头穴久留针治疗血管性痴呆30例

目的 观察头穴久留针治疗血管性痴呆（vascular dementia，VD）的临床疗效。方法 将60例VD患者随机分为治疗组和对照组，每组各30例，治疗组运用头穴久留针法针刺治疗，对照组采用常规针刺法治疗，〖JP2〗治疗8周后观察并比较两组患者简明精神状态量表（mini mental state examination，MMSE）评分、Blessed痴呆量表（Blessed dementia scale，BDS）评分、Barthel指数（Barthel index，BI）及临床疗效。〖JP〗结果 治疗组临床疗效显著优于对照组（P<0.05）；两组治疗后MMSE、BDS评分及BI均较治疗前显著升高（P<0.01），但治疗组治疗前后MMSE、BDS、BI差值均显著大于对照组（P<0.01）。结论 头穴久留针法治疗血管性痴呆疗效确切，优于常规针刺疗法。

Clinical Effect of Long-Term Scalp Acupuncture in Treatment of Vascular Dementia: A Report of 30 Cases

Objective To observe the clinical effect of long-term scalp acupuncture in the treatment of vascular dementia (VD). Methods Sixty VD patients were randomly divided into treatment group (n=30) and control group (n=30). The treatment group received long-term scalp acupuncture, while the control group received routine acupuncture. After 8 weeks of treatment, Mini-Mental State Examination (MMSE) score, Blessed Dementia Scale (BDS) score, Barthel Index (BI), and clinical outcome were assessed and compared between the two groups. Results The treatment group had a significantly better clinical outcome than the control group (P<0.05). Both groups showed significant increases in MMSE score, BDS score, and BI after treatment (P<0.01), but the treatment group had significantly higher increases in the three parameters than the control group (P<0.01). Conclusion Long-term scalp acupuncture has good clinical effect in the treatment of VD and is superior to routine acupuncture.