温阳补肾灸治疗血管性痴呆临床疗效的观察

发布时间：2018-04-28 01:39

本文选题：温阳补肾灸 + VD　；参考：《安徽中医药大学》2016年硕士论文

【摘要】：目的:本课题采用温阳补肾灸治疗60例VD患者,通过观察治疗前后患者的简易智能精神状态检查量表(MMSE)、日常生活能力量表(ADL)及Blessed痴呆量表(BBS)的积分变化,证实温阳补肾灸的临床价值及对VD患者的认知功能方面、日常生活能力方面和行为能力方面具有改善作用。并初步探讨温阳补肾灸方法治疗VD患者的作用机理。方法:选取符合VD纳入标准的患者60例,病例均来自于安徽中医药大学第二附属医院门诊及住院部。将此60例患者以就诊的顺序随机分为对照组和治疗组,每组各30例。对照组给予常规的西医治疗:采用改善循环、抗血小板聚集、调整血压、血糖等对症治疗。治疗组在对照组的常规西医治疗基础上,加用温阳补肾灸疗法:隔龟板灸关元,悬灸命门、大椎。每日1次,每周休息1天,4周后观察两组患者的简易智能精神状态检查量表(MMSE)、日常生活能力量表(ADL)及Blessed痴呆量表的积分变化。结果:1.MMSE量表评分:比较两组治疗前MMSE评分,无显著性差异(P0.05),具有可比性。治疗组治疗后MMSE评分与本组治疗前比较,有显著性差异(P0.01);对照组治疗后MMSE评分与本组治疗前比较,无显著性差异(P0.05),治疗组治疗后MMSE评分与对照组治疗后MMSE评分比较,差异有统计学意义(P0.01)。2.ADL量表评分:比较两组治疗前ADL评分,无显著性差异(P0.05),具有可比性。治疗组治疗后ADL评分与本组治疗前比较,有显著性差异(P0.01);对照组治疗后ADL评分与本组治疗前比较,有显著性差异(P0.05),治疗组治疗后ADL评分与对照组治疗后ADL评分比较,差异有统计学意义(P0.01)。3.Blessed量表评分:比较两组治疗前Bllessed量表评分,无显著性差异(P0.05),具有可比性。治疗组治疗后Blessed评分与本组治疗前比较,差异有统计学意义(P0.01),对照组治疗后Blessed评分与本组治疗前比较,差异无统计学意义(P0.05),治疗组治疗后Blessed评分与对照组治疗Blessed评分比较,差异有统计学意义(P0.05)。结论:温阳补肾灸对于VD患者的认知功能、日常生活能力和行为能力均有不同程度的提高、改善作用,明显优于常规的西医对症治疗。温阳补肾灸法治疗VD疗效确切,经济方便,安全可靠,值得推广使用。
[Abstract]:Objective: 60 patients with VD were treated with warming yang and tonifying kidney moxibustion. The scores of MMSE, ADL and Blessed dementia scale were observed before and after treatment. It was proved that moxibustion of warming yang and tonifying kidney could improve the cognitive function, activity of daily living and behavior of VD patients. The mechanism of treating VD patients with moxibustion of warming yang and tonifying kidney was discussed. Methods: 60 patients with VD were selected from outpatient and inpatient department of the second affiliated Hospital of Anhui University of traditional Chinese Medicine. The 60 patients were randomly divided into control group (n = 30) and treatment group (n = 30). The control group was treated with routine western medicine: improving circulation, anti-platelet aggregation, adjusting blood pressure and blood sugar. The treatment group in the control group on the basis of routine western medicine treatment, plus moxibustion therapy of warming yang and tonifying kidney: moxibustion of tortoise slabs, hanging moxibustion, Dazhui. The scores of MMSE, ADL-ADL and Blessed dementia scale were observed after 4 weeks of rest once a day. Results 1. The score of MMSE scale: there was no significant difference in MMSE score between the two groups before treatment (P 0.05), which was comparable. There was significant difference in the MMSE score after treatment between the treatment group and before treatment (P 0.01), but there was no significant difference in the MMSE score between the control group and the control group (P 0.05). The MMSE score after treatment in the treatment group was higher than that in the control group (P 0.05), and the MMSE score in the treatment group was higher than that in the control group (P < 0.05). There was no significant difference between the two groups in ADL scores before treatment (P 0.05), and there was no significant difference between the two groups (P 0.05), and there was no significant difference between the two groups (P 0.05), and there was no significant difference between the two groups (P 0.05). There was significant difference in the ADL score after treatment between the treatment group and the pre-treatment group (P 0.01), the ADL score in the control group was significantly different from that in the control group (P 0.05), the ADL score in the treatment group was higher than that in the control group (P < 0.05), and the ADL score in the treatment group was higher than that in the control group (P < 0.05). The difference was statistically significant (P 0.01) .3.Blessed scale: there was no significant difference in the scores of Bllessed scale before treatment between the two groups (P 0.05), which was comparable. The Blessed score after treatment in the treatment group was significantly different from that before treatment (P 0.01), but the Blessed score in the control group was not significantly different from that in the control group (P 0.05). The Blessed score in the treatment group was higher than that in the control group (P 0.05), and the Blessed score in the treatment group was higher than that in the control group (P < 0.05). The difference was statistically significant (P 0.05). Conclusion: the moxibustion of warming yang and tonifying kidney can improve the cognitive function, daily living ability and behavior ability of VD patients to some extent. Warming yang and tonifying kidney moxibustion is effective, economical, safe and reliable in treating VD. It is worth popularizing.
【学位授予单位】：安徽中医药大学
【学位级别】：硕士
【学位授予年份】：2016
【分类号】：R246.6

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