Skip to main content
SpringerLink
Log in

Therapeutic efficacy observation on scalp acupuncture for vascular dementia

头针治疗血管性痴呆疗效观察

  • Special Topic Study
  • Published:
Journal of Acupuncture and Tuina Science Aims and scope Submit manuscript

摘要

目的

通过多中心随机对照试验方法, 观察头针治疗肝肾亏虚型血管性痴呆的临床疗效。

方法

将184 例纳入观察的患者随机分成两组, 即头针组和体针组。 运用简易精神状态检查量表(Mini Mental State Examination, MMSE)、 Blessed-Roth 行为量表(Blessed-Roth Behavior Scale, BBS)、 日常生活自理能力量表(Activities of Daily Living, ADL)和中医证候积分对治疗前后两组分别进行测定, 并记录和统计得分。

结果

头针组MMSE评分和中医证候积分的改善显著优于体针组(P<0.01); 而BBS和ADL评分头针组与体针组无明显差异(P>0.05)。 头针组患者认知功能改善的显效率、 总有效率均优于体针组; 头针组社会行为能力改善和中医证候疗效的显效率优于体针组, 但总有效率无明显差异; 两组日常生活自理能力疗效的总有效率无明显差异。

结论

头针可明显改善血管性痴呆患者的日常生活功能、 中医证候、 智能状态及社会行为能力, 且该方法安全、 有效、 操作简单、 不受体位限制。

Abstract

Objective

To observe the clinical efficacy of scalp acupuncture for vascular dementia due to deficiency of the liver and kidney in a multicenter randomized controlled clinical trial.

Methods

A total of 184 cases were randomly allocated into a scalp acupuncture group and body acupuncture group. The mini-mental state examination (MMSE), Blessed-Roth behavior scale (BBS), activities of daily living (ADL) scale and scores of signs and symptoms based traditional Chinese medicine were used to assess cases in both groups before and after the treatment.

Results

The MMSE score and improvement of TCM-based signs and symptoms in the scalp acupuncture group were significantly better than that in the control group (P<0.01), while there were no statistical differences between the two groups in BBS and ADL scores (P>0.05). The marked and total effective rates of cognition improvement in the scalp acupuncture group were significantly better than that in the control group, while there were no significant differences between the two groups in improvement of social behavior and TCM-based signs and symptoms. Also, there was no significant difference between the two groups in the total effective rate for improvement of ADL.

Conclusion

Scalp acupuncture can substantially improve the VD patients’ activity of daily living, alleviate the TCM-based signs and symptoms and increase their mental state and social behavior. In addition, scalp acupuncture is safe, effective and easy to operate on any postures.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Log in via an institution

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Institutional subscriptions

References

  1. Román GC. Defining dementia: clinical criteria for the diagnosis of vascular dementia. Acta Neurol Scand Suppl, 2002, 178: 6–9.

    Article  PubMed  Google Scholar 

  2. Lai XS. Therapeutic efficacy observation on acupuncture for senile vascular dementia. Zhong Guo Zhen Jiu, 1997, 17(4): 212–213.

    Google Scholar 

  3. Tian JZ. Vascular Dementia. Beijing: People’s Medical Publishing House, 2003: 444–446.

    Google Scholar 

  4. Chen JP, Lin X. Dementia Therapeutics. Beijing: People’s Military Medical Press, 2002: 131.

    Google Scholar 

  5. Wang YY, Zhang BL. Modern TCM Clinical Practice and Study on Vascular Dementia. Beijing: People’s Medical Publishing House, 2003: 150.

    Google Scholar 

  6. Gao Y, Xie YZ. Role of turbid-toxins in vascular dementia. Zhong Guo Zhong Yi Ji Zheng, 2000, 9(6): 266–267.

    Google Scholar 

  7. Liu H, Tian JZ, Yan L, Chang SL, Zhou W, Yu XG, Sheng T, Chen B. Study on syndrome manifestations in patients with vascular dementia. Bei Jing Zhong Yi Yao Da Xue Xue Bao, 2006, 29(1): 52–55.

    Google Scholar 

  8. Jia XH, Meng LP. Observation on the efficacy of lower point selection for upper disease in treating cognitive impairment after acute cerebral infarction. Shang Hai Zhen Jiu Za Zhi, 2011, 30(9): 589–590.

    Google Scholar 

  9. Zhang H, Zhu MJ, Yang YL. EBM evaluation on common acupuncture treatment for vascular dementia. Zhong Guo Lin Chuang Kang Fu, 2005, 9(9): 173.

    CAS  Google Scholar 

  10. Chen XY, Wu FD. A comparative study of the effect on cerebral blood flow of scalp acupuncture on the affected vs unaffected side in stroke patients. Shang Hai Zhen Jiu Za Zhi, 2011, 30(9): 586–588.

    Google Scholar 

  11. Niu WM, Liu HY. Clinical study of treatment of vascular dementia with lasting scalp acupuncture. Shang Hai Zhen Jiu Za Zhi, 2007, 26(10): 4–5.

    Google Scholar 

  12. Fei LB. Chinese Scalp Acupuncture. Beijing: Scientific and Technology Document Press, 2000: 24–76.

    Google Scholar 

  13. Zhang P, Ni LZ. Application study on the role of Fengchi (GB 20) and Fengfu (GV 16) in post-stroke sequela treatment. Zhong Guo Zhen Jiu, 1998, 18(12): 743.

    Google Scholar 

Download references

Author information

Authors and Affiliations

  1. Acupuncture Department, Xi’an Hospital of Traditional Chinese Medicine, Shaanxi, 710001, P. R. China

    Lin-na Huang  (黄琳娜), Jun-ming An  (安军明), Lan Dong  (董岚), Ruo-ping Zhang  (张若平), Yu-juan Ren  (任玉娟) & Yuan-yuan Ren  (任媛媛)

  2. Shaanxi Provincial Hospital of Traditional Chinese Medicine, Xi’an, 710061, P. R. China

    Tong-sheng Su  (苏同生) & Pu Wang  (王璞)

Authors
  1. Lin-na Huang  (黄琳娜)
    View author publications

    You can also search for this author in PubMed Google Scholar

  2. Jun-ming An  (安军明)
    View author publications

    You can also search for this author in PubMed Google Scholar

  3. Tong-sheng Su  (苏同生)
    View author publications

    You can also search for this author in PubMed Google Scholar

  4. Pu Wang  (王璞)
    View author publications

    You can also search for this author in PubMed Google Scholar

  5. Lan Dong  (董岚)
    View author publications

    You can also search for this author in PubMed Google Scholar

  6. Ruo-ping Zhang  (张若平)
    View author publications

    You can also search for this author in PubMed Google Scholar

  7. Yu-juan Ren  (任玉娟)
    View author publications

    You can also search for this author in PubMed Google Scholar

  8. Yuan-yuan Ren  (任媛媛)
    View author publications

    You can also search for this author in PubMed Google Scholar

Corresponding author

Correspondence to Lin-na Huang  (黄琳娜).

Rights and permissions

Reprints and permissions

About this article

Cite this article

Huang, Ln., An, Jm., Su, Ts. et al. Therapeutic efficacy observation on scalp acupuncture for vascular dementia. J. Acupunct. Tuina. Sci. 10, 38–43 (2012). https://doi.org/10.1007/s11726-012-0567-z

Download citation

  • Received:

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s11726-012-0567-z

关键词

中图分类号

Key Words

Search

Navigation