针药结合治疗老年痴呆伴睡眠障碍临证撷要
Jiangsu Journal of Traditional Chinese Medicine（2023）
Abstract
睡眠障碍是老年痴呆患者常见并发症之一,同时又会加剧老年痴呆进一步发展,严重降低了患者的生活质量.老年痴呆伴睡眠障碍的病机为本虚标实:肾精亏虚,心神失养为本;痰瘀阻络,神机失用为标.治疗以补肾益髓、养心安神为原则,可予针药结合疗法.针刺选用"安神穴组",使阴阳和谐相交;中药方选孔圣枕中丹加减以补肾填精、宁心安神,辨证配伍合适的药对,如胆南星-瓜蒌以豁痰开窍、丹参-川芎以活血化瘀等.经临床验证,针药结合可显著改善老年痴呆伴睡眠障碍患者的精神状态与睡眠质量.附验案1则以佐证.
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