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1. 陕西中医学院附属医院
2. 陕西中医学院附属医院,咸阳,712083
纸质出版日期:2008
移动端阅览
刘智斌, 牛文民, 杨晓航, 等. 嗅三针治疗血管性痴呆的随机对照研究[J]. 针刺研究, 2008,(2):131-134.
LIU Zhi-bin, NIU Wen-min, YANG Xiao-hang, et al. Clinical Investigation on Electroacupuncture Treatment of Vascular Dementia with "Xiusanzhen"[J]. Acupuncture research, 2008, (2): 131-134.
目的:观察嗅三针治疗血管性痴呆的临床疗效
以探索有效的治疗方法。方法:60例血管性痴呆患者随机分为两组。针刺组用嗅三针刺激疗法
并施以电针(疏密波
3.85
6
.25 Hz
0.86.25 Hz
0.8
1
.0 mA)
留针1 h
每日1次
连续治疗5 d后休息2 d为1疗程
共治疗10个疗程;药物组用口服药物疗法(都可喜)
每次40 mg
每日2次
连服5 d后休息2 d为1个疗程
共治疗10个疗程。分别于治疗前后进行长谷川痴呆修改量表(HDS)、简易智力状态检查表(MMSE)、社会活动能力调查表(FAQ)评分。结果:针刺组显效15例
有效9例
无效6例
总有效率为80.00%;药物组显效12例
有效10例
无效8例
总有效率为73.33%;两组疗效比较差异有显著性意义(P
<
0.05)。两组患者治疗前后比较
治疗后HDS、MMSE上升
FAQ降低
差异有极显著性意义(P
<
0.01);两组间治疗前后差值比较
针刺组的HDS、MMSE、FAQ改变比药物组更明显(P
<
0.05)。结论:嗅三针对于血管性痴呆患者具有确切的疗效。
Objective To observe the effect of electroacupuncture(EA) in the treatment of vascular dementia(VD) so as to explore an effective therapy for it.Methods Sixty cases of VD were randomly divided into acupuncture group and medication(Duxil
40 mg/time
2 times/d for 10 weeks) group
with 30 cases in each group."Xiusanzhen" means that two acupuncture needles were penetrated subcutaneously from bilateral Yingxiang(LI 20) to Shangyingxiang(EX-HN 8) respectively
and the 3rd needle was penetrated from the midpoint between two Yangbai(GB 14) through Yintang(EX-HN 3) to the nasal root
followed by applying EA stimulation to the acupoints.Hasegawa's Dementia Scale(HDS)
Mini-mental state examination(MMSE)
and Functional Activities Questionnaire(FAQ) were used for assessment of the VD patient's state before and after the treatment.Results After the treatment
the total effective rates of acupuncture and medication groups were 80.00% and 73.33% respectively.The effective rate of acupuncture group was significantly superior to that of medication group(P<0.05).Before treatment
scores of HDS
MMSE and FAQ in both groups had no significant differences(P>0.05);after the treatment
the scores of HDS and MMSE increased significantly
and that of FAQ decreased remarkably in both groups(P<0.01)
and the difference of scores(or absolute value of FAQ) between post-treatment and pre-treatment in EA group was obviously higher than that in medication group(P<0.05).Conclusion Acupuncture of "Xiusanzhen" is effective in the treatment of VD patients.
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