针刺治疗轻中度血管性痴呆临床观察

目的:观察“益气调血、扶本培源”针法治疗轻中度血管性痴呆的临床疗效。方法:将63例轻中度血管性痴呆的患者随机分为针刺组32例和对照组31例,针刺组施与“益气调血、扶本培源”针法,对照组给与喜得镇,分别于治疗前和治疗12周后,观察简易精神状态检查表(MMSE)、Bless行为量表(BBS)、中医证候积分表(SDSVD)等指标,进行疗效评价。结果:针刺组治疗后,认知能力、行为能力、中医证候评分均较治疗前明显改善(P<0.01),对照组治疗后,认知能力、行为能力较治疗前明显改善(P<0.05),中医证候评分无明显变化;治疗后,认知能力、行为能力、中医证候评分等指标针刺组明显优于对照组,(P<0.01)。结论:“益气调血、扶本培源”针法可显著改善轻中度血管性痴呆患者认知、行为能力和中医证候,疗效明显优于对照组。

Clinical Observation about Treatment of Mild and Moderate Vascular Dementia with Acupuncture

Objective:To observe the clinical curative effects on the "Yi Qi Tiao Xue,Fu Ben Pei Yuan" acupuncture therapy treating mild and moderate Vascular Dementia.Methods:63 patients with mild and moderate Vascular Dementia were randomly divided into treatment group(n=32),which was treated with “Yi Qi Tiao Xue,Fu Ben Pei Yuan” acupuncture therapy and control group(n=31),which was given Dihydroergocristines.MMSE,BBS,SDSVD were carried out before and after 12 weeks treatment to evaluate curative effects.Results:①Compared to before treatment,the cognitive ability,behavior capability and traditional Chinese medicine syndrome had obviously improved after acupuncture treatment(P<0.01),while the cognitive ability and behavior capability improved obviously in the control group(P<0.05),and there was no significant improving in traditional Chinese medicine syndrome.②The index about the cognitive ability,capability and traditional Chinese medicine syndrome score of the treatment group were remarkably higher than the control group(P<0.01).Conclusion:Compared to the control group,acupuncture presents excellent treatment effects on improving the cognitive ability,behavior capability and traditional Chinese medicine syndrome of the patients with mild and moderate vascular dementia.