摘要
目的:探讨“调神益智,平肝通络”针刺法对血管性痴呆患者智力、记忆和日常生活活动能力的影响,并比较不同痴呆程度患者针刺后的疗效。方法:1998-06/1999-08天津中医学院第一附属医院收治脑卒中住院患者128例,采用临床痴呆评定量表并结合韦氏智力量表的全智商评分将患者分为轻度、中度、重度3组,轻(n=80)、中(n=23)、重(n=25),所有患者应用“调神益智,平肝通络”针刺法进行治疗,2次/d,周日停针,连续针刺2个月。采用韦氏智力量表、韦氏记忆量表、长谷川痴呆量表、日常生活活动量表进行针刺治疗前后智力、记忆力等相关项目的测评,了解针刺治疗前后成绩的改善与痴呆程度的关系等。结果:128例均进入结果分析。针刺后韦氏智力量表,韦氏记忆量表,长谷川痴呆量表,日常生活活动分别达到88.4±23.9,80.4±21.0,47.3±12.8,24.3±5.4,较治疗前(68.3±12.4,58.2±16.3,54.5±14.9,17.3±4.1)差异均有显著性意义(t=7.995,8.002,-3.628,6.210,P<0.01);轻度痴呆相应项目的改善值分别为(21.2±13.3),(16.2±10.7),(9.7±4.5),(10.1±4.2),与中度(15.8±12.9,13.9±10.1,8.1±3.7,8.9±3.8)、重度(4.2±3.9,3.8±6.5,2.6±3.4,2.5±3.1)痴呆比较差异有显著性意义(P<0.05,0.01)。结论:“调神益智,平肝通络”
AIM:To discuss the effects of acupuncture method of adjusting nerve and increasing intelligence,calming the liver,clearing and activating the channels and collaterals on intelligence,memory and activities of daily living(ADL) in patients with vascular dementia(VD),and compare the effect on VD in different degree. METHODS:Totally 128 patients with stroke were selected from the First Affiliated Hospital of Tianjin College of Traditional Chinese Medicine,from June 1998 to August 1999.They were divided into three groups:mild group(n=80),moderate group(n=23) and severe group(n=25) according to Clinical dementia rating scale(CDR) and Wechsler adult intelligence scale(WAIS R). All patients were treated with acupuncture method, twice a day for two months except Sunday.The intelligence and the memory of the VD patients before and after the acupuncture treatment were detected with the scales of WAIS R,Wechsler adult memory scale (WAMS R),Hasegawa dementia scale(HDS),ADL to investigate the relations between improvement of the results and dementia degrees. RESULTS:All 128 patients were analyzed.After acupuncture,the scores of WAIS R,WAMS R,HDS,ADL respectively reached to 88.4±23.9,80.4±21.0,47.3±12.8 and 24.3±5.4,significantly different from those before acupuncture(68.3±12.4,58.2±16.3,54.5±14.9,17.3±4.1,t=7.995,8.002,-3.628,6.210,P< 0.01).The improvement values of corresponding items of mild dementia were 21.2±13.3,16.2±10.7,9.7±4.5 and 10.1±4.2,and there was markedly difference as compared with moderate dencentia(15.8±12.9,13.9±10.1,8.1±3.7,8.9±3.8) and severe dementia(4.2±3.9,3.8±6.5,2.6±3.4,2.5±3.1)(P< 0.05,0.01). CONCLUSION:The acupuncture method of adjusting nerve and increasing intelligence,calming the liver,clearing and activating the channels and collaterals can improve the intelligence,memory and ADL in VD patients,especially in patients with mild dementia.
出处
《中国临床康复》
CSCD
北大核心
2005年第13期107-109,共3页
Chinese Journal of Clinical Rehabilitation
基金
天津市科学技术委重点项目(993113511)
天津市自然科学基金项目(963609411)~~
