通督化瘀灸法治疗血管性认知障碍临床观察  

Clinical Observations on Du Meridian-unblocking and Blood Stasis-removing Moxibustion for the Treatment of Vascular Cognitive Impairment

作　　者：朱才丰[1] 杨骏[2] 杨坤[1] 蔡圣朝[1] 费爱华[1] 俞红五[1] 陈颖[1] 秦晓凤[1] 李晋[1] 

机构地区：[1]安徽中医学院附属针灸医院,合肥230061 [2]安徽中医学院第一附属医院,合肥230032

出　　处：《上海针灸杂志》2013年第4期242-244,共3页Shanghai Journal of Acupuncture and Moxibustion

基　　金：国家自然科学基金资助项目(30973801);安徽中医学院青年科研基金资助项目

摘　　要：目的观察通督化瘀灸法对血管性认知障碍患者认知功能改善的作用,为临床治疗提供依据。方法选择血管性认知障碍患者60例,随机分为艾灸组30例,西药组30例。在治疗前及治疗后分别对两组患者用简易精神状态检查量表(MMSE)、日常生活能力量表(ADL)、蒙特利尔认知评估量表(MoCA)及中医证型量表(SDSVD)进行评定并对数据进行统计学分析。结果临床疗效分析根据MMSE,艾灸组总有效率为80.0%,西药组总有效率为60.0%,两组比较差异有统计学意义(P<0.05),艾灸组总有效率优于西药组。MMSE、MoCA数据显示,两组治疗前后比较差异具有统计学意义(P<0.05);组间比较,差异有统计学意义(P<0.05),艾灸组疗效优于西药组。ADL评价显示,两组治疗前后组内比较差异显著(P<0.05);组间比较差异无统计学意义(P>0.05)。根据SDSVD评定显示,艾灸组治疗前后比较差异具有统计学意义(P<0.05)。结论通督化瘀灸法治疗血管性认知障碍在改善认知功能方面疗效优于口服尼莫地平,是血管性认知障碍有效治疗方法。Objective To investigate the efficacy of Du meridian-unblocking and blood stasis-removing moxibustion in improving cognitive function in patients with vascular cognitive impairment and provide a basis for clinical treatment. Method Sixty patients with vascular cognitive impairment were enrolled and randomly allocated to a moxibustion group of 30 cases and a Western drug group of 30 cases. An evaluation was made using the Mini Mental State Examination （MMSE）, the Activities of Daily Living （ADL）, the Montreal Cognitive Assessment （MoCA） and the Syndrome Differentiation Scale of Vascular Dementia （SDSVD） before and after treatment. The data were analyzed statistically. Result The MMSE-based evaluation of the clinical therapeutic effects showed that the total efficacy rate was 80.0% in the moxibustion group and 60.0% in the Western drug group; there was a statistically significant difference between the two groups （P〈0.05）. The total efficacy rate was higher in the moxibustion group than in the Western drug group. An evaluation with the MMSE and the MoCA showed that there was a statistically significant pre-/post-treatment difference in the two groups （P〈0.05） and there was a statistically significant difference between the two groups （P〈0.05）; the therapeutic effect was better in the moxibustion group than in the Western drug group. An evaluation with the ADL showed that there was a statistically significant pre-/post-treatment difference in the two groups （P〈0.05） and no statistically significant difference between the two groups （P〉0.05）. An evaluation with the SDSVD showed that there was a statistically significant pre-/post-treatment difference in the moxibustion group （P〈0.05）. Conclusion Du meridian-unblocking and blood stasis-removing moxibustion is better than oral nimodipine in improving cognitive function in patients with vascular cognitive impairment. It is an effective way to treat vascular cognitive impairment.

关 键 词：灸法 痴呆 血管性 认知障碍 通督化瘀 

分 类 号：R246.6[医药卫生—针灸推拿学]