發(fā)布時(shí)間：2018-06-08 13:42

  本文選題：針刺 + 頭穴　； 參考：《南京中醫(yī)藥大學(xué)》2013年碩士論文

【摘要】：目的：觀察針刺頭穴為主治療血管性癡呆患者的臨床療效,探討針刺頭穴為主治療血管性癡呆的效應(yīng),為針灸治療腦卒中后血管性癡呆提供依據(jù)。 方法：收集自2011年10月-2012年11月無錫市中醫(yī)醫(yī)院醫(yī)院腦病科確診為腦卒中后血管性癡呆患者82例。根據(jù)數(shù)字隨機(jī)表,將患者隨機(jī)分為治療組42例和對(duì)照組40例。治療組給予頭穴為主的針刺治療,對(duì)照組給予腦病科常規(guī)治療。觀察血管性癡呆患者M(jìn)MSE、 HDS-R評(píng)分情況及血清內(nèi)SOD水平。分別在治療前及治療后評(píng)分,比較兩組的臨床療效。 結(jié)果：1.治療三個(gè)療程后,治療組3例無效,39例有效,有效率90.70%,對(duì)照組19例無效,21例有效,有效率52.5%。治療組與對(duì)照組治療后總療效比較有統(tǒng)計(jì)學(xué)差異(P0.05),治療組療效明顯優(yōu)于對(duì)照組。 2.治療三個(gè)療程后,治療組MMSE、HDS-R積分及血清內(nèi)SOD水平與對(duì)照組相比有統(tǒng)計(jì)學(xué)差異(P0.05),且效果顯著。 結(jié)論：1.針刺頭穴為主治療血管性癡呆臨床療效顯著,能明顯提高患者的MMSE、HDS-R評(píng)分,且起效快捷,安全可靠。 2.針刺治療不僅能改善患者的學(xué)習(xí)、記憶等認(rèn)知能力,還能較早改善患者情感障礙、精神癥狀,并顯著改善患者的生活,讓患者對(duì)未來充滿信心。 3.初步證明針刺頭穴為主治療血管性癡呆,臨床癥狀明顯改善,效果顯著,安全可靠,可推廣運(yùn)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.
【學(xué)位授予單位】：南京中醫(yī)藥大學(xué)
【學(xué)位級(jí)別】：碩士
【學(xué)位授予年份】：2013
【分類號(hào)】：R246.6

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本文編號(hào)：1995981