摘要
目的观察针药结合治疗中风后记忆力障碍的临床疗效。方法将119例患者随机分为西药组39例(基础治疗+口服尼莫地平片)、针刺组40例(基础治疗+针刺治疗)、针药组40例(基础治疗+针刺治疗+口服尼莫地平片),共治疗3个月,并于治疗结束后3个月时随访。于治疗前后及随访时采用蒙特利尔认知评估量表对患者进行延迟记忆评分,并于治疗后及随访时观察临床疗效。结果各组患者延迟记忆评分情况在治疗前后及随访时差异均无统计学意义(P>0.05)。治疗后西药组临床疗效总有效率为25.6%,针刺组为35.0%,针药组为62.5%;随访时3组总有效率分别为46.2%、47.5%及82.5%,针药组治疗后及随访时总有效率均明显高于西药组及针刺组(P<0.05)。结论针药结合可以改善中风后患者记忆力障碍,疗效优于单纯的西药或针刺治疗。
Objective To observe the clinical effect of acupuncture combined with western medicine in treating post-stroke dysmnesia. Methods One hundred and nineteen patients were randomized into the western medicine group（ 39 cases,basic treatment and oral nimodipine tablets）,the acupuncture group（ 40 cases,basic treatment and acupuncture） and the acupuncture combined with Chinese medicinal herb group（ 40 cases,basic treatment and acupuncture and oral nimodipine tablets）. All patients were treated for 3 months. Followed up when the treatment had completed for 3 months. Patients＇ delay memory scores were tested by Montreal Cognitive Assessment before,after treatment and at follow-up. Examined the clinical effect after treatment and at follow-up. Results The difference of patients＇ delay memory scores in each group before,after treatment and at follow-up was not significant（ P〈0. 05）.After treatment,the total effective rate in the western medicine group was 25. 6%,35. 0% in the acupuncture group,62. 5% in the acupuncture combined with Chinese medicinal herb group. At follow-up,the total effective rates in 3groups were 46. 2%,47. 5% and 82. 5% respectively. The total effective rate after treatment and at follow-up in the acupuncture combined with Chinese medicinal herb group was significantly higher than that in the western Chinese medicinal herb group and the acupuncture group（ P〈0. 05）. Conclusion Acupuncture combined with western medicine could improve patients＇ post-stroke dysmnesia and was more effective than western medicine alone or acupuncture alone.
出处
《中医杂志》
CSCD
北大核心
2016年第6期489-491,共3页
Journal of Traditional Chinese Medicine
基金
国家中医药管理局国家中医临床研究基地业务建设科研专项课题(JDZX2012139)
关键词
中风
记忆力障碍
针刺疗法
针药结合
延迟记忆
stroke
dysmnesia
acupuncture
acupuncture combined with Chinese medicinal herbs
delay memory
