火针配合针刺治疗瘀血阻络型血管性痴呆的临床观察

发布时间：2018-01-17 02:22

本文关键词：火针配合针刺治疗瘀血阻络型血管性痴呆的临床观察　出处：《黑龙江中医药大学》2016年硕士论文　论文类型：学位论文

【摘要】：目的：旨在观察火针配合针刺治疗瘀血阻络型血管性痴呆的治疗效果,为临床治疗该证型病找到一个更为合适且有效的治疗新方法。方法：纳入的60例血管性痴呆患者,随机分为两组,治疗组和对照组,每组30例。治疗组采取火针配合针刺治疗,火针点刺双神聪(左右)、百会、神庭、率谷(双侧),毫针针刺双神聪(左右)、百会、神庭、率谷(双侧)、太溪(双侧)、悬钟(双侧)、足三里(双侧)、血海(双侧) 。对照组采用毫针针刺,针刺四神聪、百会、大钟(双侧)、太溪(双侧)、悬钟(双侧)、足三里(双侧)、血海(双侧)。火针点刺每三天一次,一周两次(周一、周四),两组的毫针针刺均为每天一次,一周六次(周日休息一天)；共治疗四周。观察两组患者在治疗前、治疗后的变化情况,然后进行组内自身治疗前后对比和组间对比。结果：1、在认知功能改善方面,两组患者经过治疗后MMSE评分均升高,组内治疗前后比较P0.05,差异均有统计学意义；治疗后,两组MMSE评分进行比较,P0.05,具有统计学意义,结果提示,治疗组在改善认知功能方面比对照组有一定的优势。2、在日常能力方面,治疗后两组患者的ADL-R评分均降低,组内治疗前后比较P0.05,差异均有统计学意义；治疗组和对照组比较P0.05,有显著性差异,说明治疗组在改善患者的日常生活能力方面优于对照组。3、在中医证候改善方面,两组患者经治疗后中医证候评分均降低,且组内比较P0.05,差异均有统计学意义；治疗组和对照组比较P0.05,有显著性差异,说明治疗组在改善患者的中医证候方面优于对照组。结论：1、火针配合针刺治疗瘀血阻络型血管性痴呆的疗效确切。2、火针配合针刺能够改善瘀血阻络型血管性痴呆的认知功能。3、火针配合针刺可以改善瘀血阻络型血管性痴呆的中医证候以及日常生活能力。
[Abstract]:Objective: to observe the therapeutic effect of fire acupuncture combined with acupuncture on vascular dementia with blood stasis and collaterals obstruction. Methods: 60 patients with vascular dementia were randomly divided into two groups: treatment group and control group. There were 30 cases in each group. The treatment group was treated with fire acupuncture combined with acupuncture. The fire needle needled Shuangshencong (left and right, Baihui, Shenting), and the rate of valley (bilateral, millis-needle acupuncture, Shuangshen cong (left and right), Baihui, Shenting, rate valley (bilateral)). Taixi (both sides, Zusanli, Zusanli (bilateral), Xue Hai (bilateral). The control group was treated with filiform acupuncture, acupuncture of Sishengcong, Baihui, Dazhong (bilateral, Taixi, bilateral, suspension bell (bilateral)). Zusanli (double side, blood sea) fire needle prick once every three days, twice a week (Monday, Thursday, the two groups of acupuncture are once a day, one Saturday (Sunday rest one day); Observe the changes of the two groups before and after treatment, and then carry on the comparison before and after the self-treatment and the comparison between the groups. Results: 1, in the aspect of cognitive function improvement. The MMSE scores of the two groups increased after treatment, and the difference was statistically significant before and after treatment (P0.05). After treatment, the MMSE scores of the two groups were compared with P0.05, with statistical significance. The results showed that the treatment group has some advantages over the control group in improving cognitive function, and in the aspect of daily ability. The ADL-R scores of the two groups decreased after treatment, and the difference was statistically significant before and after treatment (P0.05). Treatment group and control group compared with P0.05, there is a significant difference, indicating that the treatment group in improving the ability of daily life of patients than the control group. 3, in the improvement of TCM syndromes. After treatment, the TCM syndrome scores of the two groups were decreased, and the difference was statistically significant (P 0.05). There was significant difference between the treatment group and the control group, which indicated that the treatment group was superior to the control group in improving the TCM syndrome of the patients. Conclusion: 1. Fire acupuncture combined with acupuncture in the treatment of vascular dementia with blood stasis blocking collaterals is effective. 2. Fire acupuncture combined with acupuncture can improve the cognitive function of vascular dementia of blood stasis blocking collaterals. 3. Fire acupuncture combined with acupuncture can improve TCM syndromes and daily living ability of vascular dementia with blood stasis and collaterals obstruction.
【学位授予单位】：黑龙江中医药大学
【学位级别】：硕士
【学位授予年份】：2016
【分类号】：R246.6

【相似文献】