补肾化瘀益智针刺法联合认知功能康复训练治疗肾虚血瘀型血管性痴呆临床研究

Clinical Study on Bushen Huayu Yizhi Needling Combined with Cognitive Function Rehabilitation Training in the Treatment of Vascular Dementia of Kidney Deficiency and Blood Stasis Type

目的:观察补肾化瘀益智针刺法联合认知功能康复训练治疗肾虚血瘀型血管性痴呆的临床疗效。方法:将80例肾虚血瘀型血管性痴呆患者随机分为对照组和观察组,各40例,对照组给予认知功能康复训练,观察组在对照组的基础上给予补肾化瘀益智针刺法治疗,2组均连续治疗2个月;观察比较2组临床疗效,治疗前后简易智能精神状态评价量表(MMSE)、长谷川痴呆量表(HDS)、日常生活能力量表(ADL)评分情况。结果:总有效率观察组为92.5%,对照组为70.0%,2组比较,差异有统计学意义(P<0.05)。治疗后,2组患者MMSE、HDS、ADL评分均较治疗前升高(P<0.05);且观察组上述各项评分改善优于对照组(P<0.05)。结论:补肾化瘀益智针刺法联合认知功能康复训练治疗肾虚血瘀型血管性痴呆,能明显改善患者认知功能,提高日常生活能力,临床疗效显著。

Objective: To observe the clinical effect of the therapy of Bushen Huayu Yizhi needling combined with cognitive function rehabilitation training in the treatment of vascular dementia of kidney deficiency and blood stasis type. Methods: A total of 80 cases of vascular dementia of kidney deficiency and blood stasis type were randomly divided into the control group and the observation group, 40 cases in each group. The control group received cognitive function rehabilitation training, and the observation group was additionally treated with Bushen Huayu Yizhi needling based on the treatment of the control group. Both groups received continuous treatment for two months. The clinical effect of the two groups was observed and compared, and the changes of simplified Mini-Mental State Examination(MMSE), Hastgawa Dementia Scale(HDS) and Activity of Daily Living Scale(ADL) before and after treatment were observed and compared. Results: The total effective rate was 92.5% in the observation group and 70.0% in the control group,the difference being significant(P < 0.05). After treatment, scores of MMSE and HDS and ADL in both groups were increased when compared with those before treatment(P < 0.05);the improvement of the above three scores in the observation group was better than that in the control group(P < 0.05). Conclusion: The therapy of Bushen Huayu Yizhi needling combined with cognitive function rehabilitation training can obviously improve the cognitive function of patients with vascular dementia of kidney deficiency and blood stasis type and improve their ability of daily life with significant therapeutic effect.