设为首页
加入收藏
联系我们
Email-Alert
 

    首页 | 杂志介绍 | 编委成员 | 投稿指南 | 订阅指南 | 过刊浏览 | 论著模板 | 综述模板 | 帮助

 
王芗斌,王梅平,陈晓春,宋为群.血管性痴呆认知障碍特征与中医证型的相关性研究[J].中国康复医学杂志,2007,22(6):495~499
血管性痴呆认知障碍特征与中医证型的相关性研究    点此下载全文
王芗斌  王梅平  陈晓春  宋为群
[1]福建中医学院针推系,福州上街大学城,350108 [2]福建省老年医院神经内科,福州上街大学城,350108 [3]福建医科大学附属协和医院,福州上街大学城,350108 [4]首都医科大学宣武医院康复医学科,福州上街大学城,350108
基金项目:
DOI:
摘要点击次数: 2302
全文下载次数: 1982
摘要:
      目的:探讨血管性痴呆(VD)患者认知障碍特征及与中医证型的相关性,为中医临床辨证提供依据。方法:根据临床痴呆量表选择4组实验对象,分别为认知正常组(NC)、血管性认知损害未达痴呆诊断组(VCIND)、轻度VD组(VD1)和中度VD(VD2)组。各组均分别进行神经心理学量表评测和中医辨证分型。结果:与NC组相比,VCIND组存在某些方面的认知障碍,痴呆组则有广泛的认知损害,且随着痴呆程度加重而加重。中医证候诊断中,VCIND组的肾精亏虚证候比NC组明显,VD1组的痰浊阻窍证候比VCIND组和NC组明显,VD2组的瘀血阻络证候比NC、VCIND、VD1组明显,肾精亏虚、痰浊阻窍、瘀血阻络证候均与各认知量表得分、痴呆程度相关。结论:认知量表结合证候分析可能可以预测认知损害的变化。肾精亏虚、痰浊阻窍、瘀血阻络证候与认知损害关系密切,对中医证候的干预可能对防治VD有意义。
关键词:血管性痴呆 中医证型 认知 神经心理学
A study on relationship between cognitive manifestation and TCM differentiation dementia    Download Fulltext
WANG Xiangbin  WANG Meiping  CHEN Xiaochun  et al
Fund Project:
Abstract:
      Objective: To discuss the relationship between cognitive impairment and TCM syndromes in vascular dementia(VD). Method: Subjects were divided into 4 groups according to Clinical Dementia Rating: normal cognition (NC), vascular cognitive impairment no dementia (VCIND), mild VD (VD1) and moderate degree VD (VD2) groups. All the subjects accepted neuropsychological measures and differentiation of TCM syndrome. Result: Compared with cases in NC group, certain cognitive deficits presented in VCIND group, but comprehensive deficits manifested in two VD groups, which related to the degree of dementia. Among the TCM syndromes, there were 3 syndromes, deficiency of kidney essence, obstruction of phlegm in orifice and block of blood stasis in collaterals, correlated with neuropsychological measures and dementia grade as well. Conclusion: TCM syndromes combined with cognitive scales may predict the change of cognitive deficits in VD. The syndromes of deficiency of kidney essence, obstruction of phlegm in orifice and block of blood stasis in collaterals may be the impact factors on cognitive functions. The intervention on the syndromes may benefit prevention and treatment on cognitive impairment.
Keywords:vascular dementia  TCM syndromes  cognition  neuropsychology
查看全文  查看/发表评论

您是本站第 37846006 位访问者

版权所有:中国康复医学会
主管单位:中国科学技术协会 主办单位:中国康复医学会
地址:北京市朝阳区樱花园东街,中日友好医院内   邮政编码:100029   电话:010-64218095   

本系统由北京勤云科技发展有限公司设计
京ICP备18060696号-2

京公网安备 11010502038612号