电针四神聪和风池穴治疗血管性认知障碍临床研究  

Clinical Study of Electroacupuncture at Points Sishencong and Fengchi for the Treatment of Vascular Dementia

作　　者：陈英华[1] 孙忠人[2] 杜文秀[2] 倪国忠[2] 姜磊[2] 洪霞[2] 魏巍[2] 秦瑞奇[2] 苏晓庆[2] 

机构地区：[1]黑龙江中医药大学附属第一医院,哈尔滨150040 [2]黑龙江中医药大学,哈尔滨150040

出　　处：《上海针灸杂志》2013年第4期245-247,共3页Shanghai Journal of Acupuncture and Moxibustion

基　　金：黑龙江中医药大学"优秀创新人才支持计划"科研项目(2012RCL01)

摘　　要：目的探讨电针四神聪和风池穴治疗血管性认知障碍的临床疗效及其对不同血管平均血流速度的影响。方法将60例血管性认知障碍患者随机分为电针四神聪和风池穴治疗组30例,传统针刺对照组30例。两组采用MMSE、ADL的Barthel指数评分及TCD评定受试者治疗前后的差异。结果治疗组总有效率为93.3%,对照组总有效率为80.0%,两组总有效率存在明显差异(P<0.05)。两组治疗前后MMSE、Barthel指数评分及各血管平均血流速度组内比较,差异均有统计学意义(P<0.05)。治疗后治疗组与对照组MMSE、Barthel指数评分及各血管平均血流速度有显著差异(P<0.05)。结论两组经治疗后,MMSE和Barthel指数评分及各血管平均血流速度均升高,但电针刺激四神聪和风池穴优于传统针刺治疗,可以提高疗效,是有效的治疗方法。Objective To investigate the clinical efficacy of electroacupuncture at points Sishencong （Ex-HN1） and Fengchi （GB20） in treating vascular dementia and its influence on mean blood flow velocity in different blood vessels. Method Sixty patients with vascular dementia were randomly allocated to a treatment （electroacupuncture at points Sishencong and Fengchi） group of 30 cases and a control （conventional acupuncture） group of 30 cases. Pre-treatment and post-treatment differences between the two groups of subjects were examined using the MMSE, ADL and Barthel Index scores and TCD. Result The total efficacy rate was 93.3% in the treatment group and 80.0% in the control group. There was a significant difference in the total efficacy rate between the two groups （P^0.05）. There were statistically significant pre-/post-treatment differences in the MMSE and Barthel Index scores and mean blood flow velocity in different blood vessels in the two groups （P〈0.05）. There were statistically significant post-treatment differences in the MMSE and Barthel Index scores and mean blood flow velocity in different blood vessels between the treatment and control groups （P〈0.05）. Conclusion The MMSE and Barthel Index scores and mean blood flow velocity in different blood vessels increased in both groups after treatment, but electroacupuncture stimulation of points Sishencong and Fengchi was superior to conventional acupuncture treatment. It can improve the therapeutic effect and is an effective therapy.

关 键 词：痴呆 血管性 认知障碍 电针 穴 风池 穴 四神聪 

分 类 号：R246.6[医药卫生—针灸推拿学]