电项针疗法对血管性痴呆患者认知功能影响临床研究

Clinical Research on Effects of Electric Nape Acupuncture on Cognitive Function in Patients with Vascular Dementia

目的:观察电项针疗法对血管性痴呆患者认知功能的影响。方法 :按照美国精神病学会(APA)和美国国立神经系统疾病与卒中研究所和瑞士神经科学研究国际协会(NINDS/AIREN)制定的诊断标准、排除标准筛选出血管性痴呆患者68例,随机分成电项针治疗组和脑复康治疗组各34例,经4个疗程治疗后,比较治疗前后长谷川痴呆量表(HDS)、简易智力状态检查量表(MMSE)及日常生活能力量表(ADL)评分变化。结果 (:1)两组疗效比较:电项针治疗组患者34例,显效8例(23.5%),有效20例(58.8%),无效4例(11.8%),恶化2例(5.9%),总有效率为82.4%。脑复康治疗组患者34例,显效6例(17.6%),有效15例(41.2%),无效9例(26.5%),恶化4例(11.8%),总有效率为61.8%,两组疗效比较差异有统计学意义(P<0.01)。(2)两组治疗后HDS、MMSE与ADL量表评分均较治疗前提高,差异有统计学意义(P<0.05),电项针治疗组HDS、MMSE评分改善优于脑复康治疗组(P<0.05)。结论 :电项针疗法能显著改善血管性痴呆患者认知功能。

Objective ： To observe the effects of electric nape acupuncture on cognitive function in patients with vascular dementia. Methods： According to APA DSM-IV and NINDS/ AIREN CCDVD diagnosis standards and elimination standards, 68 cases of patients with vascular dementia were selected and randomly divided into two groups： the electric nape acupuncture treatment group and the piracetam treatment group with 34 cases in each,The scores of HDS, MMSE and ADL were compared before and after treatment. Results ： （ 1 ） The electric nape acupuncture treatment group ： 8 eases had marked effect （ 23.5% ）,20 cases were effective（ 58.8% ）,4 cases without effect（ 11.8% ）,2 cases deteriorated（ 5.9% ）, and the total effective rate was 82.4%.The piracetam treatment group ： 6 cases had marked effect（ 17.6% ）, 15 cases were effective （ 41.2% ）,9 cases without effect （ 26.5% ）,4 cases deteriorated （ 11.8% ）, and the total effective rate was 61.8%.The difference between two groups had a statistical significance （ P〈0.05 ）. （ 2 ） The scores of HDS, MMSE and ADL in both groups after treatment were significantly higher than those before treatment （ P〈0.05 ）, while the improvement of scores of HDS and MMSE in the electric nape acupuncture treatment group was superior to that of the piracetam treatment group P〈0.05 ）. Conclusion： Electric nape acupuncture may improve the cognitive function in patients with vascular dementia.