Clinical efficacy observation of scalp-acupuncture-based therapy for vascular dementia

摘要

目的

观察头针为主治疗血管性痴呆的临床疗效。

方法

将80 例血管性痴呆症患者按就诊顺序随机分为三组, 头针组27 例, 体针组25例, 对照组28例。 头针组给予针刺头部穴区治疗; 体针组给予针刺躯体穴位治疗; 对照组给予口服都可喜治疗。 采用简易精神状态检查法(Mini-mental State Examination, MMSE)、 巴氏指数(Barthel Index, BI)评定各组治疗前后的差异。

结果

头针组总有效率为 92%, 体针组总有效率为89%, 对照组总有效率为83%, 三组之间总有效率差异有统计学意义(P<0.01)。 治疗后, 三组MMSE、 BI评分与治疗前比较, 差异均具有统计学意义(P<0.01)。 治疗后头针组与体针组 MMSE及BI评分与对照组比较, 均有统计学差异 (P<0.05); 治疗后头针组与体针组比较, 差异有统计学意义 (P<0.05)。

结论

头针为主治疗血管性痴呆疗效更显著, 能明显改善MMSE及BI评分。

Abstract

Objective

To observe the clinical efficacy of scalp-acupuncture-based therapy for vascular dementia.

Methods

Eighty patients with vascular dementia were randomly allocated into 3 groups by the visiting order, 27 cases in the scalp acupuncture group were treated with needling scalp stimulation areas; 25 cases in the body acupuncture group were treated with body acupoints; 28 cases in the control group were given Duxil for oral administration. The mini-mental state examination (MMSE) and Barthel index (BI) were used to evaluate the differences between before and after treatments.

Results

The total effective rate in the scalp acupuncture group was 92%, versus 89% in the body acupuncture group and 83% in the control group, showing a statistical significance (P<0.01). After the treatments, the MMSE and BI scores showed significant differences in all three groups (P<0.01). After the treatment, the MMSE and BI scores in the scalp acupuncture and body acupuncture groups showed statistical significances compared with the control group (P<0.05). There was also a statistical significance between the scalp acupuncture group and body acupuncture group (P<0.05).

Conclusion

Scalp-acupuncture-based therapy can substantially improve MMSE and BI scores and thus obtain a more remarkable effect for vascular dementia.