摘要
目的探讨壮医药线点灸治疗血管性痴呆的临床效果。方法选取2016年2月~2019年7月我院收治的60例血管性痴呆患者作为研究对象,按照随机数字表法将其分为治疗组(30例)和对照组(30例)。治疗组患者在基础治疗之外接受壮医药线点灸治疗,对照组患者在基础治疗之外接受吡拉西坦片治疗。两组患者治疗期均为30 d。比较两组患者的临床疗效、简易智力状态检查量表(MMSE)、Barthel指数评定量表(Barthel)及美国国立卫生研究院卒中量表(NIHSS)评分的变化。结果治疗组患者治疗后的MMSE评分总有效率为86.67%,高于对照组的63.33%,差异有统计学意义(P<0.05);治疗组患者治疗后NIHSS评分总有效率为90.00%,高于对照组的66.67%,差异有统计学意义(P<0.05)。治疗后,两组患者的MMSE、Barthel评分均高于治疗前,NIHSS评分低于治疗前,差异有统计学意义(P<0.05);治疗组患者治疗后的MMSE、Barthel评分高于对照组,NIHSS评分低于对照组,差异有统计学意义(P<0.05)。结论壮医药线点灸治疗可有效改善血管性痴呆患者的认知功能和行为能力,降低患者的神经功能缺损程度,值得临床应用及推广。
Objective To investigate the clinical effect of Zhuang medical thread moxibustion in the treatment of vascular dementia.Methods A total of 60 patients with vascular dementia who treated in our hospital from February 2016 to July 2016 were selected as subjects.The patients were divided into treatment group(30 cases)and control group(30 cases)on the basis of random number table method.Patients in the treatment group were treated with Zhuang medical thread moxibustion on the basic treatment,while the patients in the control group were treated with Piracetam Tablets,30 days were a course of treatment.The treatment effect,score changes of mini mental state examination(MMSE),the Barthel index of ADL(Barthel)and the National Institutes of Health stroke scale(NIHSS)of the two groups were compared.Results The total effective rate of the score of MMSE in the treatment group was 86.67%after treatment,which was higher than 63.33%of the control group,and the difference was statistically significant(P<0.05).The total effective rate of the score of NIHSS in the treatment group(90.00%)was higher than that in the control group(66.67%),and the difference was statistically significant(P<0.05).After treatment,the MMSE and Barthel scores of the two groups were higher than those before treatment,and the NIHSS scores were lower than those before treatment,the differences were statistically significant(P<0.05).The scores of MMSE and Barthel in the treatment group were higher than those of the control group,while NIHSS score was lower than that of the control group,with significant differences(P<0.05).Conclusion Zhuang medical thread moxibustion can effectively improve the cognitive function and behavior ability of patients and reduce neurological deficit.It is worthy of clinical application and promotion.
作者
韦羡萍
林佳明
林利城
吴艳丽
WEI Xian-ping;LIN Jia-ming;LIN Li-cheng;WU Yan-li(Department of Encephalopathy,Traditional Chinese Medical Hospital of Qinzhou City,Guangxi Zhuang Autonomous Region,Qinzhou 535000,China)
出处
《中国当代医药》
2020年第16期182-185,共4页
China Modern Medicine
基金
广西壮族自治区卫生和计划生育委员会中医药科技专项(GZLC16-74)。
关键词
壮医药线点灸
血管性痴呆
认知障碍
神经功能缺损
Zhuang medical thread moxibustion
Vascular dementia
Cognitive disorders
Neurological deficit
