针刺配合中医情志护理联合西药治疗老年痴呆精神症状临床研究
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R749.1+6

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Clinical Study on Acupuncture and Emotional Nursing of Chinese Medicine Combined with Western Medicine for Mental Symptoms of Senile Dementia
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    摘要:

    目的:观察针刺配合中医情志护理联合西药治疗老年痴呆精神症状的效果。方法:将84例老年痴呆患者随机分为对照组和观察组各42例。2组均口服盐酸多奈哌齐片与和奥氮平片,对照组给予相应的护理措施,观察组给予针刺和中医情志护理,2组疗程均为8周。治疗前后评定神经精神量表(NPI-NH) 评分、Barthel指数(BI) 评定量表评分和简易智力状况检查量表(MMSE) 评分。比较2组的临床疗效。结果:治疗后,观察组临床疗效优于对照组(P<0.05)。2组NPI-NH评分均较治疗前下降(P<0.01),MMSE评分和BI评分均较治疗前升高(P<0.01)。观察组NPI-NH 评分低于对照组(P<0.01),MMSE评分和BI评分均高于对照组(P<0.01)。结论:在常规西药治疗基础上加用针刺配合中医情志护理干预老年痴呆患者,可有效减轻精神症状,提高患者的认知能力和生活活动能力。

    Abstract:

    Abstract:Objective:To observe the effect of acupuncture and emotional nursing of Chinese medicine combined with western medicine on the mental symptoms of senile dementia. Methods:A total of 84 cases of patients with senile dementia were randomly divided into the control group and the observation group,42 cases in each group. Both groups were given oral administration of donepezil hydrochloride tablets and olanzapine tablets;the control group was given corresponding nursing measures;and the observation group was given acupuncture and emotional nursing of Chinese medicine. Both groups were treated for eight weeks. Before and after treatment,the scores of Neuropsychiatric Inventory- Nursing Home Version(NPINH), Barthel index(BI) and Mini-Mental State Examimation(MMSE) were evaluated. The clinical effect in the two groups was compared. Results:After treatment,the clinical effect in the observation group was better than that in the control group(P<0.05). The NPI-NH scores in the two groups were decreased when compared with those before treatment(P<0.01),and the scores of MMSE and BI were increased when compared with those before treatment(P<0.01). The NPI- NH score in the observation group was lower than that in the control group(P<0.01),and the scores of MMSE and BI were higher(P<0.01).Conclusion: Based on routine western medicine, the additional intervention of acupuncture combined with emotional nursing of Chinese medicine can effectively alleviate the mental symptoms and improve the cognitive ability and living ability of patients.

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成灵英,何挺,潘建波.针刺配合中医情志护理联合西药治疗老年痴呆精神症状临床研究[J].新中医,2020,52(10):147-149

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  • 在线发布日期: 2020-05-26
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