针刺治疗脑梗死后血管性痴呆的临床疗效观察

目的] 探讨针刺治疗血管性痴呆的临床疗效。方法] 将符合纳入标准的128例患者按随机数字表方法随机分为治疗组和对照组，每组64例，所有患者均接受常规治疗，在此基础上，治疗组接受针刺治疗；对照组口服吡拉西坦片。比较两组患者治疗前后的简易精神状态评价量表（MMSE）、长谷川痴呆量表（HDS）和日常生活能力量表（ADL）量表的评分变化。结果] 经过不同治疗后，两组患者的MMSE、HDS评分均有所提高，ADL有不同程度降低，治疗组效果均优于对照组。结论] 针刺对中老年缺血性中风后血管性痴呆患者临床症状及神经功能缺损程度具有改善作用。

Clinical observation on acupuncture in treating vascular dementia after cerebral infarction

Objective] To explore the clinical effect of acupuncture in treating vascular dementia. Methods] The 128 diagnosed patients were enrrolled into this stydy and randomly divided into treatment or control group, 64 patients in each goup. All the patients were given routine treatment. On this basis the patients in treatment group were given acupuncture. The changes of MMSE HDS and ADL scale before and after treatment were compared. Results] After different treatment the score of MMSE and HDS were all significantly improved, while the ADL score was decreased in different degree. The curative effects in treatment group were all superior than control group. Conclusion] Acupuncture has significant inproving effect on clinical syndrome and the defect degree of nerve function for middle and old patients with vascular dementia after cerebral ischemic stroke.