Effect of acupuncture treatment on vascular dementia
Effect of acupuncture treatment on vascular dementia
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DOI：
10.1179/016164106x91951
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发表时间：
2006-01-01
影响因子：
1.9
通讯作者：
Han, JX
中科院分区：
文献类型：
--
作者：
Yu, JC;Zhang, XZ;Han, JX
目的：近年来研究表明，针刺可以改善血管性痴呆（VaD）的一些常见症状。为观察益气调血、扶本培元针刺法治疗血管性痴呆的临床疗效，将60例住院患者随机分为治疗组和对照组。TG组和CG组均接受与其他VaD住院患者相同的常规治疗，包括药物和传统针灸治疗。治疗后给予益气调血、扶本培元针刺治疗，包括体部五穴：潭中、中脘、气海、足三里、血海。治疗每天进行一次，持续6周。结果：针刺治疗组和对照组的MMSE、HDS-R和ADL评分均明显改善（P <0.001），治疗组和对照组的MMSE、HDS-R和ADL评分明显改善（P < 0.001）。但治疗组MMSE和HDS-R总分显著高于对照组（p < 0.05）。TG组患者治疗后记忆力、定向力、计算力及日常生活自理能力明显改善。治疗组总有效率为80.0%，对照组总有效率为46.7%，两组比较有显著性差异（P < 0.05）。结论：益气调血、扶本培元针刺法治疗VaD疗效显著，耐受性好。
Objective: Recent studies have suggested that acupuncture can ameliorate some symptoms commonly associated with vascular dementia (VaD). The study was carried out to observe the clinical therapeutic effects for VaD of 'yi qi tiao xue, fu ben pei yuan' acupuncture method (supplementing vital force-matter and regulating blood, supporting the root and fostering the source).Methods: Sixty inpatients with VaD were randomly assigned to the treat group (TG) or control group (CG). Both the TG and the CG received routine treatment as other inpatients with VaD, including medication and traditional acupuncture treatment. After that, the TG was given the treatment of 'yi qi tiao xue, fu ben pei yuan' acupuncture, which included five body acupoints, namely, tanzhong (CV17), zhongwan (CV12), qihai (CV6), zusanli (ST36) and xuehai (SP10). The Treatment was performed once daily for 6 weeks. The mini-mental status examination (MMSE), the revised Hasegawa's dementia scale (HDS-R) and activities of daily living (ADL) exam were carried out before and after the experiment, to evaluate therapeutic effects of the acupuncture method.Results: The MMSE, HDS-R and ADL scores were significantly improved in the TG and CG (p < 0.001). But the overall scores of MMSE and HDS-R for the subjects in the TG were notably higher than those in the CG (p < 0.05). Patients in the TG showed remarkable improvement in memory, orientation, calculation and self-managing ability in daily living after treatment. The total effective rate was 80.0% in the TG versus 46.7% in the CG, where significant difference between the two groups exhibited (p < 0.05).Conclusions: These results suggested that 'yi qi tiao xue, fu ben pei yuan' acupuncture method had significant therapeutic effects and well tolerated in ameliorate the key clinical symptoms of VaD.