摘要
目的评价调神益智针法治疗血管性痴呆的临床疗效。方法将84例血管性痴呆患者随机分为治疗组、对照组各42例。两组在基础治疗的同时,治疗组加用调神益智针法,对照组采用传统针刺取穴,每日2次,每周治疗6天,1周为1个疗程,共治疗4个疗程。治疗前后进行简易智能量表(MMSE)、日常社会能力量表(BBS)、日常生活能力(BI指数)、阿尔茨海默病评定量表的认知分量表(ADAS-Cog)、画钟试验(CDT)测定及中医证候评分,同时采用临床医生访谈时对病情变化的印象补充量表(CIBIC-Plus)进行评定,并判定中医证候疗效。结果两组患者治疗前后MMSE评分、BBS评分、BI指数、ADAS-Cog评分、CDT评分、中医证候评分比较差异均有统计学意义(P<0.01),两组患者各指标治疗后组间比较差异亦有统计学意义(P<0.01)。治疗组中医证候总有效率为88.10%,对照组为76.19%,两组比较差异无统计学意义(P>0.05)。结论调神益智针法可明显改善血管性痴呆患者的智能状态、认知功能、社会行为能力、日常生活功能及中医证候,优于传统针刺方法。
Objective To evaluate the efficacy of spirit-regulating intelligence-improving acupuncture for vascu- lar dementia. Methods Totally 84 cases of vascular dementia were randomized into a treatment group and a control group, with 42 cases in each. Both groups were given basic treatment. The treatment group was added with spirit- regulating intelligence-improving acupuncture. The control group was added with traditional acupuncture. Both groups were treated twice daily and 6 days weekly. The treatment lasted for 4 weeks. The Mini-Mental State Examination （MMSE）, Berg Balance Scale （BBS）, Barthel Index （BI）, Alzheimer＇s Disease Assessment Scale-Cognitive Subscale （ADAS-Cog）, Clock Drawing Test （CDT） and Clinicians＇Interview-Based Impression of Change-Plus （CIBIC-Plus） were used to evaluate before and after treatment. The TCM syndrome scores were detected and the efficacy of TCM syndrome was evaluated. Results There were significant differences between before and after treat- ment in the scores of MMSE, BBS, BI, ADAS-Cog, CDT and TCM syndrome in both groups （P 〈 0.01 ）. There were significant differences between groups in the scores of MMSE, BBS, BI, ADAS-Cog, CDT and TCM syndrome after treatment （ P 〈 0. 01 ）. The total efficacy of TCM syndrome in the treatment group and control group was 88. 10% and 76. 19% respectively, with no significant difference between groups （P 〉 0. 05 ）. Conclusion The spirit- regulating intelligence-improving acupuncture is superior to traditional acupuncture in improving mental state, cognitive function, capabilities of social behavior, activities of daily living and TCM syndromes of patients with vascular dementia.
出处
《中医杂志》
CSCD
北大核心
2014年第15期1295-1298,共4页
Journal of Traditional Chinese Medicine
基金
天津市中医药管理局中医
中西医结合课题资助项目(11010)
关键词
血管性痴呆
调神益智针法
针刺方法
vascular,dementia
spirit-regulating intelligence-improving acupuncture
needling methods
