| Objective：By applying acupuncture in Wu Quan points for phlegm obstructingorifices of Vascular dementia following the stroke, we observe the clinical effect ofpatients’ cognitive function and activities of daily living, demonstrate the clinicalcurative effect and dominant of acupuncture in Wu Quan points for phlegm obstructingorifices of Vascular dementia following the stroke, then analyzes action mechanism oftherapeutical effects, and replicated in clinical.Methods：64selected phlegm obstructing orifices of vascular dementia patientswere divided into the trial group and the control group of32cases by the hiddenrandom digital envelope method. The treatment group adopts Wu Quan points that areYong quan point, Shen quan point, Qian quan point, Ce quan point and Hou quanpoint to treat the cases. The control group adopts traditional head acupuncture that ismiddle line of vertex, anterior oblique line of vertex-temporal and posterior obliqueline of vertex-temporal to treat patients. A treatment course lasted15days for eachgroup and the clinical observation lasted three treatments. We recorded symptoms ofpatients at the time of prior treatment and every treatment. After that we quantitativescores with the MoCA and MBI scale, at last evaluated the curative effect after all thetreatment.Results：1After treatment, the MoCA integrals difference: After the statistical,t=1.747,P=0.043<0.05, there were significantly differences between the groups. Theresults indicated that the trial group of treatment is obviously superior to the controlgroup., After the statistical, t=-0.859,P=0.203>0.05, there were no significantlydifference between the groups. The results indicated that two kinds of treatment had the therapeutic equivalence.2Comparison of total clinical curative effect between two groups: Theimprovement respect of patients’ cognitive function, in the trial group, the number ofbasically cure, remarkable effect, effect and inefficacy after treatment were3(9.38%),18(56.25%),10(31.25%) and1(3.12%) cases respectively. While the control group, thenumber were1(3.12%),15(46.88%),15(46.88%) and1(3.12%) cases respectively.After the statistical, Z=-1.363, P=0.173>0.05, no significantly difference betweentrial group and control group. The improvement respect of patients’ activities of dailyliving, in the trial group, the number of basically cure, remarkable effect, effect andinefficacy after treatment were9(28.13%),22(68.75%),1(3.13%) and0(0.00%) casesrespectively. While the control group, the number were3(9.38%),21(65.63%),8(25.00%) and0(0.00%) cases respectively. After the statistical, Z=-2.810,P=0.051>0.05, no significantly difference between trial group and control group.3Compare clinical curative effect of mild and moderate dementia patientsbetween two groups: There were25mild and moderate dementia cases in trial group,while the control group were23cases before treatment. The improvement respect ofmild and moderate dementia patients’ cognitive function, in the trial group, thenumber of basically cure, remarkable effect, effect and inefficacy after treatment were4(16.00%),18(72.00%), and3(12.00%) and0(0.00%) cases respectively. While thecontrol group, the number were1(4.35%),11(47.83%) and11(47.83%) and0(0.00%)cases respectively. After the statistical, Z=-2.757, P=0.006<0.05, there weresignificantly differences between trial group and control group. The results indicatedthat the trial group of treatment is obviously superior to the control group. Theimprovement respect of mild and moderate dementia patients’ activities of daily living,in the trial group, the number of basically cure, remarkable effect, effect andinefficacy after treatment were7(28.00%),17(72.00%),1(4.00%) and0(0.00%) casesrespectively. While the control group, the number were4(17.39%),15(65.22%),4(17.39%) and0(0.00%) cases respectively. After the statistical, Z=-1.067,P=0.143>0.05, there were no significantly difference between trial group and controlgroup. The results indicated that two kinds of treatment had the therapeuticequivalence.Conclusion：1The therapy of Wu Quan points has better clinic curative effect in the treat of phlegm obstructing orifices in vascular dementia than traditional head acupuncture,especially in the improvement respect of patients’ cognitive function.2The therapy of Wu Quan points has definite clinic curative effect in the treat ofmild and moderate dementia patients. Meanwhile this therapy is superior to thecontrol group especially in the improvement respect of mild and moderate dementiapatients’ cognitive function.3The therapy of Wu Quan points has definite clinic curative effect and safety,doctors easy to master and it is worthy to replicate in clinical. |
PDF Full Text Request