针刺配合中药治疗血管性认知障碍疗效观察  

Therapeutic Observation on Acupuncture Combining Chinese Medication for Vascular Cognitive Impairment

作　　者：付燕[1] 刘经星[1] 王德利[1] 王魁[1] 王刚[1] 杨翊[1] 

机构地区：[1]湖北医药学院附属人民医院,十堰442000

出　　处：《上海针灸杂志》2013年第6期454-456,共3页Shanghai Journal of Acupuncture and Moxibustion

摘　　要：目的采用随机对照试验的方法,观察针刺配合中药对血管性认知障碍患者认知功能及生存质量的改善情况,为中医临床提供可靠证据。方法将120例患者按随机数字表法分配到针药组、针刺组和药物组,每组40例,共治疗4星期。于治疗前及治疗后30 d分别进行汉密尔顿抑郁量表(HAMD)、精神状态检查量表(MMSE)和MBI评分检测。结果 3组经过治疗后,患者抑郁状态、认知功能和日常生活行为能力的改善方面,针药组优于针刺组和药物组,差异均具有统计学意义(P<0.05)。结论针刺配合中药治疗血管性认知障碍疗效优于单用养血清脑颗粒或单纯针刺治疗,且安全性高。Objective By adopting randomized controlled trial method, to observe the improvement effect of acupuncture plus Chinese medication on cognition and quality of life in patients with vascular cognitive impairment （VCI）, and to provide reliable evidence for clinical practice of Chinese medicine. Method A hundred and twenty patients were randomized by random number table into an acupuncture-medication group, an acupuncture group, and a medication group, 40 each, to receive a 4-week treatment. They were evaluated by using Hamilton Rating Scale for Depression （HAMD）, Mini-Mental State Examination （MMSE）, and Modified Barthel Index （MBI） before treatment and after 30-day treatment. Result After treatment, compared to the acupuncture group and medication group, the acupuncture-medication group had more significant improvements in depression state, cognition and activity of daily living （P〈0.05）. Conclusion Besides its high safety, acupuncture combining Chinese medication has better therapeutic effect than using Yangxue Qingnao granules or acupuncture alone in treating VCI.

关 键 词：针刺 认知障碍 针药并用 HAMD量表 MMSE量表 

分 类 号：R246.6[医药卫生—针灸推拿学]