调神益智针法联合西药治疗血管性痴呆42例临床观察

发布时间：2018-05-11 02:05

本文选题：血管性痴呆 + 调神益智针法　；参考：《中医杂志》2014年15期

【摘要】：目的评价调神益智针法治疗血管性痴呆的临床疗效。方法将84例血管性痴呆患者随机分为治疗组、对照组各42例。两组在基础治疗的同时,治疗组加用调神益智针法,对照组采用传统针刺取穴,每日2次,每周治疗6天,1周为1个疗程,共治疗4个疗程。治疗前后进行简易智能量表(MMSE)、日常社会能力量表(BBS)、日常生活能力(BI指数)、阿尔茨海默病评定量表的认知分量表(ADAS-Cog)、画钟试验(CDT)测定及中医证候评分,同时采用临床医生访谈时对病情变化的印象补充量表(CIBIC-Plus)进行评定,并判定中医证候疗效。结果两组患者治疗前后MMSE评分、BBS评分、BI指数、ADAS-Cog评分、CDT评分、中医证候评分比较差异均有统计学意义(P0.01),两组患者各指标治疗后组间比较差异亦有统计学意义(P0.01)。治疗组中医证候总有效率为88.10%,对照组为76.19%,两组比较差异无统计学意义(P0.05)。结论调神益智针法可明显改善血管性痴呆患者的智能状态、认知功能、社会行为能力、日常生活功能及中医证候,优于传统针刺方法。
[Abstract]:Objective to evaluate the clinical effect of regulating the mind and improving intelligence in the treatment of vascular dementia. Methods 84 patients with vascular dementia were randomly divided into treatment group (n = 42) and control group (n = 42). At the same time of basic treatment, the treatment group was treated with the acupuncture method of regulating spirit and improving intelligence, while the control group was treated with traditional acupuncture, twice a day, 6 days a week as a course of treatment, a total of 4 courses of treatment. Before and after treatment, MMSE, BBSN, BI index, ADAS-Cogg, CDT and TCM syndromes were measured before and after treatment. At the same time, the impression supplement scale CIBIC-Plus was used to evaluate the curative effect of TCM syndromes. Results before and after treatment, there were significant differences in MMSE score, MMSE score, BI index, ADAS-Cog score and TCM syndrome score between the two groups. There was also significant difference between the two groups after treatment (P 0.01). The total effective rate of TCM syndromes in the treatment group was 88.10 and that in the control group was 76.19.The difference between the two groups was not statistically significant (P 0.05). Conclusion the acupuncture method of regulating the mind and improving the intelligence can obviously improve the intelligence state, cognitive function, social behavior ability, daily life function and TCM syndrome of the patients with vascular dementia, which is superior to the traditional acupuncture method.
【作者单位】：天津市中医药研究院附属医院;
【基金】：天津市中医药管理局中医、中西医结合课题资助项目(11010)
【分类号】：R749.13

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