头针治疗血管性痴呆临床随机对照研究

Clinical Randomized Controlled Study of Applying Scalp Acupuncture in Treating Vascular Dementia

目的:观察头针对血管性痴呆的影响,寻找治疗痴呆的有效方法。方法:按照随机对照原则,将纳入统计的60例患者随机分为头针治疗组(治疗组)、常规对照组(对照组),每组各30例,治疗组在内科常规治疗的基础上加头针治疗,对照组除不予以头针外,均同治疗组。两组均采用临床简易精神状态检查量表(MMSE)、社会行为能力量表(Blessed)、日常生活自理能力量表(ADL)和中医证候积分等进行治疗前后的评价以及观察两组间的差异。结果:两组治疗后临床简易精神状态检查量表评分、社会行为能力量表评分、日常生活自理能力量表评分、中医证候积分均比治疗前有差异,差异有统计学意义;组间比较具有统计学意义。结论:头针治疗血管性痴呆疗效优于常规对照组,治疗组在改善认知功能等方面优于对照组。

Objective： To study the effects of the clinical randomized and controlled by scalp acupuncture for treating vascular dementia and search for an effective method for treatment of vascular dementia. Methods： According to the randomized trial principle,60 cases of patients were enrolled and randomly assigned to a scalp acupuncture group of 30 cases and a controlled group of 30 cases. Both groups were treated with internal routine treatment. The scalp acupuncture group was used acupuncture based on internal routine treatment; in the controlled group was only used internal routine treatment. Two groups of the MMSE scores of vascular dementia patients,Blessed Score,ADL Score were used to evaluate the condition of vascular dementia patients before and after treatment. Results： The MMSE scores,BBS score,ADL score of both groups were improved after treatment,and the improved degree of the scalp acupuncture group was better than that of the controlled group. Conclusion： The curative effect of the scalp acupuncture group on the vascular dementia is better than the controlled group,Cognitive function improvement of the scalp acupuncture group is better than the controlled group.