壮医药线点灸治疗血管性痴呆100例临床观察

Clinical study on treating vascular dementia by medicated thread moxibustion of the Zhuang ethnic group medicine

目的:探讨壮医药线点灸治疗血管性痴呆(Vascular Dementia,VD)的临床疗效。方法:将100例血管性痴呆患者随机分为治疗组和对照组各50例。两组在常规治疗基础上,治疗组给予壮医药线点灸,对照组口服吡拉西坦片,两组均治疗30天。以简易智力状态检查量表(Mini-mental State Examination,MMSE)、日常生活能力量表(Barthel指数评分)及经颅多普勒(Transcranial Doppler,TCD)为评价指标。结果:治疗后两组总有效率差异具有统计学意义(P<0.05)。两组均可明显改善MMSE评分、Barthel指数评分及脑血流各指标(P<0.05),且治疗组的作用优于对照组(P<0.05)。结论:壮医药线点灸对于改善血管性痴呆患者认知功能、日常生活能力及脑血流均有较好的疗效。

Objective:To observe the clinical efficacy of medicated thread moxibustion of the Zhuang ethnic group medicine(壮药)on vascular dementia.Methods:Totally 100 cases of vascular dementia were randomized into the treatment group and control group,50 cases in each.Both groups were given basic treatment.The treatment group was added with medicated thread moxibustion of the Zhuang ethnic group medicine,the control group was added with piracetam.The treatment lasted for 30 days.Results:There was a significant diference in the total effective rate between the two groups(P﹤0.05).Both groups indicated evident improvements on the scores of cognitive function,daily living ability and cerebral blood flow(P﹤0.05),and efficacy in the treatment group is superior to the control group(P﹤0.05).Conclusion:The medicated thread moxibustion of Zhuang ethnic group medicine can significantly improve the cognitive function,daily living ability and cerebral blood flow of patients.