粗针治疗血管性痴呆ADL-R评价.docVIP

粗针治疗血管性痴呆ADL-R评价（1.浙江省中医院针灸科，浙江 杭州 310006；2.浙江中医药大学2008级硕士研究生，浙江 杭州 310053） 摘 要：目的：观察粗针治疗血管性痴呆的疗效。方法：运用粗针从身柱穴沿督脉向下平刺，治疗血管性痴呆并与口服吡拉西坦组对照，并运用日常生活能力量表（ADL-R）评分评价。结果：与治疗前评分组内比较，粗针组在治疗30天、60天及180天回访时，均有统计学意义：对照组在治疗30天时无统计学意义，治疗60天及180天回访时有统计学意义。组间比较，在治疗30天、60天及180天回访时组间评分比较均有统计学意义。说明粗针和吡拉西坦治疗均有效，粗针治疗优于吡拉西坦。结论：粗针可明显改善血管性痴呆的日常生活能力量表评分，具有积极的治疗血管性痴呆的作用。 关键词： 粗针；身柱穴；血管性痴呆 中图分类号：R246文献标识码：B文章编号：1673-7717（2011）03-0530-02 Evaluation with ADL-R on Vascular Dementia Treated with Thick Needles ZHANG Hai-feng1,XUAN Li-hua1,HOU Qun1,ZHANG Jun-feng2 （1.Department of Acupuncture，Zhejiang Hospital of Chinese Medicine，Hangzhou 310006，Zhejiang，China； 2.Department of Acupuncture and Massage，Zhejiang Chinese Medical University，Hangzhou 310053，Zhejiang，China） Abstract:Objective：Observate the efficacy of Vascular Dementia Treating by thick needles.Methods：Treating Vascular Dementia with horizontal prick from Shenzhu point along Du channel by thick needles，compared with taking Piracetam Tablets，and commented through the scole of ADL-R.Results：Comparing to the pre.threatment，there was statistical significance when the thick needles group was treated for 30d、60d and visited on the 1 80th day，while there was no statistical significance when treated for 30d but statistical significance for 60d and visited on the 180th day in the control group；Comparing between the 2 groups，there were statistically significant differences when treated for 30d、60d and visited on the 180th day.It showed that both the thick needles therapy and taking Piracetam Tablets are effective in treating Vascular Dementia，but the former seemed better.Conclusion：The thick needles therapy can obviously improve ADL-Rscore of Vascular Dementia and has the positive treatment function. Key words:thick needle；shenzhu point；Vascular Dementia 血管性痴呆（vasculardementia，VD）主要继发于脑中风后，由于脑循环障碍，脑组织受损而导致的一种获得性智能损害综合症，世界各国的老年病研究机构也将其列为未来10年的研究重点，但目前尚缺乏特殊有效的治疗手段。我们在临床上运用粗针治疗血管性痴呆取得了较好的疗效，为非药物治疗血管性痴呆提供了有效的新方法，具有推广价值，供同道参