头项针治疗血管性痴呆临床研究..docVIP

头项针治疗血管性痴呆临床研究 ：王立存张玉莲靳冬郭家奎张连成 】 目的观察头项针治疗血管性痴呆(vascu lardementia，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 30s,留针30min，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lmg，日3次，服药28曰。 2组评定疗效，同时测定治疗前后简易精神状态量表、曰常 生活功能评定量表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。②2组治疗后 丽SE量表积分均有所增加，2组比较差异有统计学意义(P 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 Inves tigationofVascular dementiatreatedbyh ead-acupoint Abs tract ] Objective T oinvestigateVascul ardementiatreatedb yhead-acupoint,sup plystandardandvali dtreatmentforclini cal A1160patients, accordingtohistory syndromeandphysicastandardofDSM-IVan syndromeandphysica standardofDSM-IVan sculardementiadise groups：Head-NeckAc ruggroup. Themainpo puncturegroupwasQi e)BaihuiSishencong hi(double). Patient keHyderginelmg3tim lexaminationandthe dHaschanskiaboutVa ase,weredividedtwo upuncturegroupandD intsofHead-NeckAcu antingTouwEi(doubl ShuaiguFengfuFengc sinMedicinegroupta esacoursewas28days. Atthesametimethes coresofMMSE,ADL, TC Msyndromeweremeasu redbeforeandafter 1.Theeffectiverate is60 % intheHead—Nec kacupuncturegroup, oup. Therewasasigni tweenthetwogroups. intwogroupsareal1i ment,thechangesinH egroupwassuperiorthescoresofADLandTCpsarealldecreaseda hangesinHead-NeckA superiortothatinDr40 kacupuncturegroup, oup. Therewasasigni tweenthetwogroups. intwogroupsareal1i ment,thechangesinH egroupwassuperiort hescoresofADLandTC psarealldecreaseda hangesinHead-NeckA superiortothatinDr 40 % inthemedicinegr ficantdifferencebe 2. ThescoresofMMSE ncreasedaftertreat ead-NeckAcupunctur othatinDruggroup.T Msyndromeintwogrou ftertreatment,thee cupuncturegro叩was ug Head-Neckacupun cturecanberegardas nientwaytotreatVD, Head-Neckacupunctu rthanmedicinegroup rclinicalpractice.【Keywords cturecanberegardas nientwaytotreatVD, Head-Neckacupunctu rthanmedicinegroup rclinicalpractice. 【Keywords 】 aeffectiveandconve effectiverateofthe regroupismuchhighe ,itisworthtousedfo