3R护理法配合艾灸百会对血管性认知障碍病人康复的影响

目的 探讨3R护理法配合艾灸百会对血管性认知障碍病人认知功能康复的影响。方法 将安徽中医药大学第二附属医院在2015年9月至2016年12月期间收治的60例血管性认知障碍的病人依随机数字表法分为3R护理法加艾灸组与对照组,各30例。对照组和3R护理法加艾灸组均实施常规的护理治疗措施,同时对3R护理法加艾灸组予以3R护理配合艾灸百会措施,疗程为1个月,比较两组病人的有效率、认知功能障碍及日常生活能力的情况。结果 3R护理法加艾灸组的有效率为86.7%,对照组的有效率为60.0%,3R护理法加艾灸组优于对照组(Z=-2.107,P=0.035),3R护理法加艾灸组与对照组病人治疗后简易精神状态检查量表、蒙特利尔认知评估量表、日常生活能力指数评分均有显著改善,均差异有统计学意义(均P<0.05),两组间治疗前后量表积分差值比较差异有统计学意义(均P<0.05)。结论 3R护理法配合艾灸百会促进血管性认知障碍病人康复,显著提高病人认知功能同时明显改善病人日常生活能力。

Rehabilitation of 3R-nursing method with moxibustion Baihui on vascular cognitive impairment

Objective To investigate the impact and significance of the Rehabilitation of 3R-nursing method with moxibustion Baihui on vascular cognitive impairment patients.Methods 60 patients with vascular cognitive impairment admitted to The Second Affiliated Hospital of Anhui University of Traditional Chinese Medicine from September 2015 to December 2016 were randomly divided into a control group and the experimental group,respectively,to take the usual care and 3R-nursing method with moxibustion Baihui were compared cognitive impairment and their ability of daily life for a month.Results After treatment,the effective rate of the experimental group was 86.7% and the effective rate of the control group was 60.0%,the difference of clinical effects between two groups was statistically significant (Z=-2.107,P=0.035).After treatment,the scores of the Mini-mental state examination,Montreal Cognitive Assessment and Activity of Daily Living Scale were improved apparently (All P<0.05),the difference of scale scores before and after treatment between the two groups was statistically significant(All P<0.05).ConclusionIt would be a good clinical efficacy for the patients with vascular cognitive impairment to take the 3R-nursing method with moxibustion Baihui that improve dramatically their cognitive function and ability of daily life.