针灸与通痹益脑汤治疗脑梗死后血管性痴呆30例疗效观察

Clinical Effect of Acupuncture and Tongbi Yinao Decoction on 30 Cases of Patients with Vascular Dementia after Cerebral Infarction

目的:探讨针灸与通痹益脑汤治疗脑梗死后血管性痴呆(VD)的临床效果和安全性。方法:120例脑梗死后VD患者随机分为两组各60例。对照组口服吡拉西坦片治疗,观察组加用针灸与通痹益脑汤治疗。比较两组血液流变学指标、认知功能和日常生活能力,并记录不良反应情况。结果:观察组血浆黏度、全血高切黏度、全血低切黏度、红细胞压积低于对照组(P<0.05);观察组简易智力速查表(MMSE)评分、日常生活能力量表(ADL)评分高于对照组(P<0.05);两组均无严重不良反应。结论:针灸联合通痹益脑汤可改善脑梗死后VD患者血液流变学指标,促进认知功能恢复,提高日常活动能力,安全可靠。

Objective:To explore the clinical effect and safety of acupuncture and Tongbi Yinao decoction in treating vascular dementia(VD)after cerebral infarction.Methods:120 patients with cerebral infarction VD randomly divided into two groups,60 cases in each group.The control group was treated with piracetam tablets,and the observation group was treated with acupuncture and Tongbi Yinao decoction.The hemorheological indexes,cognitive function and daily life ability of the two groups were compared,and the adverse reactions were recorded.Results:The plasma viscosity,whole blood high shear viscosity,whole blood low shear viscosity and hematocrit in the observation group were lower than those in the control group(P<0.05),the MMSE score and ADL score in the observation group were higher than those in the control group(P<0.05),and there were no serious adverse reactions in both groups.Conclusion:Acupuncture combined with Tongbi Yinao decoction can improve the hemorheology index of VD patients after cerebral infarction,promote the recovery of cognitive function,improve the ability of daily activities,and be safe and reliable.