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复聪香液为主治疗血管性痴呆60例疗效颜察
引用本文:吕小亮,余尚贞,石青,王文同,陈荣浩,刘晓林,李晓敏.复聪香液为主治疗血管性痴呆60例疗效颜察[J].湖南中医杂志,2014,30(2):6-8.
作者姓名:吕小亮  余尚贞  石青  王文同  陈荣浩  刘晓林  李晓敏
作者单位:吕小亮 (暨南大学附属江门中医院,广东江门,529000); 余尚贞 (暨南大学附属江门中医院,广东江门,529000); 石青 (暨南大学附属江门中医院,广东江门,529000); 王文同 (暨南大学附属江门中医院,广东江门,529000); 陈荣浩 (暨南大学附属江门中医院,广东江门,529000); 刘晓林 (暨南大学附属江门中医院,广东江门,529000); 李晓敏 (暨南大学附属江门中医院,广东江门,529000);
基金项目:广东省中医药局立项课题(项目编号:2009346)
摘    要:目的:观察复聪香液为主治疗血管性痴呆(VD)的临床疗效及作用机制。方法:将120例VD患者随机分为两组各60例,治疗组采用复聪香液结合针刺、穴位热敷及穴位注射治疗,对照组采用阿斯匹林、尼莫地平、都可喜治疗。两组均治疗15d为1个疗程,共治4个疗程,治疗结束后采用简易智力状态检查量袁(MMSE)和日常生活能力评定量表(ADL)评定,比较两组治疗前后MMSE和ADL评分,并观察红细胞超氧化物歧化酶(SOD)活性、血浆过氧化脂(LPO)、三酰甘油(TG)、血清胆固醇(TCH)、高密度脂蛋白(HDL)等指标变化。结果:治疗后两组MMSE、ADL评分情况与治疗前比较,差异均有统计学意义(P〈0.01);治疗后治疗组MMSE、ADL评分与对照组比较,差异均有统计学意义(P〈0.05)。治疗组治疗后SOD、LPO、TG、TCH、HDL等指标较对照组改善更明显(P〈0.05)。结论:复聪香液为主治疗血管性痴呆能够改善患者的智力,减轻痴呆程度,改善VD患者SOD、LPO、TG、TCH、HDL等指标。

关 键 词:血管性痴呆  中医药疗法  针灸疗法  复聪香液  穴位注射

Clinical efficacy of Fucongxiang liquid - based therapy in treatment of vascular dementia :a report of 60 cases
Institution:LYU Xiao - liang, YU Shang - zhen, SHI Qing, WANG Wen - tong, CHEN Rong - hao, LIU Xiao - lin, LI Xiao - min ( Jiangmen Traditional Chinese Medicine Hospital, School of Medicine, Jinan University, Jiangmen 529000, Guangdong, China)
Abstract:Objective:To investigate the clinical efficacy and action mechanism of Fucongxiang liquid -based therapy in the treatment of vascular dementia (VD). Methods:A total of 120 VD patients were randomly divided into treatment group (n = 60) and control group (n =60). The treatment group received Fucongxiang liquid combined with acupuncture,hot compress at acup0ints,and acupoint injection,while the control group received aspirin, nimodipine, and Duxil. Both groups received four courses of treatment (15 d per course). After treatment,the outcomes were eval- uated by the Mini -Mental State Examination (MMSE) and Activity of Daily Living Scale (ADL) ,and before -after and between - group comparisons of MMSE and ADL scores were made ; the changes in activity of erythrocyte superox- ide dismutase (SOD), plasma lipid peroxide (LPO), triglyceride (TG), serum total cholesterol ( TCh), and high - density lipoprotein (HDL) were assessed. Results:After treatment,both groups showed significant changes in MMSE and ADL scores (P 〈0. 01 ) ;there were significant differences in MMSE and ADL scores between the treatment group and control group (P 〈 0. 05 ). The treatment led to significantly more improvements in SOD, LPO ,TG ,TCh, and HDL in the treatment group than in the control group (P 〈 0. 05 ). Conclusion : Fucongxiang liquid - based therapy can im- prove intelligence, reduce dementia, and improve SOD, LPO,TG, TCh, and HDL in VD patients.
Keywords:vascular dementia  traditional Chinese medicine treatment  acupuncture  Fucongxiang liquid  acu-point injection
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