针刺井穴对血管性痴呆患者临床干预的疗效分析

Clinical effect of acupuncture therapy with Jing point for vascular dementia

目的:观察和评价针刺井穴疗法对于血管性痴呆(VD)患者认知和行为能力的干预作用.方法:将62例VD患者随机分为治疗组和对照组,每组31例,疗程均为8wk.治疗前后以MMSE和ADL量表评价患者的认知功能及社会行为能力的变化.结果:两组治疗前后MMSE和ADL评分显示,治疗后两组患者认知和行为能力评分较治疗前均明显改善(P<0.01),治疗组改善明显优于对照组(P<0.01);基于疗效指数的总有效率也明显高于对照组(P<0.01).结论:针刺井穴对VD患者的认知和社会行为能力障碍能进行有效干预,针药综合治疗是提高临床治疗VD疗效、改善患者生活质量的有效治疗方案.

AIM： To observe and evaluate the clinical effect of acupuncture therapy with Jing points on vascular dementia （VD） patients. METHODS： Sixty two VD patients were randomly divided into treatment group of 31 cases and control group of 31 cases and the course of treatment for both groups was 8 weeks. The cognitive function and the social-behavior ability of the patients were evaluated by mini-mental state examination （MMSE） and activity of daily living scale（ADL） before and after the treatment. RESULTS： Evaluations of both MMSE and ADL showed that the cognitive function and behavior ability of both groups were significantly improved after therapy （ P 〈 0.01 ）. However, the improvement of the treatment group was much better than control group（P 〈 0.01 ）. CONCLUSION： Acupuncture therapy with Jing points efficiently improves the cognitive function and socialbehavior ability in VD patients. Combined treatment of acupuncture and medicine is an effective treatment protocol for VD patients, which also improves their quality of life.