针灸治疗血管性认知障碍的研究进展

收集近五年来国内有关针灸治疗血管性认知障碍研究文献,从经络与血管性认知障碍的关系、古今选穴规律、针刺方法、临床研究现状等进行分析。结果表明针灸治疗血管性认知障碍有一定的疗效,但多以针刺方法和近期疗效观察居多,缺乏对远期疗效的观察和作用机制的研究;纳入排除标准、临床治疗方案、操作规范和疗效判定标准不统一,很难进行相互间的比较。今后应优化并规范针灸治疗血管性认知障碍的临床研究方案,包括统一的纳入排除标准、治疗方法、操作规范和疗效评价标准,开展大样本、多中心、随机对照的长期效果研究,并进一步探讨其作用机制。

Research progress of acupuncture treatment of vascular cognitive impairment

To collect literature on acupuncture and moxibustion treatment of vascular cognitive impairment in recent five years, which are analyzed from relationship between VCI and meridian, ancient and modern selecting principle of points, treatment method, and clinical research of acupuncture. The result shows that acupuncture has positive effect on VCI. However, most of them are needling methods and the short-term effect observation, which lack of long-term efficacy research and mechanism research. It is difficult to compare with each other because the inclusion criteria, the clinical treatment plan, the operation specification and the efficacy criteria are not uniform. Henceforth, we should optimize and standardize the clinical research plan of acupuncture and moxibustion for the treatment of vascular cognitive impairment, including unified inclusion criteria, treatment methods, operation norms and evaluation criteria, to develop the long-term effec research of large sample, multi center and random control, and to further explore the mechanism of its action.