针刺智三针和四神聪穴治疗血管性痴呆的临床研究  

Clinical Studies of Electroacupuncture on Mental Tri-Points and Sishencong Acupoint (EX-HN1) for Vascular Dementia

作　　者：江钢辉[1] 陈振虎[1] 赖新生[1] 

机构地区：[1]广州中医药大学第一附属医院,广州510405

出　　处：《广州中医药大学学报》2003年第4期271-273,共3页Journal of Guangzhou University of Traditional Chinese Medicine

基　　金：广东省自然科学基金(编号:960548)

摘　　要：【目的】探讨电针疗法对血管性痴呆的疗效。【方法】采用分层随机的方法,将46例血管性痴呆患者按长谷川痴呆修改量表(HDS)评分的不同分为3个等级,再随机分为电针组(主要针刺神庭、本神、四神聪等穴位,连续治疗4周)23例和对照组(口服尼莫通,每次 30 mg,每天3次,连续治疗4周)23例,观察两组患者治疗前后HDS、日常生活能力(ADL)、神经功能缺损评分及主要症状观察表等量表的评分变化。【结果】两组治疗后HDS、ADL、神经功能缺损评分及主要症状评分均较治疗前有好转(P<0.01),其中以电针组的疗效较好(P<0.01)。【结论】提示电针智三针穴、四神聪穴对血管性痴呆的日常生活能力、神经功能缺损所形成的功能障碍,以及主要症状有改善作用。【Objective】To observe the therapeutic effect of electroacupuncture on vascular dementia (VD).【Methods】 Forty-six cases of VD were classified into three grades according to the scores of Hasegawa Dementia Scale (HDS) and then were randomized into electroacupuncture (EA) group (Group A, n = 23) and positive control group (Group B, n =23). Group A was treated with EA an acupoints of shenting (GV24), Benshen (GB13) and Sishencong (EX - HNI); Group B was given nimodipine 30mg, tid, The treatment last 4 weeks. Scores of HDS, activities of daily living (ADL), deficiency of nerve function and the main symptoms were compared before and after treatment between the two groups.【Results】 After treatment, the above indexes were improved (P< 0.001) and the effect of Group A was superior to that of Group B (P< 0.01).【Conclusion】Electroacupuncture on mental tri-points and Sishencong acupoint (EX-HN1) has a better effect in treating VD.

关 键 词：针刺疗法 智三针穴 四神聪穴 血管性痴呆 临床研究 神经功能缺损 日常生活能力 诊断标准 

分 类 号：R277.791.3[医药卫生—中医学] R246.6