针刺配合尼莫地平治疗血管性痴呆疗效剖析.docVIP

针刺配合尼莫地平治疗血管性痴呆疗效剖析 　　[摘要] 目的 分析针刺配合尼莫地平对于血管性痴呆的临床治疗效果。方法 将2011年3月―2012年3月间来该院就诊的46例血管性痴呆患者作为研究对象，随机分成观察组和对照组，对照组采用尼莫西平治疗，观察组对照组的基础上加以针刺治疗。结果 观察组的总有效率明显高于对照组，差异有统计学意义（P0.05）；观察组患者的日常生活能力有明显的改善，与对照组的差异有统计学意义（P0.05）。结论 针刺配合尼莫地平治疗血管性痴呆的疗效显著，患者的生活能力出现明显的改善，生存质量得到有效的提高，有着很好的临床推广价值。 　　[关键词] 针刺；尼莫西平；血管性痴呆；临床效果 　　[中图分类号] R749.13 [文献标识码] A [文章编号] 1674-0742（2015）05（b）-0003-02 　　Efficacy of Acupuncture Combined with Nimodipine in the Treatment of Vascular Dementia 　　JIN Zhu 　　Guanghan Orthopedics Hospital， Deyang， Sichuan Province， 618300 China 　　[Abstract] Objective To investigate the clinical effect of acupuncture combined with Nimodipine on vascular dementia. Methods 46 cases with vascular dementia visited our hospital from March 2011 to March 2012 were selected as the subjects and randomly divided into the observation group and the control group. The control group were treated by Nimodipine， while the observation group were treated by acupuncture combined with Nimodipine. Results Compared with the control group， the total efficiency of the observation group was significantly higher， the difference between the groups was statistically significant（P0.05）； the observation group had more significant improvement in the activity of daily living than the control group， the difference between the two groups was statistically significant（P0.05）. Conclusion For vascular dementia， acupuncture combined with Nimodipine has significant effect， which can obviously improve the activity of daily living and quality of life with good value of clinical promotion. 　　[Key words] Acupuncture； Nimodipine； Vascular dementia； Clinical effect 　　血管性痴呆（vascular dementia，VD）指的是患者由于出现缺血性或者出血性卒中以及造成记忆、行为与认知等大脑区域低灌注的脑血管疾病而导致的一种严重的认知功能障碍综合征[1]。据相关资料显示，血管性痴呆在当前已经成为继阿尔茨海默症之后导致老年人痴呆的的第二大疾病[2]。对患者生存质量造成严重影响的同时，也给患者的家庭增添了沉重的负担。中医学中将血管性痴呆归类为痴呆，别名为“呆病”、“健忘”、“文痴”、“善忘”等。认为该病的病位在患者的脑部，发病的原因多是因为患者的五脏六腑亏虚、气血津液在体内的运行和代谢出现异常，导致痰油以及瘀血的形成，对经络和脑?R造成阻滞，气血不能供于大脑，患者的神明失养，就出现了脑失清灵、失认失算、神情呆滞、哭笑无常等表现呆傻的症状。 　　为探讨针刺配合尼莫