摘要
目的探讨针灸联合中医辩证用于治疗老年痴呆的临床效果。方法选取2012年3月—2013年10月住院治疗的老年痴呆患者共68例,按随机数字表法分为观察组和对照组,每组34例患者;其中观察组患者采用针灸联合中药辩证治疗,对照组患者只采用针灸治疗;记录对比2组患者治疗前后的脑CT变化、血清中甘油三酯、胆固醇及β-脂蛋白的变化,参照《老年呆病的诊断、辨证分型及疗效评定标准》判定患者的疗效;所有资料经统计软件分析,计数资料使用百分比、率进行描述性分析,并采用χ2检验。结果 68例患者治疗3个疗程共24例,治疗4个疗程共22例,治疗5个疗程共12例,治疗6个疗程共10例,观察组的总有效率为88.2%(30/34),显著高于对照组的67.6%(23/34),χ2=4.191,P<0.05;治疗后,2组的脑萎缩及血脂异常例数均减少,但2组之间差异无统计学意义(均P>0.05)。结论针药联合辩证治疗用于治疗老年痴呆患者疗效满意,值得推广。
Objective To discuss the curative effects of acupuncture combined with dialectical therapy of TCM in the treatment of senile dementia. Methods From March 2012 to October 2013 in our hospital a total of 68 patients with senile dementia were chosen and divided into the observation group and the control group using random number method （34 cases in each group） ;The observation group were treated with acupuncture combined dialectical treatment of TCM while the control group were only given acupuncture treatment;Before and after treatment, the changes in brain CT, serum triglyceride, cholesterol and the change β-lipoprotein changes of the two groups were recorded and compared;The curative effect evaluation was determined according to the ＂evaluation criteria for the diagnosis, differentiation type of TCM and curative effect＂. The statistical software was used to perfume statistical analysis（ X^2 test） for all data. Results 24 patients had 3 courses of treatment,22 cases had 4 courses of treatment, 12 cases had 5 courses of treatment ,and 10 cases had 6 courses of treatment. The total effective rate of the observation group was 88.2% （30/34） which was significantly higher than 67.6% （23/34） of the control group （ x2 = 4.191, P 〈 0.05 ） ; after the treatment, the cases with brain atrophy and dyslipidemia were reduced in both groups, but there were no statistically significant differences between the two groups （ all P 〉 0.05）. Conclusion The acupuncture combined with dialectical therapy has better curative effects on senile dementia,which is worthy of clinical promotion.
出处
《中华全科医学》
2015年第3期472-474,共3页
Chinese Journal of General Practice
关键词
针灸
辩证治疗
老年痴呆
Acupuncture
Dialectical therapy
Senile dementia
