百会、水沟、神门影响血管性痴呆患者认知功能的比较研究  

Comparison of Clinical Effects of Acupuncture of Baihui(GV 20),Shuigou(GV 26) and Shenmen(HT 7) on the Cognitive Function of Vascular Dementia Patients

作　　者：赖新生[1] 黄泳[1] 

机构地区：[1]广州中医药大学针灸推拿学院,广州510407

出　　处：《针刺研究》2006年第1期54-57,共4页Acupuncture Research

基　　金：中国博士后科学基金资助课题(No.2004035593)

摘　　要：目的:探讨百会、水沟、神门改善血管性痴呆(VD)患者认知功能的相对特异性。方法:50例VD患者,随机分为5组,分别施以针对偏瘫的常规穴位针刺,常规穴位加用百会穴,加用水沟穴,加用神门穴,加用百会、水沟和神门穴。治疗前后运用老年认知功能量表(SECF)进行测评,评分结果纳入统计学处理。结果:常规穴位加用百会、水沟、神门等穴位治疗后,SECF总分有显著提高;加用百会穴治疗后,VD患者的定向、瞬间记忆、长回忆、动物名、划销和计算、分类与类同等方面评分有明显提高;加用水沟穴治疗后,VD患者的定向、划销和计算、分类与类同等方面评分有明显提高;加用神门穴治疗后,VD患者的数字广度、动物名、分类与类同等方面评分有明显提高。结论:百会、水沟、神门能够改善VD患者认知功能,三穴虽然分别有各自的相对特异性,但联合运用效果最佳。Objective： To compare the effects of acupuncture of Baihui （GV20）, Shuigou （GV26） and Sherrnen （HT7） on the cognitive ability in vascular dementia （VD） patients. Methods： Fifty cases of VD patients were randomly and evenly dividad into body-acupoint, GV-20, GV-26, HT-7 and GV-20＋ GV-26＋ HT-7 groups. Body-acupoints were Jianyu （LI 15）, Quchi （LI 11 ）, Zusanli （ST 36）, etc and were used in all the patients of the 5 groups, The acupuncture treatment was given once daily （except weekend days）, 4 weeks altogether. The therapeutic effects were assessed by using ＂Scale for Evaluating the Cognition Function＂ （SECF） before and after the treatment. Results： After the trealment, the total scores of SECF in GV-20, GV-26, HT- 7 and GV-20 ＋ GV-26 ＋ HT-7 groups were significantly higher than those of their respective pre-treatment （P 〈 0.05）. Adding Baihui （GV 20） could significantly raise the patients＇ scores of orientation, short and long-term memory, animal naming, calculating and classification （P〈0.05, 0.01）; adding Shuigou （GV 26） could raise the scores of orientation, calculating and classification （P〈0.05）; adding Shenmen （HT 7） could raise the scores of digital range, animal naming and classification （P〈0.05）. And adding GV-20, GV-26 and HT-7 could raise the scores of orientation, digital range, short-term memory, animal naming, calculation, classification and painting abilities （P〈 0.05, 0,01 ）. The effects of GV-20 ＋ GV-26 ＋ HT-7 group were significantly better than those of body-acupoint group in improving the total score, orientation, digital range, animal naming, calculation and painting （P〈 0.01 ）; than that of GV-20 group in calculation （P〈 0.05）; than those of GV-26 in digital range, animal naming, calculation and painting （P〈0.05, 0.01）; and than that of HT-7 group in calculation （P〈0.01）. Conclusion： Acupuncture of the added Baihui （GV 20）, Shuigou （GV 26） and Shenmen （HT 7

关 键 词：血管性痴呆 认知功能 针刺 百会 水沟 神门 

分 类 号：R749.16[医药卫生—神经病学与精神病学]