补肾化痰法针刺改善血管性痴呆患者日常生活能力及中医证候疗效观察

Activities of Daily Living and Symptom Improvement with Acupuncture of Tonifying Kidney and Reducing Phlegm for Patients with Vascular Dementia

目的:评价补肾化痰法针刺对血管性痴呆患者日常生活能力及中医证候的疗效。方法:从3个分中心招募血管性痴呆患者144例,随机分为试验组96例,对照组48例。试验组给予补肾化痰法(百会、四神聪、风池、太溪、三阴交、足三里、丰隆)针刺治疗,针刺同时配合互动疗法;对照组给予甲磺酸双氢麦角毒碱(喜得镇片)口服,对入选病例观察日常生活能力及中医证候疗效。结果:经12周治疗后,试验组患者日常生活能力(ADL)、中医证候(SDSVD)评分较治疗前均有明显改善(P<0.01);试验组与对照组比较,ADL及SDSVD疗效均有显著性差异(P<0.01)。结论:补肾化痰针刺法能明显改善血管性痴呆患者日常生活能力及中医证候。

Objective：To evaluate the effect of acupuncture of tonifying kidney and reducing phlegm for activities of daily living and tcm symptom of patients with vascular dementia. Methods：144 patients with vascular dementia were divided into treatment group（n=96）and control proup（n=48）.The cases of treatment group were treated with acupuncture of tonifying kidney and reducing phlegm,and combined with interactive therapy.The control group was treated with Co-dergocrine Mesylate Tablets.ADL and SDSVD were used to evaluate outcomes.Results：After treatment of 12 weeks,the scores of both ADL and SDSVD were improved in the treatment group（P0.01）,and curative effect had a significant difference between the two groups（P0.01）. Conclusion：Acupuncture of tonifying kidney and reducing phlegm can improve activities of daily living and symptom among patients with VD.