针药并用治疗血管性痴呆疗效观察  

Therapeutic Investigation on Combined use of Acupuncture and Medication for Vascular Dementia

作　　者：卢昌均[1] 周哲屹[1] 刘国成[1] 鹿俊磊[1] 韦冰心[1] 王洁琼[1] 

机构地区：[1]柳州市中医院,柳州545001

出　　处：《上海针灸杂志》2013年第7期545-547,共3页Shanghai Journal of Acupuncture and Moxibustion

基　　金：广西中管局中医药科技专项课题(GZKZ10-086);柳州市应用技术研究与开发计划项目(2010030703)

摘　　要：目的观察针药并用治疗血管性痴呆的临床疗效。方法将60例血管性痴呆患者随机分为治疗组与对照组,每组30例。两组均接受常规基础治疗,治疗组采用针刺配合口服中药治疗,对照组采用口服石杉碱甲治疗,观察两组治疗前后简易精神状态检查表(MMSE)评分及事件相关电位P_(300)。变化,并比较两组临床疗效。结果两组治疗1个月、2个月、3个月后MMSE评分与同组治疗前比较,差异均具有统计学意义(P<0.01)。两组治疗后事件相关电位P_(300)潜伏期、波幅与同组治疗前比较,差异均具有统计学意义(P<0.01)。治疗组总有效率为73.3%,对照组为66.7%,两组比较差异无统计学意义(P>0.05)。结论针药并用是一种治疗血管性痴呆的有效方法。Objective To observe the clinical effect of combined use of acupuncture and medication in treating vascular dementia. Method Sixty patients with vascular dementia were randomized into a treatment group and a control group, 30 each. The two groups both received basic treatment. Additionally, the treatment group received acupuncture plus oral medication, while the control group received Huperzine-A. The changes of Mini-Mental State Examination （MMSE） and event related potential P300 after treatment were observed, and the therapeutic effect was compared between the two groups. Result The two groups both had significant changes after 1-month, 2-month, and 3-month treatment in MMSE score （P〈0.01）. They also both had significant changes in potential period and amplitude of P300 （P〈0.01）. The total effective rate was 73.3% in the treatment group versus 66.7% in the control group, and the difference was statistically insignificant （P〉0.05）. Conclusion Combined use of acupuncture and medication is effective in treating vascular dementia.

关 键 词：针刺疗法 痴呆 血管性 针药并用 

分 类 号：R246.6[医药卫生—针灸推拿学]