飞经走气针刺法治疗脑梗死后血管性痴呆(瘀血阻络型)临床研究  

Clinical Study of Feijing Zouqi Acupuncture in Treating Vascular Dementia after Cerebral Infarction(Pattern of Blood Stasis Obstructing Collaterals)

作　　者：张迪[1] 位劭婧 王淑荣 ZHANG Di;WEI Shaojing;WANG Shurong(The First Affiliated Hospital of Heilongjiang University of Chinese Medicine, Harbin 150040, China;Heilongjiang University of Chinese Medicine, Harbin 150040, China;The Second Affiliated Hospital of Heilongjiang University of Chinese Medicine, Harbin 150001, China)

机构地区：[1]黑龙江中医药大学附属第一医院,黑龙江哈尔滨150040 [2]黑龙江中医药大学,黑龙江哈尔滨150040 [3]黑龙江中医药大学附属第二医院,黑龙江哈尔滨150001

出　　处：《针灸临床杂志》2021年第3期31-35,共5页Journal of Clinical Acupuncture and Moxibustion

基　　金：黑龙江省科技厅青年基金计划项目,编号:QC08C75。

摘　　要：目的:观察飞经走气针刺法治疗脑梗死后血管性痴呆(瘀血阻络型)的临床疗效。方法:选取60例诊断为脑梗死后血管性痴呆患者,辨证后为瘀血阻络型。按随机数字表法将患者分治疗组(飞经走气针刺组)30例、对照组(常规针刺组)30例,疗程为28 d。运用日常生活能力量表ADL、简易精神状态检查量表MMSE、蒙特利尔认知评估量表MoCA和中医证候量表SDSVD对治疗前后进行评定。结果:两组患者治疗后认知功能评分(MMSE)、日常生活能力评分(ADL)和蒙特利尔认知评估量表评分(MoCA)经过对比后,差异具有统计学意义(P<0.05),治疗组优于对照组。两组患者治疗后治疗组总有效率为83.3%(25/30),对照组总有效率为73.3%(22/30),两组疗效比较,差异具有统计学意义(P<0.05)。结论:飞经走气针刺法能明显改善脑梗死后血管性痴呆患者的日常生活能力、认知功能以及中医证候,飞经走气针刺法治疗脑梗死后血管性痴呆疗效显著,为治疗血管性痴呆的有效治疗方法。Objective:To observe the clinical curative effect of Feijing Zouqi acupuncture in the treatment of vascular dementia(VD)after cerebral infarction(pattern of blood stasis obstructing collaterals).Methods:60 patients who were diagnosed with VD after cerebral infarction(pattern of blood stasis obstructing collaterals)were randomly divided into the control group and the treatment group,with 30 cases in each group.The control group was treated with conventional acupuncture and the treatment group was treated with Feijing Zouqi acupuncture.The two groups were treated for 28 days.The scores of ADL,MMSE,MoCA and SDSVD were assessed before and after the treatment in the two groups.Results:There were statistical differences in the scores of MMSE,ADL and MoCA between the two groups after the treatment(P<0.05).The total effective rate of the treatment group was 83.3%(25/30),which was significantly higher than 73.3%(22/30)of the control group(P<0.05).The treatment group was better than the control group.Conclusion:Feijing Zouqi acupuncture can significantly improve daily living ability,cognitive function and TCM syndromes of patients with VD after cerebral infarction.The therapy has a remarkable effect on the disease.

关 键 词：脑梗死 血管性痴呆 飞经走气 针刺 瘀血阻络 

分 类 号：R246.6[医药卫生—针灸推拿学]