CAJ | 학술논문

目的：探讨头皮发际区微针疗法治疗血管性痴呆（ VD）的疗效。方法：80例VD患者随机分为两组。观测组用头皮发际区微针疗法，对照组用口服药物疗法。用循环酶法检测血浆同型半胱氨酸（ Hcy）的浓度，采用MMSE和ADL量表评定患者的认知功能、社会活动功能及日常生活能力。结果：两组疗效比较：观测组的总有效率为62．50％，对照组的总有效率为55．00％，二者差异有显著性意义（P＜0．05），治疗后两组MMSE、ADL量表评分与治疗前自身比较均有显著改善（P＜0．01）；治疗后，观测组的MMSE、ADL量表评分与对照组相比较改善更为明显（P＜0．05）；两组血浆Hcy 水平治疗后较治疗前自身比较均有显著下降（ P＜0．01）；治疗后，观测组血浆 Hcy水平与对照组比较，下降更为明显（P＜0．05）。结论：头皮发际区微针疗法对于VD患者具有确切疗效，其治疗机理与降低血浆 Hcy水平相关。
목적：탐토두피발제구미침요법치료혈관성치태（ VD）적료효。방법：80례VD환자수궤분위량조。관측조용두피발제구미침요법，대조조용구복약물요법。용순배매법검측혈장동형반광안산（ Hcy）적농도，채용MMSE화ADL량표평정환자적인지공능、사회활동공능급일상생활능력。결과：량조료효비교：관측조적총유효솔위62．50％，대조조적총유효솔위55．00％，이자차이유현저성의의（P＜0．05），치료후량조MMSE、ADL량표평분여치료전자신비교균유현저개선（P＜0．01）；치료후，관측조적MMSE、ADL량표평분여대조조상비교개선경위명현（P＜0．05）；량조혈장Hcy 수평치료후교치료전자신비교균유현저하강（ P＜0．01）；치료후，관측조혈장 Hcy수평여대조조비교，하강경위명현（P＜0．05）。결론：두피발제구미침요법대우VD환자구유학절료효，기치료궤리여강저혈장 Hcy수평상관。
Objective:To evaluate the efficacy of patients with vascular dementia ( VD) treated by micro-acupuncture in the hairline regions of scalp.Methods:80 cases of VD were treated by micro-acupuncture in the hairline regions of the scalp.Before and after treatment, the changes about Plasma Homocysteine ( Hcy) , MMSE and ADL rating scale were examined for evaluating patients′cognitive function and activities of daily living.Results:The effective rate of observa-tion group (62.50%)was higher than that of control group(55.00%)(P<0.05);After treatment,the MMSE and ADL scores in two groups were improved significantly(P<0.01);the MMSE and ADL scores of observation group were im-proved better than that of control group(P<0.05).After treatment ,the Hcy levels in two groups were decreased signifi-cantly(P<0.01);the Hcy levels of observation group were decreased more than that of control group (P<0.05). Conclusion:The micro-acupuncture in the hairline regions of the scalp is an effective therapy for VD and its therapeutic mechanism may be related closely to reducing Hcy levels in blood.