轻度老年性痴呆患者日常生活能力与中医证候相关性研究  

Study on the Correlation between Daily Living Ability and Traditional Chinese Medicine Syndromes in Patients with Mild Alzheime's Disease

作　　者：李强[1] 林翠茹[1] 张玉莲[1] LI Qiang;LIN Cuiru;ZHANG Yulian(Department of Acupuncture and Moxibustion,the Second Affiliated Hospital of Tianjin Universityof Traditional Chinese Medicine,Tianjin 300073,China)

机构地区：[1]天津中医药大学第二附属医院脑病针灸科,天津300073

出　　处：《光明中医》2023年第9期1617-1620,共4页GUANGMING JOURNAL OF CHINESE MEDICINE

基　　金：国家重点基础研究发展计划(973计划)(No.2010CB530405)。

摘　　要：目的 研究轻度老年性痴呆患者日常生活能力与中医证候相关性。方法 应用统计软件进行多重线性回归,以ADL量表及分项为因变量,中医常见症状为自变量,选择逐步回归法,探索影响日常生活能力的主要中医常见症状。结果 研究发现ADL量表评分与善误、腰膝酸软、行动迟缓最为相关。ADL使用工具能力与善误、行动迟缓最为相关。ADL生活自理能力与善误、行动迟缓、腰膝酸软最为相关。ADL室内活动能力与行动迟缓最为相关。ADL日常生活能力与善误、腰膝酸软、行动迟缓最为相关。ADL饮食能力与反应迟钝、少言寡语最为相关。结论 轻度老年性痴呆患者日常生活能力与中医症状密切相关,从肾论治老年性痴呆结合中医康复提高患者日常生活能力具有很好的临床价值。Objective To study the correlation between daily living ability and traditional Chinese medicine syndromes of patients with mild senile dementia.Methods The statistical software was used for multiple linear regression.Taking ADL scale and sub items as dependent variables and common symptoms of traditional Chinese medicine as independent variables,stepwise regression method was selected.The main common symptoms of traditional Chinese medicine that affect the ability of daily living was discussed.Results The study found that the ADL scale score was most correlated with kindness and error,weakness of waist and knees,and slowness of action.ADL's ability to use tools is most related to error and slowness of action.ADL's ability to take care of oneself was most correlated with kindness and error,slowness of action,and weakness of the waist and knees.ADL indoor activity ability was most correlated with bradykinesia.ADL activities of daily living were most correlated with errors,weakness of the waist and knees,and slowness of movement.ADL eating ability was most related to slow response and lack of speech.Conclusion The ADL of mild AD patients is closely related to the symptoms of traditional Chinese medicine.It is of great clinical value to improve the ADL of patients with senile dementia from the perspective of kidney therapy combined with traditional Chinese medicine rehabilitation.

关 键 词：老年性痴呆 日常生活能力 中医证候 

分 类 号：R277.7[医药卫生—中医学]