Observing The Clinical Efficacy Of Vascular Dementia Based On The Method Of Tiaoxintongdu Acupuncture

Objective:by observing the self-aligning overseers method modulation of vascular dementia clinical curative effect,provide clinical basis for the technical promotion,at the same time providing a new method for acupuncture treatment of vascular dementia.Methods: 64 patients with vascular dementia who met the diagnostic criteria,were included in the criteria and screened by the exclusion criteria.The control group was the conventional acupuncture group,main po ints: baihui,sishencong,parietal temporal anterior oblique line,parietal temporal posterior oblique line;Auxiliary points: xuanzhong hegu,taichong.The observation group was tiaoxintongdu acupuncture group,main points: baihui,shenting,shuigou,neiguan,daling,and laogong.Auxiliary acupuncture point: dazhui,mingmen,feng fu.Patients in both groups received acupuncture once a day and five times a week.After acupuncture at all acupoints,the manipulation of leveling,toning and purging was performed,and the rotation,lifting and thrusting amplitude and frequency were equally used to obtain qi.The needle was retained for 30 min,and the needle was retained for 10 min,20min and 30 min respectively,with 1min for each time.Both groups received basic drug treatment according to the patient's condition.The observation period of the two groups was 4 weeks.Patients were evaluated by Montreal cognitive function assessment scale(Mo CA),simple intelligence status examination scale(MMSE),transcranial doppler ultrasound(TCD)and comprehensive clinical efficacy before and after treatment.Results:1.There was no statistical difference in MMSE and Mo CA scale scores between the two groups before treatment,which was comparable(P>0.05);After treatment,the scores of MMSE and Mo CA scale in the two groups increased,and the difference was statistically significant(P<0.05),indicating that the treatment in the two groups had a good effect on improving the scores of dementia.Compared with the control group,the MMSE and Mo CA scale scores of the observation group were higher after treatment,showing statistical differences(P<0.05),and the total effective rate was better than that of the control group(P<0.05),indicating that tiaoxintongdu acupuncture had better efficacy on vascular dementia than conventional acupuncture.2.During TCD examination before treatment,there was no statistically significant difference in cerebrovascular blood flow velocity between the two groups(P>0.05).After treatment,there was statistically significant difference in cerebrovascular blood flow velocity between the observation group and before treatment(P<0.05).Compared with the control group,the difference was also statistically significant(P<0.05).The results showed that tiaoxintongdu acupuncture could improve the blood circulation of the brain and improve the symptoms of dementia,and it was better than the routine acupuncture group.Conclusion:1.Both of the two acupuncture methods can improve the scores of the corresponding dementia scale of VD patients,improve the symptoms of dementia to different degrees,and have good clinical effects on VD.2.The therapeutic effect of tiaoxintongdu acupuncture on VD patients was better than that of the conventional acupuncture group.3.Tiaoxintongdu acupuncture can significantly improve cerebral blood perfusion in VD patients,and it is better than the conventional acupuncture group,revealing part of the mechanism of the difference in efficacy to a certain extent.4.Tiaoxintongdu acupuncture method is simple,convenient and effective,which is worth popularizing in the clinical rehabilitation of vascular dementia.