眼针结合认知训练治疗中风后血管性认知障碍的疗效观察

发布时间：2018-03-15 11:37

本文选题：血管性认知障碍　切入点：眼针　出处：《辽宁中医药大学》2016年硕士论文　论文类型：学位论文

【摘要】：目的:观察眼针结合认知训练治疗血管性认知障碍,为中风后血管性认知障碍提供有效治疗手段。资料与方法:将选取60例肾虚髓减、痰浊阻窍证型中风后认知障碍的患者随机分为两组。两组均给予西医常规治疗(如控制血压、血糖、抗血小板聚集等)及认知训练,治疗组在此基础上加用眼针针刺治疗,选取肾穴、肝穴、脾穴和心穴。采用中医症候积分、简易精神状态检查量表(MMSE)、日常生活活动能力量表(ADL)的评分来评价临床疗效,并运用SPSS17.0对搜集的数据进行统计分析。结果:1.改善中医证候方面,两组组内比较分析均有显著的差异(P0.05),组间比较有显著差异。2.改善认知能力方面,两组组内比较分析均有显著的差异(P0.05),组间比较有显著差异。3.改善日常生活活动能力方面,两组组内比较分析均有显著的差异(P0.05),组间比较有显著差异。结论:1.眼针可改善中风后认知障碍患者在中医症候、认知功能、日常生活活动能力方面的疗效。2.眼针可通过刺激所嘱脏腑相应穴区,以达益肾精化浊瘀之功用,减缓并改善患者的认知症状。3.眼针疗法简便安全的可操作性及疗效确切而无毒副作用的特点,更体现出其优越性和重要的推广价值。
[Abstract]:Objective: to observe the effect of eye acupuncture combined with cognitive training in the treatment of vascular cognitive impairment, and to provide an effective treatment for vascular cognitive disorder after stroke. The patients with cognitive impairment after stroke of phlegm turbid obstruction syndrome were randomly divided into two groups. Both groups were given routine western medicine treatment (such as blood pressure control, blood glucose, anti-platelet aggregation, etc.) and cognitive training. The treatment group was treated with eye acupuncture plus eye acupuncture on this basis. In order to evaluate the clinical effect, the points of kidney, liver, spleen and heart were selected. The scores of TCM symptom score, simple mental state examination scale (MMSE) and activity of daily living scale (ADL) were used to evaluate the clinical efficacy. SPSS17.0 was used to analyze the collected data. Results: 1. In improving TCM syndromes, there were significant differences between the two groups (P 0.05), and there were significant differences between the two groups. 2. To improve cognitive ability, there were significant differences between the two groups. There were significant differences between the two groups in comparison and analysis, and there was significant difference between the two groups. 3. To improve the ability of daily living, There were significant differences between the two groups in comparison and analysis, and there were significant differences between the two groups. Conclusion: eye acupuncture can improve the symptoms and cognitive function of the patients with cognitive impairment after stroke. Effect of activity of daily life .2.Eye-acupuncture can stimulate the corresponding acupoints of the zang-fu organs to achieve the function of tonifying the kidney and removing turbid blood stasis. To alleviate and improve the cognitive symptoms of the patients .3.The simple and safe operation of eye acupuncture therapy and the characteristics of accurate curative effect without toxic side effects reflect its superiority and important value of popularization.
【学位授予单位】：辽宁中医药大学
【学位级别】：硕士
【学位授予年份】：2016
【分类号】：R246.6

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