本文選題：輕中度血管性癡呆 + 針刺療法��； 參考：《湖北中醫(yī)藥大學(xué)》2012年碩士論文

【摘要】：目的： 通過(guò)對(duì)比針刺結(jié)合西藥與單純西藥治療輕中度血管性癡呆的臨床療效差別,探討針刺在治療血管性癡呆中的意義,驗(yàn)證其臨床療效,為其臨床推廣提供依據(jù)。 方法： 48例患者均為湖北省武漢市中醫(yī)醫(yī)院腦病科住院及門(mén)診病人,隨機(jī)分為治療組24例和對(duì)照組24例。兩組在常規(guī)西醫(yī)治療的同時(shí),對(duì)照組另外給予尼麥角林片口服,治療組在對(duì)照組基礎(chǔ)上加用“活血通絡(luò),益髓健腦”針刺法治療,取穴：百會(huì)、四神聰、合谷、血海、懸鐘、太沖。觀察4周后治療組與對(duì)照組治療前后在簡(jiǎn)易精神狀態(tài)檢查表(MMSE)、日常生活能力量表(ADL)積分的變化。計(jì)算其療效指數(shù),并將數(shù)據(jù)進(jìn)行統(tǒng)計(jì)學(xué)分析。 結(jié)果： 兩組患者治療后認(rèn)知功能療效通過(guò)簡(jiǎn)易精神狀態(tài)檢查表得分比較,治療組在治療后總有效率為75%；對(duì)照組總有效率為50%。兩組治療后總有效率經(jīng)統(tǒng)計(jì)學(xué)處理p0.05,有顯著性差異。治療組療效優(yōu)于對(duì)照組。兩組患者在日常生活能力方面比較,治療組在治療后總有效率為79.17%；對(duì)照組總有效率為50%,經(jīng)統(tǒng)計(jì)學(xué)處理p0.05,有顯著性差異,治療組療效優(yōu)于對(duì)照組。 結(jié)論： “活血通絡(luò)”針刺療法可以提高輕中度血管性癡呆的臨床療效,可明顯改善患者認(rèn)知功能及日常生活能力,進(jìn)而提高患者的生存質(zhì)量。VD屬臨床疑難病證,在目前尚缺乏理想的治療藥物和方法的情況下,采用針刺結(jié)合藥物綜合治療不失為一種有效、可行的方法。同時(shí)針刺治療無(wú)毒副作用,安全可靠,值得臨床推廣。
[Abstract]:Objective: By comparing the clinical efficacy of acupuncture combined with western medicine and western medicine in treating mild to moderate vascular dementia, the significance of acupuncture in the treatment of vascular dementia was discussed, the clinical efficacy was verified, and the basis for its clinical popularization was provided. Methods: All 48 patients were inpatients and outpatients in the Department of Encephalopathy, Wuhan traditional Chinese Medicine Hospital, Hubei Province. They were randomly divided into treatment group (n = 24) and control group (n = 24). The two groups were treated with routine western medicine, while the control group was also given niergoline tablets orally. The treatment group was treated with acupuncture therapy of "activating blood circulation and dredging collaterals, benefiting the marrow and strengthening the brain" on the basis of the control group. The acupoints were taken as follows: Baihui, Sishengcong, Hegu, Xuehai, suspension bell, Too strong. After 4 weeks, the scores of MMSE, ADL and ADL were observed before and after treatment in the treatment group and the control group. The curative effect index was calculated and the data were analyzed statistically. Results: The curative effect of cognitive function in the two groups after treatment was compared with the scores of the simple mental state examination table. The total effective rate of the treatment group was 75 and the total effective rate of the control group was 50. The total effective rate of the two groups was significantly different after treatment (p 0.05). The curative effect of the treatment group was better than that of the control The total effective rate of the treatment group was 79.17 after treatment, the total effective rate of the control group was 50, the difference was significant after statistical treatment (p0.05), the curative effect of the treatment group was better than that of the control group. Conclusion: The acupuncture therapy of "Huoxue Tongluo" can improve the clinical effect of mild and moderate vascular dementia, improve the cognitive function and daily life ability of the patients, and then improve the quality of life of the patients. In the absence of ideal drugs and methods at present, acupuncture combined with drug therapy is an effective and feasible method. At the same time, acupuncture treatment has no side effects, safe and reliable, worthy of clinical promotion.
【學(xué)位授予單位】：湖北中醫(yī)藥大學(xué)
【學(xué)位級(jí)別】：碩士
【學(xué)位授予年份】：2012
【分類(lèi)號(hào)】：R246.6;R749.13

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