發(fā)布時間：2018-04-28 01:39

  本文選題：溫陽補腎灸 + VD��； 參考：《安徽中醫(yī)藥大學》2016年碩士論文

【摘要】：目的:本課題采用溫陽補腎灸治療60例VD患者,通過觀察治療前后患者的簡易智能精神狀態(tài)檢查量表(MMSE)、日常生活能力量表(ADL)及Blessed癡呆量表(BBS)的積分變化,證實溫陽補腎灸的臨床價值及對VD患者的認知功能方面、日常生活能力方面和行為能力方面具有改善作用。并初步探討溫陽補腎灸方法治療VD患者的作用機理。方法:選取符合VD納入標準的患者60例,病例均來自于安徽中醫(yī)藥大學第二附屬醫(yī)院門診及住院部。將此60例患者以就診的順序隨機分為對照組和治療組,每組各30例。對照組給予常規(guī)的西醫(yī)治療:采用改善循環(huán)、抗血小板聚集、調整血壓、血糖等對癥治療。治療組在對照組的常規(guī)西醫(yī)治療基礎上,加用溫陽補腎灸療法:隔龜板灸關元,懸灸命門、大椎。每日1次,每周休息1天,4周后觀察兩組患者的簡易智能精神狀態(tài)檢查量表(MMSE)、日常生活能力量表(ADL)及Blessed癡呆量表的積分變化。結果:1.MMSE量表評分:比較兩組治療前MMSE評分,無顯著性差異(P0.05),具有可比性。治療組治療后MMSE評分與本組治療前比較,有顯著性差異(P0.01);對照組治療后MMSE評分與本組治療前比較,無顯著性差異(P0.05),治療組治療后MMSE評分與對照組治療后MMSE評分比較,差異有統(tǒng)計學意義(P0.01)。2.ADL量表評分:比較兩組治療前ADL評分,無顯著性差異(P0.05),具有可比性。治療組治療后ADL評分與本組治療前比較,有顯著性差異(P0.01);對照組治療后ADL評分與本組治療前比較,有顯著性差異(P0.05),治療組治療后ADL評分與對照組治療后ADL評分比較,差異有統(tǒng)計學意義(P0.01)。3.Blessed量表評分:比較兩組治療前Bllessed量表評分,無顯著性差異(P0.05),具有可比性。治療組治療后Blessed評分與本組治療前比較,差異有統(tǒng)計學意義(P0.01),對照組治療后Blessed評分與本組治療前比較,差異無統(tǒng)計學意義(P0.05),治療組治療后Blessed評分與對照組治療Blessed評分比較,差異有統(tǒng)計學意義(P0.05)。結論:溫陽補腎灸對于VD患者的認知功能、日常生活能力和行為能力均有不同程度的提高、改善作用,明顯優(yōu)于常規(guī)的西醫(yī)對癥治療。溫陽補腎灸法治療VD療效確切,經濟方便,安全可靠,值得推廣使用。
[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.
【學位授予單位】：安徽中醫(yī)藥大學
【學位級別】：碩士
【學位授予年份】：2016
【分類號】：R246.6

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