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1. 广州中医药大学针灸推拿学院
2. 广州中医药大学针灸推拿学院,广州,510407
3. ,广州,510407
纸质出版日期:2006
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赖新生, 黄泳. 百会、水沟、神门影响血管性痴呆患者认知功能的比较研究[J]. 针刺研究, 2006,(1):54-57.
LAI Xin-sheng, HUANG Yong. Comparison of Clinical Effects of Acupuncture of Baihui(GV 20),Shuigou(GV 26) and Shenmen(HT 7) on the Cognitive Function of Vascular Dementia Patients[J]. Acupuncture research, 2006, (1): 54-57.
目的:探讨百会、水沟、神门改善血管性痴呆(VD)患者认知功能的相对特异性。方法:50例VD患者
随机分为5组
分别施以针对偏瘫的常规穴位针刺
常规穴位加用百会穴
加用水沟穴
加用神门穴
加用百会、水沟和神门穴。治疗前后运用老年认知功能量表(SECF)进行测评
评分结果纳入统计学处理。结果:常规穴位加用百会、水沟、神门等穴位治疗后
SECF总分有显著提高;加用百会穴治疗后
VD患者的定向、瞬间记忆、长回忆、动物名、划销和计算、分类与类同等方面评分有明显提高;加用水沟穴治疗后
VD患者的定向、划销和计算、分类与类同等方面评分有明显提高;加用神门穴治疗后
VD患者的数字广度、动物名、分类与类同等方面评分有明显提高。结论:百会、水沟、神门能够改善VD患者认知功能
三穴虽然分别有各自的相对特异性
但联合运用效果最佳。
Objective: To compare the effects of acupuncture of Baihui(GV 20)
Shuigou(GV 26) and Shenmen(HT 7) on the cognitive ability in vascular dementia(VD) patients.Methods: Fifty cases of VD patients were randomly and evenly divided into body-acupoint
GV-20
GV-26
HT-7 and GV-20+GV-26+HT-7 groups.Body-acupoints were Jianyu(LI 15)
Quchi(LI 11)
Zusanli(ST 36)
etc and were used in all the patients of the 5 groups.The acupuncture treatment was given once daily(except weekend days)
4 weeks altogether.The therapeutic effects were assessed by using "Scale for Evaluating the Cognition Function"(SECF) before and after the treatment. Results: After the treatment
the total scores of SECF in GV-20
GV-26
HT-7 and GV-20+GV-26+HT-7 groups were significantly higher than those of their respective pre-treatment(P<0.05).Adding Baihui(GV 20) could significantly raise the patients' scores of orientation
short and long-term memory
animal naming
calculating and classification(P<0.05
0.01);adding Shuigou(GV 26) could raise the scores of orientation
calculating and classification(P<0.05);adding Shenmen(HT 7) could raise the scores of digital range
animal naming and classification(P<0.05).And adding GV-20
GV-26 and HT-7 could raise the scores of orientation
digital range
short-term memory
animal naming
calculation
classification and painting abilities(P<0.05
0.01).The effects of GV-20+GV-26+HT-7 group were significantly better than those of body-acupoint group in improving the total score
orientation
digital range
animal naming
calculation and painting(P<0.01);than that of GV-20 group in calculation(P<0.05);than those of GV-26 in digital range
animal naming
calculation and painting(P<0.05
0.01);and than that of HT-7 group in calculation(P<0.01).Conclusion: Acupuncture of the added Baihui(GV 20)
Shuigou(GV 26) and Shenmen(HT 7) works better in improving VD patients' cognitive ability.
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