化瘀通络灸治疗血管性痴呆的临床疗效观察

摘要/Abstract

摘要： 目的研究化瘀通络灸对于血管性痴呆（VD）患者的治疗作用。方法选择2022年9月—2023年8月深圳市罗湖区中医院收治的96例血管性痴呆患者作为研究对象,依据随机数表法将其分成观察组（n=48）与对照组（n=48）,对照组采用常规基础治疗,观察组在对照组常规治疗的基础上增加化瘀通络灸治疗,两组均治疗12周。统计两组治疗前后简易精神状态量表（MMSE）、功能独立性量表（FIM）、长谷川痴呆量表（HDS）积分,通过全自动生化分析仪分析治疗前后血脂四项指标（TG、TC、LDL-C、HDL-C）,比较两组总体治疗有效率。结果治疗前,两组的HDS、MMSE、FIM积分比较,差异无统计学意义（P>0.05）;治疗后,两组HDS、MMSE、FIM积分均有提高,且观察组相比对照组各项积分增加更多,差异有统计学意义（P<0.05）。治疗前,两组血脂指标比较,差异无统计学意义（P>0.05）;治疗后,两组TG、TC、LDL-C水平均下降,且观察组下降更显著,HDL-C均升高,且观察组升高更显著,差异均有统计学意义（P<0.05）。观察组总体治疗有效率高于对照组,差异有统计学意义（P<0.05）。结论化瘀通络灸可有效改善VD患者痴呆症状、提高认知能力、增加日常生活独立性,并有效改善血脂健康程度,从而达到治疗VD的作用。

关键词: 血管性痴呆, 艾灸, 化瘀通络, 百会压灸

Abstract: Objective To investigate the therapeutic effect of Tongluo huayu moxibustion in patients with vascular dementia. Methods A totad of 96 patients with vascular dementia admitted to Shenzhen Luohu Hospital of Traditional Chinese Medicine from September 2022 to August 2023 were selected for the study, and were randomly divided into the control group (n=48) and the observation group (n=48), with the control group using the conventional Western medical treatment, and the observation group adding Huayu Tongluo moxibustion on the basis of the control group. The Hasegawa’s dementia scale (HDS), the mini-mental state examination (MMSE), the functional independence measure (FIM) scores, as well as the lipid levels of total cholesterol (TC), triglyceride (TG), low-density lipoprotein cholesterol (LDL-C), and high-density lipoprotein cholesterol (HDL-C) were observed before and after the treatments, and the overall treatment efficacy rates of the two groups were compared. Results Before treatment, there was no statistically significant difference in the comparison of HDS, MMSE, and FIM scale scores (P<0.05); after treatment, the cough HDS, MMSE, and FIM scores of the two groups were improved, and the observation group had a greater increase in each score compared with the control group (P<0.05). Before treatment, the difference between the TG, TC, LDL-C and HDL-C levels of the two groups was meaningless (P<0.05); after treatment, the TG, TC and LDL-C levels of the two groups were lower than those of the same group before treatment, and the HDL-C level increased compared to that of the same group before treatment, with the TG, TC and LDL-C in the observation group being lower than those of the control group, and the HDL-C being higher than those of the control group (P<0.05). The overall treatment efficiency of the observation group was higher than that of the control group (P<0.05). Conclusion Huayu Tongluo moxibustion can effectively improve the symptoms of dementia, improve cognitive ability, increase independence in daily life, and effectively improve the degree of lipid health in patients with VD.

Key words: vascular dementia, moxibustion, Huayu Tongluo, Baihui pressure moxibustion

中图分类号:

R277.7

吴燕佳, 刘丽敏, 王晓霞, 高敏佳. 化瘀通络灸治疗血管性痴呆的临床疗效观察[J]. 中华养生保健, 2024, 42(16): 14-17.

WU Yan-jia, LIU Li-min, WANG Xiao-xia, GAO Min-jia. Observation on the Clinical Efficacy of Huayu Tongluo Moxibustion in the Treatment of Vascular Dementia[J]. ZHONGHUA YANGSHENG BAOJIAN, 2024, 42(16): 14-17.

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