【摘要】 目的:通过多中心随机对照试验方法,观察头针治疗肝肾亏虚型血管性痴呆的临床疗效。方法:将184例纳入观察的患者随机分成两组,即头针组和体针组。运用简易精神状态检查量表(Mini Mental State Examination,MMSE)、Blessed-Roth行为量表(Blessed-Roth Behavior Scale,BBS)、日常生活自理能力量表(Activities of Daily Living,ADL)和中医证候积分对治疗前后两组分别进行测定,并记录和统计得分。结果:头针组MMSE评分和中医证候积分的改善显著优于体针组(P<0.01);而BBS和ADL评分头针组与体针组无明显差异(P>0.05)。头针组患者认知功能改善的显效率、总有效率均优于体针组;头针组社会行为能力改善和中医证候疗效的显效率优于体针组,但总有效率无明显差异;两组日常生活自理能力疗效的总有效率无明显差异。结论:头针可明显改善血管性痴呆患者的日常生活功能、中医证候、智能状态及社会行为能力,且该方法安全、有效、操作简单、不受体位限制。更多还原

【Abstract】 Objective:To observe the clinical efficacy of scalp acupuncture for vascular dementia due to deficiency of the liver and kidney in a multicenter randomized controlled clinical trial.Methods:A total of 184 cases were randomly allocated into a scalp acupuncture group and body acupuncture group.Themini-mental state examination (MMSE),Blessed-Roth behavior scale (BBS),activities of daily living (ADL) scale and scores of signs and symptoms based traditional Chinese medicine were used to assess cases in both groups before and after the treatment.Results:The MMSE score and improvement of TCM-based signs and symptoms in the scalp acupuncture group were significantly better than that in the control group (P<0.01),while there were no statistical differences between the two groups in BBS and ADL scores (P>0.05).The marked and total effective rates of cognition improvement in the scalp acupuncture group were significantly better than that in the control group,while there were no significant differences between the two groups in improvement of social behavior and TCM-based signs and symptoms.Also,there was no significant difference between the two groups in the total effective rate for improvement of ADL.Conclusion:Scalp acupuncture can substantially improve the VD patients’ activity of daily living,alleviate the TCM-based signs and symptoms and increase their mental state and social behavior.In addition,scalp acupuncture is safe,effective and easy to operate on any postures.更多还原