CAJ | 학술논문

目的：观察醒脑开窍针法联合头针治疗血管性痴呆的临床疗效。方法60例血管性痴呆患者随机分为醒脑联合头针组、传统针刺组和对照组。3组采用MMSE、Barthel指数评分评定患者治疗前后的差异。结果醒脑联合头针组的临床疗效优于传统针刺组及对照组（P＜0．05）；3组治疗前后MMSE、Barthel指数评分组内比较，差异均有统计学意义（P＜0．05），且治疗后醒脑联合头针组与对照组、传统针刺组各量表得分比较有显著差异（P＜0．05）。结论醒脑开窍针法联合头针治疗血管性痴呆是一种优化的治疗方案，值得推广运用。
목적：관찰성뇌개규침법연합두침치료혈관성치태적림상료효。방법60례혈관성치태환자수궤분위성뇌연합두침조、전통침자조화대조조。3조채용MMSE、Barthel지수평분평정환자치료전후적차이。결과성뇌연합두침조적림상료효우우전통침자조급대조조（P＜0．05）；3조치료전후MMSE、Barthel지수평분조내비교，차이균유통계학의의（P＜0．05），차치료후성뇌연합두침조여대조조、전통침자조각량표득분비교유현저차이（P＜0．05）。결론성뇌개규침법연합두침치료혈관성치태시일충우화적치료방안，치득추엄운용。
s:Objective To observe the therapeutic effects of Xingnaokaiqiao acupuncture combined with scalp acupuncture on vascular dementiabasedontheconventionaltreatment.Methods 60casesofvasculardementiawererandomizedintoacupuncturegroup(treatedby Xingnaokaiqiao acupuncture and scalp acupuncture) , conventional acupuncture group, and control group.The treatment results were evalua-ted by using Mini-Mental State Examination ( MMSE) and Barthel Index before and after treatment.Results The effect of combined acu-puncture group was better than conventional acupuncture group or control group(P<0.05);the intra-group comparison detected significant differences on MMSE and Barthel index between pre-treatment and post-treatment in the three groups ( P<0.05);the inter-group com-parison of MMSE and Barthel index in combined acupuncture group compared with the other groups showed that the results in the combined acupuncture group and conventional acupuncture group were both significantly better than in the control group (P<0.05), and the result in the combined acupuncture group was markedly better than in the conventional acupuncture group ( P<0.05) .Conclusion It is an optimi-zational treatment project and worthy spreading to combine Xingnaokaiqiao acupuncture and scalp acupuncture on vascular dementia.