| Objective： By applying acupuncture in Wu Quan points for liver-kidneydeficiency 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 liver-kidneydeficiency of Vascular dementia following the stroke, then analyzes action mechanismof therapeutical effects, and replicated in clinical.Methods：64selected liver-kidney deficiency of vascular dementia patients weredivided into the trial group and the control group of32cases by the hidden randomdigital envelope method. The treatment group adopts Wu Quan points that are Yongquan point, Shen quan point, Qian quan point, Ce quan point and Hou quan point totreat the cases. The control group adopts traditional head acupuncture that is middleline of vertex, anterior oblique line of vertex-temporal and posterior oblique line ofvertex-temporal to treat patients. A treatment course lasted15days for each groupand the clinical observation lasted three treatments. We recorded symptoms of patientsat the time of prior treatment and every treatment. After that we quantitative scoreswith the MoCA and MBI scale, at last evaluated the curative effect after all thetreatment.Results：1The difference of the trial group is: the MoCA integrals difference beforetreatment is6.59±3.05, after treatment is17.69±5.56, After the statistical,t=-19.156，P=0.00<0.01; The MBI integrals difference before treatment is53.50±18.84， after treatment is80.44±18.08, After the statistical, t=-23.196，P=0.00<0.01; The results indicated that it can improvement respect of patients’ cognitive function and activities of daily living after the treatment. The difference ofthe control group is: the MoCA integrals difference before treatment is6.63±2.59,after treatment is16.53±4.20, After the statistical, t=-21.097，P=0.00<0.01; TheMBI integrals difference before treatment is53.63±16.44，after treatment is80.66±19.83, After the statistical, t=-23.478，P=0.00<0.01; The results indicated that itcan improvement respect of patients’ cognitive function and activities of daily livingafter the treatment.2After treatment, the MoCA integrals difference: the trial group is11.09±3.28,the control group is9.75±2.86, After the statistical, t=1.747,P=0.043<0.05, therewere significantly differences between the groups. The results indicated that the trialgroup of treatment is obviously superior to the control group. The MBI integralsdifference: the trial group is25.60±7.19, the control group is27.03±6.51, After thestatistical, t=-0.838,P=0.203>0.05, there were no significantly difference between thegroups. The results indicated that two kinds of treatment had the therapeuticequivalence.3Comparison 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=0.087>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 were8(25.00%),22(68.75%),2(6.25%) and0(0.00%) casesrespectively. While the control group, the number were4(12.50%),23(71.88%),5(15.62%) and0(0.00%) cases respectively. After the statistical, Z=-1.605,P=0.054>0.05, no significantly difference between trial group and control group.4Compare 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 were3(12.00%),17(68.00%), and5(20.00%) and0(0.00%) cases respectively. While the control group, the number were1(4.35%),12(52.17%) and10(43.48%) and0(0.00%)cases respectively. After the statistical, Z=-1.837, P=0.033<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 were8(32.00%),16(64.00%),1(4.00%) and0(0.00%) casesrespectively. While the control group, the number were4(17.39%),18(78.26%),1(4.35%) 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 ofliver-kidney deficiency 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. |
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