摘要
目的:观察针刺五泉穴联合祛风通窍方治疗脑卒中后血管性痴呆的临床疗效。方法:将90例脑卒中后血管性痴呆患者,按就诊编号分为对照组及治疗组,均45例。对照组采用祛风通窍方治疗,治疗组在祛风通窍方治疗的基础上采用针刺五泉穴治疗,对所有患者进行为期9个月的随访调查。比较治疗前、后两组简易精神状态检查量表(MMSE)、蒙特利尔认知评估量表(Mo CA)、美国国立卫生研究院卒中量表(NIHSS)、SF-36健康调查量表、日常生活能力ADL评分、中医证候积分变化情况,并评价两组临床疗效、预后情况。结果:经治疗,两组MMSE、Mo CA、SF-36健康调查量表、日常生活能力ADL评分较治疗前均明显上升,而NIHSS评分、中医证候积分均明显下降,差异均有统计学意义(P<0.05);治疗后治疗组MMSE、Mo CA、SF-36健康调查量表、日常生活能力ADL评分均明显高于对照组,而NIHSS评分、中医证候积分均明显低于对照组,差异均有统计学意义(P<0.05);治疗组临床疗效、预后情况均明显优于对照组,差异有统计学意义(P<0.05)。结论:采用针刺五泉穴联合祛风通窍方治疗脑卒中后血管性痴呆疗效确切,可有效缓解患者痴呆程度,促进身体恢复,提高生存质量。
Objective： To observe the clinical efficacy of acupuncture in Wuquan point combined with Qufeng Tongqiao prescription in treatment of vascular dementia（VD） after stroke. Methods： A total of 90 patients with VD after stroke admitted into the hospital were divided into control group and treatment group by registration order, with 45 cases in each group. Control group received Qufeng Tongqiao prescription and treatment group received acupuncture in Wuquan point on the basis of control group. All the patients were given 9-month follow-up investigation. The changes of MMSE, Mo CA, NIHSS, SF-36, ADL, TCM symptom score of two groups before and after treatment were compared, and clinical efficacy and conditions of prognosis of two groups were evaluated. Results： After treatment, MMSE, Mo CA, SF-36, ADL of two groups significantly increased compared with pre-treatment, while NIHSS and TCM symptom score significantly decreased（P〈0.05）;After treatment, MMSE, Mo CA, SF-36, ADL of treatment group were significantly higher than those of control group, while NIHSS and TCM symptom score were significantly lower than control group（P〈0.05）; Clinical efficacy and conditions of prognosis of treatment group were significantly better than those of control group（P〈0.05）. Conclusion： Applying acupuncture in Wuquan point combined with Qufeng Tongqiao prescription in treatment of VD after stroke has obvious efficacy. It can effectively relieve patients＇ dementia degree, promote body recovery and improve survival quality, which has significant clinical advantages and is worthy of generalization.
出处
《中医药导报》
2018年第3期109-112,118,共5页
Guiding Journal of Traditional Chinese Medicine and Pharmacy
基金
湖北省自然科学基金项目(2011CDB315)
关键词
脑卒中后血管性痴呆
五泉穴
针刺
祛风通窍方
临床疗效
vascular dementia after stroke
Wuquan point
acupuncture
Qufeng Tongqiao prescription
clinical efficacy
