嗅三针治疗血管性痴呆的随机对照研究

目的:观察嗅三针治疗血管性痴呆的临床疗效,以探索有效的治疗方法。方法:60例血管性痴呆患者随机分为两组。针刺组用嗅三针刺激疗法,并施以电针(疏密波,3.85~6.25 Hz,0.8~1.0 mA),留针1 h,每日1次,连续治疗5 d后休息2 d为1疗程,共治疗10个疗程;药物组用口服药物疗法(都可喜),每次40 mg,每日2次,连服5 d后休息2 d为1个疗程,共治疗10个疗程。分别于治疗前后进行长谷川痴呆修改量表(HDS)、简易智力状态检查表(MMSE)、社会活动能力调查表(FAQ)评分。结果:针刺组显效15例,有效9例,无效6例,总有效率为80.00%;药物组显效12例,有效10例,无效8例,总有效率为73.33%;两组疗效比较差异有显著性意义(P<0.05)。两组患者治疗前后比较,治疗后HDS、MMSE上升,FAQ降低,差异有极显著性意义(P<0.01);两组间治疗前后差值比较,针刺组的HDS、MMSE、FAQ改变比药物组更明显(P<0.05)。结论:嗅三针对于血管性痴呆患者具有确切的疗效。

Clinical Investigation on Electroacupuncture Treatment of Vascular Dementia with "Xiusanzhen"

OBJECTIVE: To observe the effect of electroacupuncture (EA) in the treatment of vascular dementia (VD) so as to explore an effective therapy for it. METHODS: Sixty cases of VD were randomly divided into acupuncture group and medication (Duxil, 40 mg/time, 2 times/d for 10 weeks) group, with 30 cases in each group. "Xiusanzhen" means that two acupuncture needles were penetrated subcutaneously from bilateral Yingxiang (LI 20) to Shangyingxiang (EX-HN 8) respectively, and the 3rd needle was penetrated from the midpoint between two Yangbai (GB 14) through Yintang (EX-HN 3) to the nasal root, followed by applying EA stimulation to the acupoints. Hasegawa's Dementia Scale (HDS), Mini-mental state examination (MMSE), and Functional Activities Questionnaire (FAQ) were used for assessment of the VD patient's state before and after the treatment. RESULTS: After the treatment, the total effective rates of acupuncture and medication groups were 80.00% and 73.33% respectively. The effective rate of acupuncture group was significantly superior to that of medication group (P<0.05). Before treatment, scores of HDS, MMSE and FAQ in both groups had no significant differences (P>0.05); after the treatment, the scores of HDS and MMSE increased significantly, and that of FAQ decreased remarkably in both groups (P<0.01), and the difference of scores (or absolute value of FAQ) between post-treatment and pre-treatment in EA group was obviously higher than that in medication group (P<0.05). CONCLUSION: Acupuncture of "Xiusanzhen" is effective in the treatment of VD patients.