| 应用中医特色诊疗技术配合身心治疗对老年痴呆的疗效研究 |
| A Study on the Application of Traditional Chinese Medicine Characteristic Diagnosis and Treatment Techniques in Combination with Physical and Mental Therapy for Senile Degenerative Lesions |
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| 中文关键词: 中医特色诊疗 身心疗法 老年痴呆 认知功能 日常生活活动能力 |
| 英文关键词: Traditional Chinese medicine characteristic diagnosis and treatment Physical and mental therapy Senile dementia Cognitive function Activities of daily living |
| 基金项目:江苏省老年健康科研项目(项目编号：LSD2022013) |
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| 中文摘要: |
| 目的 探讨中医特色诊疗方案配合身心治疗措施对老年痴呆患者的治疗效果。 方法 选取本院2020年1月~2023年5月确诊的93例老年痴呆患者进行临床随机干预研究,其中47例患者在基础西医治疗方案基础上联合中医特色诊疗方案配合身心治疗措施(联合组),另外46例患者采取基础西医治疗方案治疗(对照组),对比两组患者治疗前后的简易精神状态量表(MMSE)评分、日常生活活动能力评分(ADL)、临床痴呆量表(CDR)分级、中医症状积分及临床疗效差异。 结果 治疗前,联合组和对照组患者的MMSE评分、ADL评分比较,差异无统计学意义(P>0.05)；治疗后,联合组患者的MMSE评分、ADL评分显著高于对照组,差异具有统计学意义(P<0.05)；治疗后,联合组患者的总体CDR分级低于对照组患者,差异具有统计学意义(P<0.05)；治疗前,联合组和对照组患者的智能减退、表情呆板、善忘少记、气短懒言、行动迟缓、四肢乏力评分比较,差异无统计学意义(P>0.05)；治疗后,联合组患者的智能减退、表情呆板、气短懒言、四肢乏力评分显著低于对照组,差异具有统计学意义(P<0.05)；治疗后进行临床疗效评价,联合组显效率53.19%、有效率38.30%、无效率8.51%,对照组显效率30.43%、有效率54.35%、无效率15.22%,差异具有统计学意义(P<0.05)。 结论 中医特色诊疗方案配合身心治疗措施能显著改善老年痴呆患者的认知功能及日常活动能力,缓解临床症状,提升总体治疗效果。 |
| 英文摘要: |
| Objective Explore the therapeutic effect of traditional Chinese medicine characteristic diagnosis and treatment plans combined with physical and mental treatment measures on elderly dementia patients. Methods This study was implemented with the approval of the Medical Ethics Committee. A clinical randomized intervention study was conducted on 93 elderly dementia patients diagnosed in our hospital from January 2020 to May 2023. Among them, 47 patients were treated with basic Western medicine treatment plan combined with traditional Chinese medicine characteristic diagnosis and treatment plan combined with physical and mental treatment measures (joint group), while the other 46 patients were treated with basic Western medicine treatment plan (control group), The scores of MMSE, Activities of daily living (ADL), clinical dementia scale (CDR), TCM symptom scores and clinical efficacy of the two groups were compared before and after treatment. Results Before treatment, there was no statistically significant difference in MMSE and ADL scores between the combination group and the control group (P>0.05); After treatment, the MMSE and ADL scores of patients in the combination group were significantly higher than those in the control group, with statistical significance (P<0.05); After treatment, the overall CDR grading of the combined group patients was lower than that of the control group patients, with a statistically significant difference (P<0.05); Before treatment, there was no statistically significant difference in the scores of decreased intelligence, dull expression, forgetfulness, shortness of breath, lazy speech, delayed movement, and limb fatigue between the combination group and the control group (P>0.05); After treatment, the scores of decreased intelligence, dull expression, short breath, lazy speech, and limb fatigue in the combined group were significantly lower than those in the control group, with statistical significance (P<0.05); After treatment, clinical efficacy evaluation was conducted. The combined group showed a significant improvement rate of 53.19%, an effective rate of 38.30%, and an ineffective rate of 8.51%. The control group showed a significant improvement rate of 30.43%, an effective rate of 54.35%, and an ineffective rate of 15.22%, with statistically significant differences (P<0.05). Conclusion The combination of traditional Chinese medicine characteristic diagnosis and treatment plans with physical and mental treatment measures can significantly improve the cognitive function and daily activity ability of elderly dementia patients, alleviate clinical symptoms, and enhance overall treatment effectiveness. |
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