督脉、膀胱经头部三线排刺对血管性痴呆患者认知功能的影响

Effect of three-line puncture on the Governor Vessel and Bladder Meridian on head on cognitive function of vascular dementia patients

目的:验证督脉、膀胱经头部三线排刺法治疗血管性痴呆的临床疗效。方法:采用随机法将60例血管性痴呆患者分为头针排刺组和常规针刺组,每组30例。头针排刺组从前发际至枕骨粗隆之间的督脉、膀胱经三线行排刺法,常规针刺组穴取印堂、风池、四神聪透百会、神庭透上星,两组均每日治疗1次,每周5次,治疗8周。采用简易精神状态检查量表(MMSE)于治疗前后进行评分,并比较两组疗效。结果:对于患者认知功能的改善,头针排刺组总有效率为76.7%(23/30),优于常规针刺组的43.3%(13/30,P<0.05);两组治疗后MMSE评分较治疗前提高(均P<0.01),且对MMSE评分的改善程度头针排刺组优于常规针刺组(P<0.01)。结论:督脉、膀胱经头部三线排刺法能明显改善血管性痴呆患者的认知功能,且疗效优于常规针刺。

Objective To verify the therapeutic effect of vascular dementia treated with three-line puncture on the Governor Vessel and Bladder Meridian on head.Methods Sixty cases were randomly divided into a head-line puncture group and a routine acupuncture group,30 cases in each group.In head-line puncture group,line puncture was applied on three lines of the Governor Vessel and Bladder Meridian from anterior hairline to occipital tuberosity.In routine acupuncture group,Yintang（GV 29）,Fengchi（GB 20）,Sishencong（EX-HN 1） penetrating to Baihui（GV 20） and Shenting（GV 24） penetrating to Shangxing（GV 23） were selected.Once a day,5 times in a week and 8 weeks totally.Score was evaluated with Mini-Mental State Examination scale（MMSE） before and after treatment,and the therapeutic effects in both groups were compared.Results The total effective rate of cognitive function was 76.7%（23/30） in head-line puncture group,superior to that of 43.3%（13/30,P0.05） in routine acupuncture group.The MMSE scores in both groups were improved after treatment（both P0.01）,and it in head-line puncture group was superior to that in routine acupuncture group（P0.01）.Conclusion Three-line acupuncture on the Governor Vessel and Bladder Meridian on head can remarkably improve the cognitive function of vascular dementia,and the therapeutic effect is superior to that of routine acupuncture.