头颅CT定位围针配合中药治疗多发梗塞性痴呆的疗效观察  

Observation on Efficacy of CT Positioning Scalp Circum-needling Combined with Chinese Herbal Medicine in Treating Poly-infarctional Vascular Dementia

作　　者：伦新[1] 荣莉[1] 杨文辉[1] 

机构地区：[1]广州中医药大学第一附属医院,广州510405

出　　处：《中国中西医结合杂志》2003年第6期423-425,共3页Chinese Journal of Integrated Traditional and Western Medicine

基　　金：广东中医药管理局科研资金资助(No.99131)

摘　　要：目的:观察头颅CT定位围针配合中药治疗多发梗塞性痴呆虚证患者的近期疗效。方法:选择符合标准的多发梗塞性痴呆虚证患者89例,用随机抽签的方法分为电围针结合中药组(治疗组)57例和中药组32例(对照组)。两组均给予复元合剂(由鹿茸、人参、枸杞子、丹参、益智仁等组成)口服。同时,治疗组配合电围针法,主穴以头部CT所示病灶在同侧头皮的投射区周边为针刺部位,配穴为肝俞、肾俞、足三里、合谷,以治疗2个疗程为限。对患者治疗前后主要临床症状、智能情况和血液流变学等变化情况进行评定。结果:治疗2个疗程后,治疗组总有效率为96.5％,与对照组(75.0％)比较,差异有显著性(u=2.423,P<0.01);长谷川量表(HDS)积分治疗后提高,与治疗前比较、两组差值比较,差异均有显著性(P<0.01);血液流变学指标治疗后较治疗前亦有明显改善。结论:头颅CT定位围针配合中药治疗多发梗塞性痴呆有一定疗效。Objective: To observe the short-term effect of patients with poly-infarctional vascular dementia (PIVD) treated by CT positioning scalp circum-needling (SCN) combined with Chinese herbal medicine. Methods: Eighty-nine patients of PIVD were enrolled and divided into the treated group ( n =57) and the control group (n = 32). They were all treated with oral taking of Fuyuan mixture (FYM, consisted of ginseng, medlar, salvia, bitter cardamon, etc). To the treated group, SCN was applied additionally with the unilateral area around the reflecting region (localized by CT) in scalp as main needling points and Ganshu, Shenshu, Zusanli, Hegu as supplementary points. Two courses of SCN were performed. The changes of clinical symptoms, intelligence and hemorrheological characteristics in patients were analysed. Results:After two courses of treatment, the total effective rate in the treated group was 96.5%, which was better than that in the control group (75. 0 % ), with significant difference (u = 2.423, P< 0.01); HDS scores increased in both groups after treatment, showing significant difference as compared with that before treatment (P < 0.01), hemorrheologic parameters were also apparently improved. Conclusion: CT positioning SCN combined Chinese herbal medicine treatment has definite therapeutic effect in treating PIVD.

关 键 词：多发梗塞性痴呆 中医药疗法 复元合剂 头颅电围针法 CT定位 

分 类 号：R749.16[医药卫生—神经病学与精神病学]