头颅CT定位围针对多发梗塞性痴呆患者生存质量的影响  

Effect of CT-aided Scalp Surrounding Needling on the Life Quality of Multiple Cerebral Infarction Dementia Patients

作　　者：伦新[1] 荣莉[1] 杨文辉[1] 

机构地区：[1]广州中医药大学第一附属医院,广州510405

出　　处：《针刺研究》2004年第2期149-152,共4页Acupuncture Research

基　　金：广东省中医药管理局科研资金资助 (No .991 31 )

摘　　要：目的 :观察头颅CT定位围针治疗多发性梗塞性痴呆的疗效 ,及对患者生存质量的影响。方法 :选择多发性梗塞性痴呆患者 50例 ,随机分为电围针 (头颅CT定位 )组 2 5例 ,西药 (尼莫通 )组 2 5例 ,对患者治疗前后的临床疗效和生活质量进行评定。结果 :相同疗程后 ,两组的各观察指标均有显著改变 ,且治疗后电围针组生存质量的评分明显提高。结论Objective: To observe the effect of CT aided scalp surrounding needling on the life quality of multiple cerebral infarction dementia (MCID) patients. Methods: 50 MCID patients were randomly and evenly divided into scalp surrounding needling (treatment) group and medication (control) group. In treatment group, the scalp points (used as main points) around the cerebral infarction focus projection region shown by CT scanning and body acupoints as Fenglong (ST 40), Ganshu (BL 18), etc. were punctured and the scalp points were stimulated with an electroacupuncture stimulator once daily, continuously for 9 weeks. Patients of control group were ordered to take Nimodipine (30 mg/time, t.i.d., 9 weeks). The therapeutic effect was evaluated by using “Criteria for Diagnosis, Syndrome differentiation and Curative effect evaluation of Senile Dementia' and the living quality assessed using Karnofsky performance status(KPS). Results: After treatment, of each 25 cases of treatment and control groups, 5 and 2 had remarkable improvement, 17 and 12 experienced improvement, 3 and 11 had no apparent changes, with the effective rates being 88.0% and 60.0% respectively. The therapeutic effect of treatment group was significantly better than that of medication group (P<0.05). Self comparison of each group in KPS values showed that only KPS of treatment group (45.20± 4.48) increased significantly in comparison with pre treatment (31.84±4.32), and was strikingly higher than that (31.60±4.85) of medication group (P<0.05). Conclusion: CT aided scalp surrounding needling has a positive effect in improving the life quality of multiple cerebral infarction dementia patients.

关 键 词：头颅CT定位 围针 多发梗塞性痴呆 生存质量 血管性痴呆 VD 

分 类 号：R277.733.3[医药卫生—中医学] R814.42