头项针治疗血管性痴呆临床研究_临床医学论文.docVIP

头项针治疗血管性痴呆临床研究_临床医学论文 头项针治疗血管性痴呆临床研究_临床医学论文 作者：王立存 张玉莲 靳冬 郭家奎 张连成 【摘要】 　　目的 观察头项针治疗血管性痴呆(vascular dementia, VD) 的临床疗效，为临床治疗VD提供规范、有效的治疗方法。方法 60例VD患者随机分为2组，针刺组30例应用头项针治疗，取头部穴额三针、顶三针、颞三针，项部穴项三针，采用毫针刺法，诸穴得气后，做快速捻转手法30 s，留针30 min，每日1次，每周休息1日，治疗28日。喜得镇组30例，予喜得镇，每次1 mg，日3次，服药28日。2组评定疗效，同时测定治疗前后简易精神状态量表（MMSE）、日常生活功能评定量表（ADL）积分及中医证候治疗前后的积分。结果 ①针刺组有效率为60％，喜得镇组有效率为40％，针刺组疗效高于喜得镇组,2组比较差异有统计学意义（0.05）。②2组治疗后MMSE量表积分均有所增加，2组比较差异有统计学意义(0.05)。2组治疗后ADL量表及中医证候积分均有所下降，2组比较差异有统计学意义(0.05 )。结论 头项针治疗VD疗效确切，且能改善患者的智能状况、日常生活能力，疗效优于喜得镇，应进一步在临床上推广应用。 【关键词】 痴呆，血管性；百会；风府；风池；前庭；头维；率谷；四神聪；针刺疗法；精神状态检查表 　　Investigation of Vascular dementia treated by head-acupoint 　　 　　【Abstract】 Objective To investigate Vascular dementia treated by head-acupoint,supply standard and valid treatment for clinical practice.Methods All 60 patients, according to history syndrome and physical examination and the standard of DSM-IV and Haschanski about Vascular dementia disease, were divided two groups: Head-Neck Acupuncture group and Drug group.The main points of Head-Neck Acupuncture group was Qianting Touwei(double) Baihui Sishencong Shuaigu Fengfu Fengchi (double). Patients in Medicine group take Hydergine 1mg 3 times a day.The course was 28 days. At the same time the scores of MMSE, ADL，TCM syndrome were measured before and after treatment.Results 1. The effective rate is 60％ in the Head-Neck acupuncture group, 40％ in the medicine group. There was a significant difference between the two groups （P＜0.05）. 2. The scores of MMSE in two groups are all increased after treatment, the changes in Head-Neck Acupuncture group was superior to that in Drug group（P＜0.05）. The scores of ADL and TCM syndrome in two groups are all decreased after treatment, the changes in Head-Neck Acupuncture group was superior to that in Drug group（P＜0.05）.Conclusion Head-Neck acupuncture can be regard as a effective and convenient way to treat VD, effective rate of the Head-Neck acupuncture group is much higher than medicine group, it is worth