【摘要】 目的:探讨针刺对CI所致VD患者颅脑MRI及临床症状的影响。方法:以针刺治疗、西药治疗、针刺+西药治疗法对60例CI所致VD患者进行治疗,观察治疗前后患者颅脑MRI片下外侧裂宽度、第三脑室宽度、平均脑室宽度、额角指数、尾状核指数、侧脑室体积指数等6个指标与长谷川痴呆修改量表(HDS)、日常生活能力(ADL)、精神状态速析表(MMSE)、神经功能缺损评分的变化。结果:治疗后患者颅脑MRI各指标变化不明显,但HDS、ADL、MMSE得分上升,神经功能缺损评分降低。结论:针刺治疗不能改善患者颅脑形态指标,但可以改善脑梗死性痴呆患者的临床症状。更多还原

【Abstract】 Objective: To probe the effects of acupuncture on encephalic MRI and clinical symptoms in vascular dementia (VD). Methods: 60 patients suffered from VD were randomly divided into three groups: acupuncture group, drug group and acupuncture-drug group. The changes in Lateral cerebral f issure width, Third ventricle sulcus, Cerebral sulcus average width, Frontal horn index, Caudate nudeus index, Lateral ventrie body index and changes in scoring value of HDS (Hasegawa dementia scale), ADL (ability of daily life), MMSE (mini-mental state examination), nerve dysfunction were measured pre and post treatment. Results: After treatment, there were no signif icant changes in encephalic MRI, but the scores of HDS, ADL, MMSE increased, while the score of nerve dysfunction decreased. Conclusions: Acupuncture therapy can’t ameliorate encephalic MRI, but can improve the symptoms of patients suffered from VD.更多还原