摘要
目的:对老年期痴呆患者提供中医传统手法治疗并对此疗法在减轻患者精神行为问题和提高日常生活机能与认知功能方面的疗效进行评价,为该病的精神行为症状的治疗和缓解提供新思路。方法:总共71名受试者来自中国十个省市的14个中医院和养老院,为50岁以上中老年人(其中50~60岁2人,60~70岁16人,70~80岁23人,80~90岁25人,90以上5人),患有不同程度的认知功能障碍。所有病人得到为期为6个月,每周3次,每次40~60分钟的统一规程的中医手法推拿按摩治疗。使用单组治疗前后对照研究,全部参加者在入组时先做基线测查,治疗中期(3个月)和治疗结束(6个月)时再做一次同样的测查。结果:认知功能(MMSE)三月追踪和基线无显著性统计变化,但六月追踪与基线相比有显著性提高(t=2.71;p <0.01)。精神行为问题(NPI)三月追踪(t=-3.15;p <0.01)和六月追踪(t=-4.43;p <0.001)都相对基线有显著性降低。日常生活机能(ADL)三月追踪(t=3.75;p <0.001)和六月追踪(t=6.17;p <0.001)相对基线有显著性提高。这些结果表明,这些患者在接受传统中医手法治疗三个月后,在降低精神与行为问题方面有明显好转,在日常生活机能方面也有明显提高。在连续接受治疗六个月,患者的认知功能还表现出明显的好转。结论:初步证据表明传统中医手法对老年期痴呆患者有明显治疗效果。中医手法操作简单易学,在老年期痴呆患者照护实践中有很强的可行性和广泛接受性,值得进一步研究和推广。
Objective:To provide traditional Chinese medicine massage therapy for older adults with dementia and evaluate its effects in reducing psychological and behavioral problems and improving physical as well as cognitive functioning,so as to provide new insight for the treatment and prevention of mental and behavioral symptoms of dementia.Methods:A total of 71 older adults(including 2 people aged 50~60,16 people aged 60~70,23 people aged 70~80,25 people aged 80~90,and 5 people over 90),with different degrees of cognitive impairment,were recruited from traditional Chinese medicine hospitals and nursing homes in China.All participants received TCM manipulation massage therapy for 6 months,2-3 times a week,40-60 minutes each time.Using a single-group pre-and post-test design,all participants were evaluated at baseline,3 months(mid-treatment)and 6 months(end of treatment).Results:There were no statistically significant changes in the MMSE between the three-month follow-up and baseline,but there was a significant improvement in the six-month follow-up compared with baseline(t=2.71;p<0.01).Both the 3-month follow-up(t=-3.15;p<0.01)and the 6-month follow-up(t=-4.43;p<0.001)were significantly lower from baseline in NPI.ADL was significantly improved from baseline in the 3-month follow-up(t=3.75;p<0.001)and the 6-month follow-up(t=6.17;p<0.001).These results indicate that these patients showed significant improvement in reducing psychological and behavioral symptoms of dementia and improved in daily living functions after three months of TCM manipulation.After six months of continuous treatment,the patient's cognitive function also showed significant improvement.Conclusion:Preliminary evidence shows that traditional Chinese medicine massage therapy has obvious therapeutic effect on elderly patients with dementia.TCM manipulation is simple and easy to learn and has high feasibility and wide acceptance in the practice of care for elders with dementia,which is worthy of further research and dissemination.
作者
李宗民
刘勇泼
刘洪旺
杜宁
张守字
丁全茂
王红梅
扈盛
王凯鹏
王锡宁
赵祥麟
陈凌霜
陈宏图
Zongmin LI;Yongpo LIU;Hongwang LIU;Ning DU;Shouzi ZHANG;Quanmao DING;Hongmei WANG;Sheng HU;Kaipeng WANG;Xining WANG;Xianglin ZHAO;Lingshuang CHEN;Hongtu CHEN(Research and Development Association of Traditional Chinese Medicine;Shanghai Ruijin Hospital;China Academy of Chinese Medical Sciences Guang'anmen Hospital;Beijing Geriatric Hospital;Central University of Finance and Economics;Wuhan Sports University;University of Denver,USA;Harvard Medical School,USA)
出处
《阿尔茨海默病及相关病杂志》
2023年第1期64-68,共5页
Chinese Journal of Alzheimer's Disease and Related Disorders
关键词
中医手法治疗
老年期痴呆
疗效评价
Traditional Chinese Medicine Manipulative Therapy
Senile Dementia
Efficacy Evaluation
