目的: 探讨基于调神理论的中医特色疗法对血管性痴呆患者认知功能的影响。方法: 选取2024年1月—2025年1月我院收治的80例轻中度血管性痴呆患者为研究对象,采用随机信封法分为试验组和对照组各40例。对照组给予常规护理,试验组在常规护理基础上实施基于调神理论的艾灸、杵针疗法、中医情志疗法等中医特色疗法。比较两组干预前后的中医证候积分、认知功能评分[简易智能状态量表（mini-mental state examination,MMSE）、蒙特利尔认知评估量表（Montreal cognitive assessment,MoCA）]、日常生活能力[日常生活活动量表（activities of daily living,ADL）]和血脂相关指标[血清总胆固醇（total cholesterol,TC）、血清甘油三酯（triglyceride,TG）、高密度脂蛋白胆固醇（high-density lipoprotein cholesterol,HDL-C）、低密度脂蛋白胆固醇（low-density lipoprotein cholesterol LDL-C）]。结果: 两组认知功能、日常生活能力和血脂相关指标较干预前改善（P<0.05）,且干预后试验组认知功能、日常生活能力和血脂相关指标优于对照组（P<0.05）。结论: 基于调神理论的中医特色护理能有效改善轻、中度血管性痴呆患者的认知功能,提高日常生活能力。
Abstract
Objective This study aimed to explore the impact of Traditional Chinese Medicine (TCM) therapies, based on the concept of Spirit Regulation, on the cognitive function of patients with vascular dementia. Methods Eighty patients with mild to moderate vascular dementia were recruited at our hospital between January 2024 and January 2025 and randomly assigned to either a treatment group or a control group, with 40 patients in each group. The control group received routine nursing care. The treatment group received routine care along with additional TCM therapies based on the principle of Spirit Regulation. These therapies included moxibustion, pestle needle therapy, and emotional care. Both groups were evaluated before and after the intervention in terms of TCM syndrome scores, cognitive function (assessed by the Mini-Mental State Examination (MMSE) and the Montreal Cognitive Assessment), daily living ability (measured by the Activities of Daily Living Scale (ADL) ), and blood lipid levels (including total cholesterol, triglycerides, high-density lipoprotein cholesterol, and low-density lipoprotein cholesterol). Results The experimental group showed improvement in cognitive function, daily living ability, and blood lipid-related indicators compared to baseline (P<0.05). After the intervention, the experimental group had higher cognitive function, daily living ability, and blood lipid-related indicators than the control group (P<0.05). Conclusion TCM nursing interventions based on Spirit Regulation effectively improve cognitive function and enhance the ability to perform daily activities in patients with mild to moderate vascular dementia.
关键词
血管性痴呆 /
调神理论 /
中医特色护理 /
认知功能 /
日常生活能力
Key words
vascular dementia /
spirit regulation theory /
traditional chinese medicine nursing /
cognitive function /
activities of daily living
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基金
四川省中医药管理局科学技术研究专项课题 “醒脑益智针法结合通络开窍合剂对气虚血瘀型卒中后认知障碍尿AD7c-NTP及血清炎性因子的影响”（2024MS442）; 四川省中医药管理局四川省重大疾病中医药防治中心,四川省痴呆病中医药防治中心（川中医药函[2020]101号）
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