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百会、水沟、神门影响血管性痴呆患者认知功能的比较研究
引用本文:赖新生,黄泳.百会、水沟、神门影响血管性痴呆患者认知功能的比较研究[J].针刺研究,2006,31(1):54-57.
作者姓名:赖新生  黄泳
作者单位:广州中医药大学针灸推拿学院,广州,510407
基金项目:中国博士后科学基金资助课题(No.2004035593)
摘    要:目的:探讨百会、水沟、神门改善血管性痴呆(VD)患者认知功能的相对特异性。方法:50例VD患者,随机分为5组,分别施以针对偏瘫的常规穴位针刺,常规穴位加用百会穴,加用水沟穴,加用神门穴,加用百会、水沟和神门穴。治疗前后运用老年认知功能量表(SECF)进行测评,评分结果纳入统计学处理。结果:常规穴位加用百会、水沟、神门等穴位治疗后,SECF总分有显著提高;加用百会穴治疗后,VD患者的定向、瞬间记忆、长回忆、动物名、划销和计算、分类与类同等方面评分有明显提高;加用水沟穴治疗后,VD患者的定向、划销和计算、分类与类同等方面评分有明显提高;加用神门穴治疗后,VD患者的数字广度、动物名、分类与类同等方面评分有明显提高。结论:百会、水沟、神门能够改善VD患者认知功能,三穴虽然分别有各自的相对特异性,但联合运用效果最佳。

关 键 词:血管性痴呆  认知功能  针刺  百会  水沟  神门
文章编号:1000-0607(2006)01-0054-03
收稿时间:01 10 2005 12:00AM
修稿时间:05 30 2005 12:00AM

Comparison of Clinical Effects of Acupuncture of Baihui (GV 20), Shuigou (GV 26) and Shenmen (HT 7) on the Cognitive Function of Vascular Dementia Patients
LAI Xin-sheng,HUANG Yong.Comparison of Clinical Effects of Acupuncture of Baihui (GV 20), Shuigou (GV 26) and Shenmen (HT 7) on the Cognitive Function of Vascular Dementia Patients[J].Acupuncture Research,2006,31(1):54-57.
Authors:LAI Xin-sheng  HUANG Yong
Institution:College of Acu-moxibustion and Massage, Guangzhou University of Traditional Chinese Medicine, Guangzhou , 510407
Abstract:Objective: To compare the effects of acupuncture of Baihui(GV 20),Shuigou(GV 26) and Shenmen(HT 7) on the cognitive ability in vascular dementia(VD) patients.Methods: Fifty cases of VD patients were randomly and evenly divided into body-acupoint,GV-20,GV-26,HT-7 and GV-20 GV-26 HT-7 groups.Body-acupoints were Jianyu(LI 15),Quchi(LI 11),Zusanli(ST 36),etc and were used in all the patients of the 5 groups.The acupuncture treatment was given once daily(except weekend days),4 weeks altogether.The therapeutic effects were assessed by using "Scale for Evaluating the Cognition Function"(SECF) before and after the treatment. Results: After the treatment,the total scores of SECF in GV-20,GV-26,HT-7 and GV-20 GV-26 HT-7 groups were significantly higher than those of their respective pre-treatment(P<0.05).Adding Baihui(GV 20) could significantly raise the patients' scores of orientation,short and long-term memory,animal naming,calculating and classification(P<0.05,0.01);adding Shuigou(GV 26) could raise the scores of orientation,calculating and classification(P<0.05);adding Shenmen(HT 7) could raise the scores of digital range,animal naming and classification(P<0.05).And adding GV-20, GV-26 and HT-7 could raise the scores of orientation,digital range,short-term memory,animal naming,calculation,classification and painting abilities(P<0.05,0.01).The effects of GV-20 GV-26 HT-7 group were significantly better than those of body-acupoint group in improving the total score,orientation,digital range,animal naming,calculation and painting(P<0.01);than that of GV-20 group in calculation(P<0.05);than those of GV-26 in digital range,animal naming,calculation and painting(P<0.05,0.01);and than that of HT-7 group in calculation(P<0.01).Conclusion: Acupuncture of the added Baihui(GV 20),Shuigou(GV 26) and Shenmen(HT 7) works better in improving VD patients' cognitive ability.
Keywords:Vascular dementia Cognitive function Acupuncture Baihui(GV 20) Shuigou(GV 26) Shenmen(HT 7)
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