头针治疗对脑梗死所致血管性痴呆的随机对照临床试验.docVIP

头针治疗对脑梗死所致血管性痴呆的随机对照临床试验 【摘要】 　　目的：探讨头针对脑梗死（cerebral infarction, CI）所致血管性痴呆（vascular dementia, VaD）患者智能障碍的 影响 。 方法 ：将108例CI所致VaD患者随机分为头针 治疗 组和西药治疗组进行观察，对比 分析 治疗前后患者简易智力状态检查（MiniMental State Examination, MMSE）、Blesse痴呆量表（Blesse Dementia Scale, BDS）、长谷川痴呆量表（Hasegawa Dementia Scale, HDS）、日常生活能力量表（Ability of Daily Life, ADL）评分的变化。结果：92例患者完成观察，治疗后两组患者MMSE、BDS、HDS得分均明显上升，ADL得分明显下降（P＜0.05），但两组治疗前后HDS、ADL、BDS、MMSE量表评分差值及治疗后总有效率比较，差异无统计学意义（P＞0.05）。结论：头针能在一定程度上改善CI所致VaD患者的临床智能状况。 【关键词】 痴呆 血管性 头针 智力 随机对照试验 　　 The rapeutic effects of scalpacupuncture in patients with vascular dementia induced by cerebral infarction: a randomized controlled trial 　　Yicheng LIU, Hongxing ZHANG, Guohua CHEN, Wenli WU, Jingjing HU, Wenjun WAN, Chaoyang MA 　　Department of Radiology, Integration of Traditional and Western Medicine Hospital of Wuhan, Wuhan, HubEi Province 430022, China 　　Department of Acupuncture, Integration of Traditional and Western Medicine Hospital of Wuhan, Wuhan, HubEI Province 430022, China 　　Department of Neurology, Integration of Traditional and Western Medicine Hospital of Wuhan, Wuhan, Hubei Province 430022, China 　　College Office, Integration of Traditional and Western Medicine Hospital of Wuhan, Wuhan, Hubei Province 430022, China 　　Department of Rehabilitation Medicine, Central Hospital of Wuhan, Wuhan, Hubei Province 430014, China 　　Objective: To investigate the effects of scalpacupuncture on intelligence in patients with vascular dementia (VaD). 　　Methods: A total of 108 VaD patients were randomly divided into two groups: scalpacupuncture group and Western medicine group. The scores of MiniMental State Examination (MMSE), Blesse Dementia Scale (BDS), Hasegawa Dementia Scale (HDS), Abilities of Daily Life (ADL) before and after treatment in the two groups were detected. 　　Results: A total of 92 patients completed the treatment. The scores of MMSE, BDS and HDS in the two groups were significantly increased, and the ADL scores significantly declined (P＜0.05). The