针剌加穴注治疗血管性痴呆的临床观察

Effect of acupuncture add point injection therapy on treatment of vascular dementia

目的:探讨针刺、穴注、舌针治疗血管性痴呆的疗效。方法:经CT检查确诊为脑出血或脑梗塞后引起血管性痴呆患者120例,随机分为两组:治疗组80例采用针刺百会,穴注风池,舌针法进行治疗;对照组40例采用常规针刺法进行治疗。结果:治疗组的总有效率(92.5%)明显高于患者对照组(75%).P<0.05;长谷川痴呆量表(HRS -R)分,认知能力(CCSE)、日常活动能力(ADL)的改善非常显著地优于对照组(P<0.01)。结论:针刺、穴注、舌针治疗血管性痴呆疗效较好,有研究与应用价值。

Objective:To study the curative effect of acupuncture .point injection and tongue needle therapy in treatment of vascular dementia (VD). Methods: The 120 VD patients after encephalorrhagia and cerebral infarction those had been defined by cerebral CT were divided randomly into two groups. There were 80 cases in therapy group,who were treated by Baihui point acupuncture, Fengchi point injection, and tongue needle, and there were 40 cases in control groups, who were treated with routine therapy. Results:The total effective power in therapy group (92. 5%) was more than that of control group (72.5%), P<0. 05; the improvements of HDS -R、 CCSE、ADL in therapy were than those of control group (P<0. 01). Conclusion: Effective power of acupuncture, point injection and tongue needle in treating vascular dementia is higher and possess a value of clinical study and practice.