头部不同针刺法治疗梗塞性痴呆临床观察  

Clinical Observations on Different Scalp Needling Methods for the Treatment of Multiple Infarcted Dementia

作　　者：刘磊 伦新[2] 

机构地区：[1]广东省东莞常平医院,广东523573 [2]广州中医药大学针灸推拿学院,广东510405

出　　处：《上海针灸杂志》2009年第6期313-315,共3页Shanghai Journal of Acupuncture and Moxibustion

基　　金：广东省中医药管理局资助项目(99131)

摘　　要：目的观察头部不同针刺法治疗梗塞性痴呆的疗效及对脑血流的影响。方法将40例患者随机分为头颅CT定位围针组(简称治疗组)20例,常规头针组(简称对照组)20例,治疗6星期后观察疗效,并于治疗前后做脑血流图比较。结果治疗组总有效率90.0%,对照组为65.0%,两组疗效经Ridit分析,P<0.05;治疗组在治疗后的脑血流图各项指标中,除了上升时间未见明显变化外,转折波比值、波幅、流入容积速度等均有较大的增加(P<0.01);两组患者治疗前后转折波比值、波幅、流入容积速度差值比较,差异有统计学意义(P<0.05或P<0.01)。结论结果表明头颅CT定位围针治疗梗塞性痴呆的疗效优于常规头针治疗,且治疗组在改善脑血流方面较对照组明显。Objective To investigate the therapeutic effects of different scalp needling methods on multiple infarcted dementia and the influences on cerebral blood flow. Methods Forty patients were randomly allocated to a cranial CT location surrounding acupuncture group （briefly called treatment group） of 20 cases and a conventional scalp acupuncture group （briefly called control group） of 20 cases. The therapeutic effects were evaluated after 6 weeks of treatment. Rheoencephalography was performed before and after treatment for comparison. Results The total efficacy rate was 90.0% in the treatment group and 65.0% in the control group. Ridit analysis showed a significant difference in therapeutic effect between the two groups（P〈0.05）.Of rheoencephalographic indices, transition wave ratio, wave amplitude and inflow volume velocity increased to a greater extent （P〈0.01） but ascending time did not change obviously after treatment in the treatment group. There were statistically significant pre-/post-treatment differences in transition wave ratio, wave amplitude and inflow volume velocity between the two groups of patients （P〈0.05 or P〈0.01）. Conclusion The results show that cranial CT location surrounding acupuncture has a better effect and improves cerebral blood flow more than conventional scalp acupuncture in treating multiple infarcted dementia.

关 键 词：针刺 头针 痴呆 多发性梗塞性 脑血流图 

分 类 号：R246.6[医药卫生—针灸推拿学]