本文關(guān)鍵詞：回醫(yī)烙灸督脈聯(lián)合針刺治療血管性癡呆的臨床療效觀察　出處：《寧夏醫(yī)科大學(xué)》2017年碩士論文　論文類型：學(xué)位論文

  更多相關(guān)文章： 烙灸 血管性癡呆 常規(guī)針刺 督脈 臨床療效

【摘要】：目的觀察烙灸督脈聯(lián)合針刺與單純運(yùn)用烙灸、針刺治療血管性癡呆的臨床療效差異。方法按照隨機(jī)、對(duì)照的臨床研究方法,選擇符合納入標(biāo)準(zhǔn)的血管性癡呆患者120例,按就診順序以1:1:1比例隨機(jī)分為烙灸針刺組、督脈烙灸組、常規(guī)針刺組,每組各40例。烙灸針刺組給予烙灸聯(lián)合針刺治療,針刺每天1次,每次30min,每周連續(xù)治療5次,周末休息,烙灸每周一、周五治療,每周2次。督脈烙灸組的治療同烙灸針刺組中的烙灸治療,常規(guī)針刺組的治療同烙灸針刺組中的針刺治療。1周為1個(gè)療程,共治療4周。分別在治療前、治療4周、12周后隨訪采用血管性癡呆辯證量表(SDSVD)、簡(jiǎn)易精神狀態(tài)量表(MMSE)、修訂長(zhǎng)谷川癡呆量表(HDS)、日常生活活動(dòng)量表(ADL)進(jìn)行評(píng)分,評(píng)定臨床療效。結(jié)果1.總體療效:采用全分析集方法(FAS分析法):治療4周后烙灸針刺組總有效率為90.00%(36/40)、督脈烙灸組70.00%(28/40)、針刺組65.00%(26/40)。12周后隨訪,烙灸針刺組、督脈烙灸組和常規(guī)針刺組的總有效率分別為85.00%(34/40)、65.00%(26/40)和60.00%(24/40)。治療4周、12周后隨訪各組的總有效率不全相同,差異有統(tǒng)計(jì)學(xué)意義(P0.05);烙灸針刺組與督脈烙灸組、常規(guī)針刺組比較,差異均有統(tǒng)計(jì)學(xué)意義(P10.05,P20.05);督脈烙灸組與常規(guī)針刺組療效比較,差異無統(tǒng)計(jì)學(xué)意義(P0.05);利用符合方案集分析(PP分析法):治療4周后烙灸針刺組總有效率為89.47%(34/38)、督脈烙灸組65.79%(25/38)、常規(guī)針刺組63.16%(24/38)。12周后隨訪烙灸針刺組、督脈烙灸組和常規(guī)針刺組的總有效率分別為86.84(33/38)%、60.52%(25/38)和57.89%(22/38)。治療4周、12周后隨訪各組的總有效率不全相同,差異有統(tǒng)計(jì)學(xué)意義(P0.05);烙灸針刺組與督脈烙灸組、常規(guī)針刺組比較,差異均有統(tǒng)計(jì)學(xué)意義(P10.05,P20.05);督脈烙灸組與常規(guī)針刺組療效比較,差異無統(tǒng)計(jì)學(xué)意義(P0.05)。2.各項(xiàng)評(píng)價(jià)指標(biāo)比較:采用全分析集方法(FAS分析法)及符合方案集分析(PP分析法):治療4周后3組各項(xiàng)評(píng)分較治療前均有顯著變化(均P0.01);烙灸針刺組SDSVD、MMSE、HDS、ADL評(píng)分改善優(yōu)于督脈烙灸組和常規(guī)針刺組(均P0.05);督脈烙灸組與常規(guī)針刺組治療后的各項(xiàng)指標(biāo)評(píng)分差異無統(tǒng)計(jì)學(xué)意義(P0.05)。12周后隨訪,采用全分析集方法(FAS分析法)及符合方案集分析(PP分析法):烙灸針刺組SDSVD、MMSE、HDS、ADL評(píng)分改善優(yōu)于督脈烙灸組和常規(guī)針刺組(均P0.05);督脈烙灸組與常規(guī)針刺組各項(xiàng)指標(biāo)評(píng)分差異無統(tǒng)計(jì)學(xué)意義(P0.05)。結(jié)論1.回醫(yī)烙灸督脈聯(lián)合針刺治療血管性癡呆在總體療效方面優(yōu)于單純督脈烙灸和常規(guī)針刺治療;2.回醫(yī)烙灸督脈聯(lián)合針刺治療血管性癡呆在改善患者的中醫(yī)證候積分、認(rèn)知功能,恢復(fù)日�；顒�(dòng)能力方面優(yōu)于單純督脈烙灸和常規(guī)針刺治療;3.督脈烙灸和常規(guī)針刺治療血管性癡呆在臨床療效、改善各項(xiàng)評(píng)價(jià)指標(biāo)方面療效相近,但督脈烙灸組在耗材、省時(shí)和節(jié)約醫(yī)療費(fèi)用等方面優(yōu)于常規(guī)針刺組。
[Abstract]:Objective to observe the difference of clinical effect between cauterized moxibustion combined with acupuncture and simple cauterization moxibustion and acupuncture in treating vascular dementia. One hundred and twenty patients with vascular dementia according to the inclusive criteria were selected and randomly divided into four groups according to the proportion of 1: 1: 1: 1: 1: 1: 1: 1: 1: 1: 1: 1: 1: 1: 1: 1: 1, 1: 1, 1: 1, respectively. 40 cases in each group were treated with cauterized moxibustion combined with acupuncture, acupuncture once a day for 30 minutes, 5 times a week, rest on the weekend, cautery moxibustion every Monday, Friday treatment. Two times a week. The treatment of du meridian cauterization moxibustion group is the same as the cauterization moxibustion treatment in the cautery moxibustion group, and the acupuncture treatment in the routine acupuncture group and the cauterized moxibustion group is a course of treatment for a period of 4 weeks, respectively before the treatment. After 4 weeks and 12 weeks of treatment, the patients were followed up with Vascular dementia Dialectic scale (SDSVD), simple Mental State scale (MMSE), and modified Hasegawa dementia scale (HDS). Activity of daily living (ADL) was evaluated. Evaluation of clinical efficacy. 1. Overall efficacy: the total effective rate of the cauterized moxibustion acupuncture group was 90.0036 / 40 after 4 weeks of treatment. 2. The moxibustion group was followed up by 26 / 40 / 12 weeks, and the moxibustion group was followed up by cautery moxibustion for 28 / 40%, and the acupuncture group was followed up by 65.00% of 26 / 40. 12 weeks later, the burn moxibustion group. The total effective rates of the moxibustion group and the routine acupuncture group were 85.00% and 65.00% and 65.00% respectively. After 12 weeks of follow-up, the total effective rate of each group was not all the same, and the difference was statistically significant (P 0.05). The differences between cauterized moxibustion group and du vein cautery moxibustion group and routine acupuncture group were statistically significant (P 10.05) and P 20.05 (P < 0.05). There was no significant difference in the curative effect between the du vein cauterization moxibustion group and the routine acupuncture group (P 0.05). The total effective rate of cauterized moxibustion group was 89.47% and that of du vein cauterized moxibustion group was 65.79% / 38% after 4 weeks of treatment. The total effective rates of the routine acupuncture group and the routine acupuncture group were 86.84% 33 / 38 / 38% after follow-up for 24 / 38 / 12 weeks, respectively, in the du vein cautery moxibustion group and the routine acupuncture group. 60.52% 25 / 38) and 57.89% 22 / 38. After 4 weeks and 12 weeks of treatment, the total effective rate of each group was not all the same, and the difference was statistically significant (P 0.05). The differences between cauterized moxibustion group and du vein cautery moxibustion group and routine acupuncture group were statistically significant (P 10.05) and P 20.05 (P < 0.05). Comparison of curative effect between the moxibustion group of du vein cautery and the routine acupuncture group. There was no statistical difference (P0.05. 2.Compared with each evaluation index: the total analysis set method was used to analyze the FAS) and the consistent scheme set analysis method was used to analyze the PP). : after 4 weeks of treatment, the scores of the three groups were significantly different from those before treatment (all P 0.01). The improvement of ADL score of SDSVDX MMSE MMSE in the cautery moxibustion group was better than that in the du vein cautery moxibustion group and the routine acupuncture group (all P 0.05). There was no significant difference in the scores of the indexes between the two groups after treatment (P0.050.12 weeks later). The whole analysis set method was used to analyze MMSE HDS and the consistent scheme set analysis was used to analyze the PP method: the group of cautery moxibustion and acupuncture group were treated with MMSEN HDS. The improvement of ADL score was better than that of du vein cautery moxibustion group and routine acupuncture group (P 0.05). There was no significant difference in the scores of various indexes between the du meridian cautery moxibustion group and the routine acupuncture group (P0.05). Conclusion 1.The general curative effect of treating vascular dementia with cauterized moxibustion combined with acupuncture is superior to that of simple cauterization moxibustion of du vein and routine acupuncture treatment. 2. Traditional Chinese medicine syndromes score, cognitive function and recovery of daily activity of patients with vascular dementia were better than those of traditional Chinese medicine moxibustion and routine acupuncture treatment. 3. The curative effect on vascular dementia treated by cauterized moxibustion of du vein and routine acupuncture was similar, but the effect of cauterization moxibustion group was superior to that of routine acupuncture group in material consumption, time saving and medical expense saving.
【學(xué)位授予單位】：寧夏醫(yī)科大學(xué)
【學(xué)位級(jí)別】：碩士
【學(xué)位授予年份】：2017
【分類號(hào)】：R246.6

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