis of the control group. The acupoints were taken as follows: Baihui, Sishengcong, Hegu, Xuehai, suspension bell, Too strong. After 4 weeks, the scores of MMSE, ADL and ADL were observed before and after treatment in the treatment group and the control group. The curative effect index was calculated and the data were analyzed statistically. Results: The curative effect of cognitive function in the two groups after treatment was compared with the scores of the simple mental state examination table. The total effective rate of the treatment group was 75 and the total effective rate of the control group was 50. The total effective rate of the two groups was significantly different after treatment (p 0.05). The curative effect of the treatment group was better than that of the control The total effective rate of the treatment group was 79.17 after treatment, the total effective rate of the control group was 50, the difference was significant after statistical treatment (p0.05), the curative effect of the treatment group was better than that of the control group. Conclusion: The acupuncture therapy of "Huoxue Tongluo" can improve the clinical effect of mild and moderate vascular dementia, improve the cognitive function and daily life ability of the patients, and then improve the quality of life of the patients. In the absence of ideal drugs and methods at present, acupuncture combined with drug therapy is an effective and feasible method. At the same time, acupuncture treatment has no side effects, safe and reliable, worthy of clinical promotion.
【学位授予单位】：湖北中医药大学
【学位级别】：硕士
【学位授予年份】：2012
【分类号】：R246.6;R749.13

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