复方苁蓉益智胶囊、针灸联合康复疗法治疗高血压病伴血管性痴呆临床研究
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Clinical Study on Fufang Congrong Yizhi Capsules, Acupuncture and Moxibustion Combined with Rehabilitation Therapy for Hypertension Complicated with Vascular Dementia
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    目的:观察复方苁蓉益智胶囊、针灸联合康复疗法对高血压病伴血管性痴呆(VD) 患者神经元功能、氧化应激及认知功能的影响。方法:选取90 例高血压病伴VD 患者,按照随机数字表法分为对照组和观察组,每组45 例。对照组给予常规西药治疗,观察组在对照组基础上加用复方苁蓉益智胶囊、针灸及康复疗法治疗,2 组均治疗8 周。比较2 组脑源性神经营养因子(BNDF)、血管内皮生长因子(VEGF)、氧化应激指标及认知功能。结果:治疗后,2 组BNDF、VEGF、谷胱甘肽过氧化物酶(GSH-PX)、超氧化物歧化酶(SOD) 水平均较治疗前升高(P<0.05),观察组BNDF、VEGF、GSH-PX、SOD 水平均高于对照组(P<0.05);2 组丙二醛(MDA) 水平均较治疗前降低(P<0.05),观察组MDA 水平低于对照组(P<0.05)。治疗后,2 组定向、知觉、视运动组织、思维运作、注意与集中评分及总分均较治疗前升高(P<0.05),观察组上述5 项Loewenstein-认知功能评定表(LOTCA) 细则评分及总分均高于对照组(P<0.05)。结论:复方苁蓉益智胶囊、针灸联合康复疗法治疗高血压病伴VD,可有效改善患者的神经元功能,减轻氧化应激损伤,提高其认知功能。

    Abstract:

    Abstract:Objective:To observe the effect of Fufang Congrong Yizhi capsules,acupuncture and moxibustion combined with rehabilitation therapy on neuronal function, oxidative stress and cognitive function of patients with hypertension complicated with vascular dementia(VD). Methods: A total of 90 cases of patients with hypertension complicated with VD were selected and divided into the control group and the observation group according to the random number table method, 45 cases in each group. The control group was given routine western medicine,and the observation group was additionally treated with Fufang Congrong Yizhi capsules,acupuncture and moxibustion,as well as rehabilitation therapy based on the treatment of the control group. Both groups were treated for eight weeks. Brain-derived neurotrophic factor(BDNF),vascular endothelial growth factor(VEGF),indexes of oxidative stress and cognitive function were compared between the two groups. Results:After treatment,levels of BNDF,VEGF,glutathione peroxidase(GSH-PX),and superoxide dismutase(SOD) in the two groups were increased when compared with those before treatment(P<0.05),and the levels of BNDF,VEGF,GSH-PX and SOD in the observation group were higher than those in the control group(P<0.05);levels of malondialdehyde(MDA) in the two groups were decreased when compared with those before treatment(P<0.05), and MDA level in the observation group was lower than that in the control group(P<0.05). After treatment,the scores of orientation,perception,visuomotor organization,thinking operations,attention and concentration,as well as the total score in the two groups were increased when compared with those before treatment(P<0.05); the above five scores and the total score of Loewenstein Occupational Therapy Cognitive Assessment(LOTCA) in the observation group were higher than those in the control group(P< 0.05). Conclusion:In the treatment of hypertension complicated with VD,the therapy of Fufang Congrong Yizhi capsules, acupuncture and moxibustion combined with rehabilitation therapy can effectively improve neuronal function, relieve oxidative stress injury,and enhance cognitive function.

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冯建邦,汤晨东,李英豪,徐海波,钱雄.复方苁蓉益智胶囊、针灸联合康复疗法治疗高血压病伴血管性痴呆临床研究[J].新中医,2021,53(18):63-66

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  • 在线发布日期: 2021-09-24
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