益肾通督法联合补肾化瘀通络中药治疗非痴呆型血管性认知功能损害的临床研究

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1、授予单位代码10089学号或申请号13493K^(EA5HebeiMedicalUniversity硕士学位论文在职科学学位益肾通督法联合补肾化瘀通络中药治疗非痴呆型血管性认知功能损害的临床研究学位申请人：张云锋导师：苏志伟教授专业：中西医结合临床二级学院：中医院2015年3月河北医科大学学位论文使用授权及知识产权归属承诺本学位论文在导师（或指导小组）的指导下，由本人独立完成。本学位论文研究所获得的研究成果，其知识产权归河北医科大学所有。河北医科大学有权对本学位论文进行交流、公开和使用。凡发表与学位论文主要内容相关的论文，第4

2、署名单位为河北医科大学，试验材料、原始数据、申报的专利等知识产权均归河北医科大学所有。否则，承担相应的法律责任。研究生签4师签章二级学院领导盖章河北医科大学研究生学位论文独创性声明本论文是在导师指导下进行的研究工作及取得的研究成果，除了文中特别加以标注等内容外，文中不包含其他人己发表或撰写的研究成果，指导教师对此进行了审定。本论文由本人独立撰写，文责自负。目录中文摘要·············································································1英文摘

3、要·············································································3研究论文益肾通督法联合补肾化瘀通络中药治疗非痴呆型血管性认知功能损害的临床研究前言·············································································7材料与方法·······························································

4、·····7结果·············································································12附图·············································································13附表·············································································16讨论···············

5、······························································18结论·············································································19参考文献·······································································19综述祖国医药及西医学对非痴呆型血管性认知功能损害的临床研究·21致谢··········

6、·········································································37个人简历·············································································38中 文 摘 要益肾通督法联合补肾化瘀通络中药治疗非痴呆型血管性认知功能损害的临床研究摘要非痴呆型血管性的认知功能损害(Vascularcognitiveimpairmentno-dementia,VCIND)是近年来

7、在研究和治疗血管性痴呆时新出现的一个词语。它的出现对我们在痴呆方面的治疗和预防上具有里程碑式的意义，为我们今后对痴呆的治疗从治疗症状的阶段直接升到了预防该病的发病因素的阶段，血管性痴呆的诊治是比较困难的，这么多年过来了，人力物力国家没少投入，但是所取得的成绩屈指可数，而非痴呆型血管性认知障碍的提出和研究使该病的治疗基本步入正轨，方向走对了就不怕道远。我们选取本院60名非血管性痴呆患者，采用益肾通督法及化瘀通络中药治疗，经过长期的观察，在病人的测评诊断方面得到了他们极度的配合，效果喜人。祖国医学认为本病为本虚标实之证，病位在心，

8、脑，肾，与五脏六腑的功能密切相关。肾精亏虚为本，痰浊瘀血气滞为实。血管性非痴呆的认知功能损害是以各种原因导致的血管损伤为基础的，与中医的“络”密切相关。清代大医家叶天士早就提出“初为气结在经，久则血伤入络”，主张从血论治。因此，在我们的回顾性研究的基础上，结合“久病必瘀，久病