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纸质出版日期:2014
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张杰, 马云枝, 杨泽锋, 等. 针药结合治疗非痴呆型血管认知功能障碍[J]. 中国实验方剂学杂志, 2014,20(15):217-220.
ZHANG Jie, MA Yun-zhi, YANG Ze-feng, et al. Clinical Study on Acupuncture Combined with Chinese Medicine on Patients with Vascular Cognitive Impairment No Dementia[J]. Chinese journal of experimental traditional medical formulae, 2014, 20(15): 217-220.
张杰, 马云枝, 杨泽锋, 等. 针药结合治疗非痴呆型血管认知功能障碍[J]. 中国实验方剂学杂志, 2014,20(15):217-220. DOI: 10.13422/j.cnki.syfjx.2014150217.
ZHANG Jie, MA Yun-zhi, YANG Ze-feng, et al. Clinical Study on Acupuncture Combined with Chinese Medicine on Patients with Vascular Cognitive Impairment No Dementia[J]. Chinese journal of experimental traditional medical formulae, 2014, 20(15): 217-220. DOI: 10.13422/j.cnki.syfjx.2014150217.
目的:观察针药结合对非痴呆型血管认知功能障碍患者认知功能、日常生活能力及中医证候的疗效。 方法:将80例非痴呆型血管认知功能障碍患者随机分为治疗组和对照组,每组各40例。在针对血管危险因素治疗的基础上,治疗组给予中成药复智胶囊联合针灸治疗,对照组给予奥拉西坦胶囊治疗,疗程均为12周。观察治疗前后患者简易智能精神状态检查量表(MMSE)、蒙特利尔认知评估量表(MOCA)、日常生活能力量表(ADL)及中医证候量表(SDSVD)评分。 结果:治疗后两组MMSE和MOCA评分均较治疗前有提高,其中治疗组较对照组提高明显,两者差异有统计学意义(P<0.05), 而ADL和SDSVD评分均较治疗前明显降低,其中治疗组较对照组降低明显,两者差异有统计学意义(P<0.05)。 结论:采用补肾化痰的中药及针刺手法联合治疗方法对非痴呆型血管认知功能障碍疗效显著,能明显改善患者的认知功能,提高患者的日常生活能力。
Objective: Evaluate the efficacy and safety of acupuncture combined with Chinese medicine on patients with vascular cognitive impairment no dementia from cognitive function
activities of daily living and syndromes of traditional Chinese medicine. Method: This is a randomized
active-controlled and open-label trial. In total
eighty patients with vascular cognitive impairment no dementia were enrolled and divided evenly into control and trial groups. Based on the foundation treatment of vascular risk factors
the tail group was given Fuzhi capsule combined with acupuncture
and the control group was given oxiracetam capsules. The mini-mental state examination (MMSE)
montreal cognitive assessment(MOCA)
activities of daily living(ADL)
syndrome differentiation scale of vascular dementia(SDSVD) scores will be observed after a 12-week treatment period. Result: The MMSE and MOCA scores of each group of was increased after the treatment. Compared with the control group
the MMSE and MOCA scores of the trial group increased obviously
the difference was statistically significant (P<0.05). The ADL and SDSVD scores were reduced after the treatment. Compared with the control group
the ADL and SDSVD scores of the trial group reduced obviously
the difference was statistically significant (P<0.05). Conclusion: Combineing with acupuncture and Chinese medicine has beneficial effects on patients with vascular cognitive impairment no dementia. It can improve the cognitive function and activities of daily living significantly. The results of this study will provide evidence for developing a comprehensive therapy regimen
which can delay the progress of dementia and improve the quality of life for VCIND patients.
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