补肾活血汤联合电针治疗血管性痴呆临床研究
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R277.7

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Clinical Study on Bushen Huoxue Tang Combined with Electroacupuncture for Vascular Dementia
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    摘要:

    目的:观察补肾活血汤联合电针治疗血管性痴呆(VD) 的临床疗效。方法:选取69 例VD 患者,按随机数字表法分为研究组35 例和对照组34 例。2 组均给予常规对症治疗,对照组给予电针治疗,研究组在对照组基础上加服补肾活血汤,2 组均连续治疗4 周。比较2 组中医证候疗效,观察2 组治疗前后简易智力状态检查量表(MMSE)、画钟测试(CDT)、功能独立性评定量表(FIM) 评分的变化,记录2 组不良反应。结果:研究组中医证候疗效优于对照组(Z=2.267,P<0.05)。治疗后,2 组MMSE、CDT、FIM 评分均较治疗前升高(P<0.05),研究组MMSE、CDT、FIM 评分均高于对照组(P<0.05)。治疗期间,研究组出现腹泻2 例,对照组出现头晕伴恶心1 例,给予对症治疗后均较快恢复。结论:补肾活血汤联合电针治疗VD 疗效较好,可提高患者的智力、认知能力及独立生活能力,且安全性高。

    Abstract:

    Abstract: Objective: To observe the clinical effect of Bushen Huoxue tang combined with electroacupuncture for vascular dementia(VD). Methods:A total of 69 cases of VD patients were selected and divided into the study group and the control group according to the random number table method,35 and 34 cases in each group respectively. Both groups were given routine symptomatic treatment; the control group was treated with electroacupuncture, and the study group was additionally treated with Bushen Huoxue tang based on the treatment of the control group.Both groups were treated for four weeks. The curative effect of Chinese medicine syndromes in the two groups were compared.Before and after treatment, the changes in scores of Mini- Mental State Examination(MMSE), Clock Drawing Test(CDT) and Functional Independence Measure(FIM) in the two groups were observed.The adverse reactions in the two groups were recorded. Results: The classification of curative effect in the study group was significantly better than that in the control group(Z=2.267,P<0.05). After treatment,the scores of MMSE,CDT and FIM in the two groups were increased when compared with those before treatment(P<0.05), and the scores of MMSE, CDT and FIM in the study group were higher than those in the control group(P<0.05). During treatment,there were two cases of diarrhea in the study group and one case of dizziness and nausea in the study group. Conclusion: Bushen Huoxue tang combined with electroacupuncture for VD has good curative effect, which can improve the intelligence,cognitive ability and independent living ability of patients with high safety.

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蒋利魁.补肾活血汤联合电针治疗血管性痴呆临床研究[J].新中医,2021,53(11):62-65

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  • 在线发布日期: 2021-06-10
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