血管性痴呆针灸干预的疗效评价研究

目的:旨在系统观察"温通针法"治疗血管性痴呆(vascular dementia,VD)的临床疗效,进行针刺治疗血管性痴呆的疗效评估,为临床研究者和实践者提供科学、严谨、信度强、质量高的临床研究证据。方法:78例入选患者以1∶1的比例随机分为两组,在常规治疗的基础上,对照组接受康复易化技术治疗;观察组在对照组基础上接受针刺治疗。并于治疗前、治疗8周、入组3个月,分别运用临床神经功能缺损程度评分表、简易精神状态检查(MMSE)表、长谷川痴呆量表(HDS),日常生活活动量表(ADL)评定疗效。结果:8周末针灸组和对照组患者临床神经功能缺损程度、MMSE和ADL评分较入组时差异.均有统计学意义(P<0.05),与对照组比较,8周末患者临床神经功能缺损程度、MMSE和ADL评分针灸组较对照组差异有统计学意义(P<0.05)。入组3个月后观察组和对照组患者临床神经功能缺损程度、MMSE和ADL评分较入组时差异均有统计学意义(P<0.05),与对照组比较,8周末患者临床神经功能缺损程度、MMSE和ADL评分针灸组较对照组差异有统计学意义(P<0.05)。两组总疗效观察组为91.43%,对照组为85.29%。结论:针刺可明显改善患者临床神经功能缺损程度,提高患者MMSE和ADL评分,改善认知功能,提高日常生活活动能力。且远期疗效可靠,值得进一步研究。

Efficacy Evaluation of Acupuncture Intervention on Vascular Dementia

Objective：＂Warming needle＂ treatment of vascular dementia（vascular dementia,VD）clinical efficacy were systematically observed,efficacy assessment was provided for clinical researchers and practitioners a scientific,rigorous,high reliability and high quality clinical research evidence.Methods：78 patients were selected according to the order in a 1∶ 1 ratio of treatment and randomly divided into two groups On the basis of routine treatment,the experimental group were received acupuncture treatment;control group were givenfacilitation techniques for rehabilitation treatment.And before treatment,in 8 weeks and 3 months,respectively clinical neurologic impairment score sheet,Mini Mental State Examination（MMSE） table,Hasegawa dementia scale（HDS）,activities of daily living scale（ADL） were used evaluated.Results：At the end of 8 weeks for acupuncture group and control group clinical neurologic impairment,MMSE and ADL score had differences,statistically significant（P0.05）;compared with the control group,8 week clinical neurological impairment,MMSE and ADL scores acupuncture group was significantly different（P0.05）.After 3 months the acupuncture group and control group,clinical neurologic impairment,MMSE and ADL score differences were statistically significant（P0.05）;compared with the control group,8 week clinical neurological functional impairment,MMSE and ADL scores in acupuncture group was statistically significant（P0.05）.Conclusion：Acupuncture can improve the clinical neurological deficit,increase patient MMSE and ADL scores,improve cognitive function,improve activities of daily living.And it has reliable long-term effect,which is worth of further studying.