针刺头穴为主治疗脑卒中后血管性痴呆临床疗效研究

发布时间：2018-06-08 13:42

本文选题：针刺 + 头穴　；参考：《南京中医药大学》2013年硕士论文

【摘要】：目的：观察针刺头穴为主治疗血管性痴呆患者的临床疗效,探讨针刺头穴为主治疗血管性痴呆的效应,为针灸治疗脑卒中后血管性痴呆提供依据。方法：收集自2011年10月-2012年11月无锡市中医医院医院脑病科确诊为脑卒中后血管性痴呆患者82例。根据数字随机表,将患者随机分为治疗组42例和对照组40例。治疗组给予头穴为主的针刺治疗,对照组给予脑病科常规治疗。观察血管性痴呆患者MMSE、 HDS-R评分情况及血清内SOD水平。分别在治疗前及治疗后评分,比较两组的临床疗效。结果：1.治疗三个疗程后,治疗组3例无效,39例有效,有效率90.70%,对照组19例无效,21例有效,有效率52.5%。治疗组与对照组治疗后总疗效比较有统计学差异(P0.05),治疗组疗效明显优于对照组。 2.治疗三个疗程后,治疗组MMSE、HDS-R积分及血清内SOD水平与对照组相比有统计学差异(P0.05),且效果显著。结论：1.针刺头穴为主治疗血管性痴呆临床疗效显著,能明显提高患者的MMSE、HDS-R评分,且起效快捷,安全可靠。 2.针刺治疗不仅能改善患者的学习、记忆等认知能力,还能较早改善患者情感障碍、精神症状,并显著改善患者的生活,让患者对未来充满信心。 3.初步证明针刺头穴为主治疗血管性痴呆,临床症状明显改善,效果显著,安全可靠,可推广运用。
[Abstract]:Objective: to observe the clinical effect of acupuncture on vascular dementia, and to explore the effect of acupuncture on vascular dementia. Methods: from October 2011 to November 2012, 82 cases of vascular dementia after stroke were diagnosed in Department of Encephalopathy, Wuxi traditional Chinese Medicine Hospital. The patients were randomly divided into treatment group (n = 42) and control group (n = 40). The treatment group was treated with acupuncture of scalp points and the control group with routine treatment of encephalopathy. MMSE, HDS-R score and serum SOD level were observed in patients with vascular dementia. Scores were scored before and after treatment to compare the clinical efficacy of the two groups. After three courses of treatment, 39 patients in the treatment group were effective and the effective rate was 90.70. In the control group, there were 21 patients who were ineffective and the effective rate was 52.5. There was statistical difference between the treatment group and the control group in the total curative effect after treatment. The curative effect of the treatment group was significantly better than that of the control group. After three courses of treatment, the scores of MMSE HDS-R and the level of SOD in serum in the treatment group were significantly different from those in the control group (P 0.05). Acupuncture at acupoints was effective in the treatment of vascular dementia. It could significantly improve the score of MMSE HDS-R, and was effective, safe and reliable. 2. Acupuncture can not only improve the cognitive ability of patients, such as learning, memory, but also improve the emotional disorders, mental symptoms, and significantly improve the lives of patients, so that patients with confidence in the future. 3. It is proved that acupuncture point is the main treatment for vascular dementia, the clinical symptoms are obviously improved, the effect is remarkable, safe and reliable, and can be popularized and applied.
【学位授予单位】：南京中医药大学
【学位级别】：硕士
【学位授予年份】：2013
【分类号】：R246.6

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