Optimize Research On The Combination Of Acupuncture And Chinese Herbal Medicine Treatment For The Type Of Qixuekuixu Vascular Dementia

Objective:Evaluate the effectiveness of using the acupuncture method of "Yi qi tiao xue, fu ben pei yuan" combine with the Chinese herbal medicine "huang di san"to treat vascular dementia, and to form a better treatment scheme, as well as provide further scientific evidences for clinical studies.Method:There are57people who have been officially match the standard and diagnosed as having vascular dementia have chosen, and it is randomly selected by central computer system into three different groups:combine treatment, acupuncture and western medicine with each of19people. These selected group cases will bring into clinical statistics studies. Combine treatment group are using the acupuncture method of "Yi qi tiao xue, fu ben pei yuan"and combine with the Chinese medicine "huang di san ". The main acupuncture points are Tanzhong, Zhongwan, Qihai, Xuehai (both), Zusanli (both), Waiguan (both), Sishengcong, Baihui; the therapy method for acupuncture group is same with combine group; western medicine group is given Donepezil hydrochloride (Aricept); three groups are treated as usual cerebrovascular disease. After twelve and six months treatment (randomly chosen for test), Alzheimer disease rating scale-Cognitive section (ADAS-cog) and Mini-mental state examination (MMSE) have been used to observe the differences of the cognitive ability between these three groups. Activities daily living scale (ADL) is used to observe the differences of the daily living skills between the three selected groups.Result:(1) ADAS-cog assessment score:The cognitive ability percentages for combine treatment, acupuncture and western medicine groups have improved about82.21%,78.94%,73.68%respectively. The effective percentage of difference with no significance is (P>0.05). These three groups have shown improvement in ADAS-cog before and after treatment, about (P<0.05). Furthermore, the ADAS cog assessment score for combine and acupuncture groups have notable different from western medicine group, is (P<0.05).However, there are no significant differences between combine and acupuncture groups, which is (P>0.05). The comparison after twelve weeks treatment and six months for those three groups'assessment score are:combine treatment group is P>0.05, acupuncture and western medicine are P<0.05, it has proved that the therapy of combine treatment group is effective than acupuncture and western medicine groups.(2) MMSE assessment score:The cognitive ability percentages for combine treatment, acupuncture and western medicine groups have improved about84%,78%,73%respectively. The effective percentage of difference with no significance is (P>0.05). These three groups have shown improvement in MMSE before and after treatment, about (P<0.05). Besides that, the MMSE assessment score for combine and acupuncture groups have notable different from western medicine group, is (P<0.05). It is noticeable that there is no significant difference between combine treatment and acupuncture groups are (P>0.05). The comparison after twelve weeks treatment and six months for those three groups'assessment score are:combine treatment group is P>0.05, acupuncture and western medicine are P<0.05, it has proved that the therapy of combine treatment group is effective than acupuncture and western medicine groups.(3)ADL assessment score:The daily living skills percentages for combine treatment, acupuncture and western medicine groups have improved about78.94%,73.68%and68.42%respectively. The effective percentage of difference with no significance is (P>0.05). The total score for these three groups have decreased in ADL assessment after and before therapy, it has significant difference which is (P<0.05). The comparison between combine treatment and acupuncture groups with western medicine group of ADL total assessment scores are noticeably different (P<0.05). Furthermore, there is no significant percentage difference between combine treatment and acupuncture groups (P>0.05). The comparison after twelve weeks treatment and six months for those three groups' assessment score are:combine treatment group is P>0.05, acupuncture and western medicine are P<0.05, it has proved that the therapy of combine treatment group is effective than acupuncture and western medicine groups.Conclusion:The research indicates combine treatment; acupuncture and western medicine groups have affirmative and effective results to treat vascular dementia in clinical studies. It helps to improve patients' cognitive abilities, particularly memories, stabilities; increase patient's activities daily living skills. On the other hand, combine treatment and acupuncture groups have significant improvement for physical daily living skills in clinical studies. Also,'Yi qi tiao xue, fu ben pei yuan" combine treatment and acupuncture groups have the same therapies to improve patients'cognitive abilities and normal daily living skills. It is remarkable that combine treatment group ("Yi qi tiao xue, fu ben pei yuan" combine with the Chinese herbal medicine "huang di san") is continuously effective way than acupuncture and western medicine groups.