首页|针刺联合固本培元汤治疗肾虚痰瘀型阿尔茨海默病临床研究

针刺联合固本培元汤治疗肾虚痰瘀型阿尔茨海默病临床研究

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目的:观察针刺联合固本培元汤治疗肾虚痰瘀型阿尔茨海默病的疗效。方法:选择2021年3月—2023年9月温州市第七人民医院收治的126例肾虚痰瘀型阿尔茨海默病患者为研究对象,按随机数字表法分为对照组及治疗组各63例。治疗过程中2组均剔除3例,2组均有60例完成研究。对照组采用西药联合针刺治疗,治疗组在对照组基础上给予固本培元汤治疗。2组均持续治疗2个月。比较2组临床疗效及不良反应发生率,比较2组治疗前后中医证候积分、认知功能评分(ADAS-cog)、日常生活能力评分(ADL)的变化。结果:治疗组临床疗效总有效率为96。67%(58/60),对照组临床疗效总有效率为78。33%(47/60),2组临床疗效比较,差异有统计学意义(P<0。05)。治疗后,2组智能减退、神情呆钝、双目无神、腰膝酸软、头晕耳鸣中医证候积分均较治疗前下降(P<0。05),治疗组上述5项中医证候积分均低于对照组(P<0。05)。治疗后,2组ADAS-cog评分、ADL评分均较治疗前升高(P<0。05),治疗组上述2项评分均高于对照组(P<0。05)。对照组不良反应发生率为12。77%(6/47),治疗组不良反应发生率为8。62%(5/58),2组不良反应发生率比较,差异无统计学意义(P>0。05)。结论:针刺联合固本培元汤治疗阿尔茨海默病疗效较好,能有效缓解患者躯体不适等症状,提升认知功能、日常生活能力,安全性高。
Clinical Study on Acupuncture Combined with Guben Peiyuan Decoction in Treating Alzheimer's Disease of Kidney Deficiency and Phlegm Stasis Type
Objective:To observe the curative effect of the therapy of acupuncture combined with Guben Peiyuan Decoction on Alzheimer's disease of kidney deficiency and phlegm stasis type.Methods:A total of 126 patients with Alzheimer's disease of kidney deficiency and phlegm stasis type in Wenzhou Seventh People's Hospital from March 2021 to September 2023 were selected as the study objects,and were divided into the control group and the treatment group according to random number table method,with 63 patients in each group.In the treatment course,three cases were eliminated in both groups,and 60 cases in both groups completed the study.The control group was treated with western medicine combined with acupuncture,and the treatment group was additionally given Guben Peiyuan Decoction based on the treatment of the control group.Both groups were treated for two months.The clinical effects and incidence of adverse reactions were compared between the two groups,and the changes of traditional Chinese medicine syndrome scores,Alzheimer's Disease Assessment Scale-cognitive section(ADAS-cog)and Activities of Daily Living(ADL)were compared between the two groups before and after treatment.Results:The total effective rate was 96.67%(58/60)in the treatment group and 78.33%(47/60)in the control group,the difference being significant(P<0.05).After treatment,the traditional Chinese medicine syndrome scores such as intelligence decline,loss of vitality,expressionless eyes,soreness and weakness in the waist and knee,dizziness and tinnitus in the two groups were decreased when compared with those before treatment(P<0.05),and the above five scores in the treatment group were lower than those in the control group(P<0.05).After treatment,the ADAS-cog and ADL scores in both groups were increased when compared with those before treatment(P<0.05),and the above two scores in the treatment group were higher than those in the control group(P<0.05).The incidence of adverse reactions was 12.77%(6/47)in the control group and 8.62%(5/58)in the treatment group,there being no significant difference between the two groups(P>0.05).Conclusion:The therapy of acupuncture combined with Guben Peiyuan Decoction has a great therapeutic effect on Alzheimer's disease,which can effectively relieve symptoms like physical discomforts,improve cognitive function and activities of daily living,with great safety.

Alzheimer's diseaseKidney deficiency and phlegm stasis typeAcupunctureGuben Peiyuan DecoctionTraditional Chinese medicine syndrome scoresCognitive function

夏金红、王晓芒、金婷婷、李秀丽

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温州市第七人民医院,浙江 温州 305000

阿尔茨海默病 肾虚痰瘀型 针刺 固本培元汤 中医证候积分 认知功能

2025

新中医
广州中医药大学 中华中医药学会

新中医

影响因子:0.595
ISSN:0256-7415
年,卷(期):2025.57(1)