[1] MA Lin REN Bo GUO Ting Wang yuan,.Review of Clinical Research on Acupuncture and Moxibustion in Treatment of Vascular Dementia in Recent Years [J]. Modern Traditional Chinese Medicine, 2022, 1(03): 9-15. [doi: 10.13424/j.cnki.mtcm.2022.03.002]
Review of Clinical Research on Acupuncture and Moxibustion in Treatment of Vascular Dementia in Recent Years
- Article number:
- 1672-0571(2022)03-0009-07
- Keywords:
- Key words：Acupuncture and moxibustion therapy; Vascular dementia; Clinical research; Overview; Expectation
- ZTFLH:
- R245.3
- Code:
- A
- Abstract:
- Abstract：Objective To review the clinical research status of acupuncture and moxibustion in the treatment of vascular dementia (VD).Methods The relevant literatures on acupuncture and moxibustion in the treatment of VD published in Cnki database，Wanfang database，VIP database，PubMed and other databases from January 2017 to December 2021 were searched.Results Since 2017，the literature on acupuncture and moxibustion in the treatment of VD has increased year by year，and a total of 62 qualified literatures have been selected.There are three kinds of treatment schemes:Acupuncture and moxibustion combined with drug therapy，the combined application of various acupuncture and moxibustion therapies，and acupuncture and moxibustion combined with other treatments；A total of 126 acupoints are involved，and the most frequently distributed meridians are Du meridian，Foot Yangming stomach meridian and Foot Shaoyang gallbladder meridian；The main observation indexes were vascular dementia TCM syndrome differentiation scale (SDSVD)，simple mental state examination scale (MMSE)，clock drawing test (CDT) and functional independence evaluation scale (FIM).Conclusion The curative effect of acupuncture combined with traditional Chinese and Western medicine in the treatment of VD is better than that of traditional Chinese and Western medicine alone.It is of great significance to optimize the diagnosis and treatment plan，incorporate the multi-dimensional curative effect evaluation index or promote the clinical application of acupuncture in the treatment of vascular dementia.
References:
［1］Azarpazhooh MR,Avan A,Cipriano LE,et al.Concomitant vascular and neurodegenerative pathologies double the risk of dementia.Alzheimers Dement[J].2018,14(2):148-156.
[2]Jia LF,Quan MN,Fu Y,et al.Dementia in China:epidemiology,clinical management,and research advances[J].The Lancet Neurology,2020,19(1):81-92.
[3]Yuan J,Zhang ZX,Wen HB,et al.Incidence of dementia and subtypes:a cohort study in four regions in China[J].Alzheimers Dement,2016,12(3):262-271.
[4]John T O’Brien,Alan Thomas.Vascular dementia[J].Lancet,2015,386(10004):1698-1706.
[5]Wiesmann M,Kiliaan AJ,Claassen JA.Vascular aspects of cognitive impairment and dementia［J］.Journal of Cerebral Blood Flow & Metabolism,2013,33(11):1696-1706.
[6]钱采韻,吕传真,王新德.血管性痴呆诊断标准草案[J].中华神经科杂志,2002,35(4):246.
[7]田金州,韩明向,涂晋文,等.血管性痴呆诊断、辨证及疗效评定标准(研究用)[J].中国老年学杂志,2002,22(5):329-331.
[8]王波涛.加味补阳还五汤配合针灸及刺血疗法治疗轻中度血管性痴呆临床疗效观察[J].临床医药文献电子杂志,2019,6(A3):177-178,182.
[9]张勇,李媛.头部透穴针刺联合补肾活血益精方治疗肾精亏虚型血管性痴呆的疗效观察[J].中西医结合心脑血管病杂志,2021,19(19):3419-3421,3424.
[10]马健,叶彩媚,王华政,等.醒脑开窍针联合通脑汤治疗脑梗死后血管性痴呆的效果研讨[J].黑龙江中医药,2020,49(4):134-135.
[11]陈家冠.醒脑开窍针联合通脑汤治疗脑梗死后血管性痴呆疗效观察[J].中西医结合心血管病电子杂志,2019,7(19):156.
[12]宗彦霞.针刺结合养生益智汤辅治脑梗死后血管性痴呆疗效观察[J].实用中医药杂志,2020,36(2):165-166.
[13]黄任锋,陈荣浩,李晓敏,等.针灸联合益脑增智汤治疗脑梗死后血管性痴呆的临床效果[J].中国当代医药,2020,27(19):71-73.
[14]李飞,王艳,姜天鑫,等.针灸治疗血管性痴呆及对血清VEGF和AChE的影响[J].中国针灸,2021,41(8):851-854.
[15]回翊,李佩芳.石冰醒脑丸联合通督调神法治疗血管性痴呆临床研究[J].湖北中医杂志,2019,41(12):26-28.
[16]唐泗明,于白莉,杨小芹,等.醒脑益髓汤配合针刺督脉四穴为主治疗脑梗死后血管性痴呆临床研究[J].四川中医,2019,37(4):126-128.
[17]苗亚南,衡向阳,高永涛,等.益肾化浊解毒汤联合针刺对肾精亏虚证血管性痴呆患者血液流变学及认知功能的影响[J].世界中西医结合杂志,2021,16(6):1155-1158,1162.
[18]胡文龙.益肾补脑汤联合针刺治疗肝肾阴虚型血管性痴呆的临床研究[J].现代中西医结合杂志,2020,29(13):1445-1448.
[19]谢丽风.针药联合治疗血管性痴呆(肾虚血瘀证)的临床观察及优化方案探讨[D].长沙:湖南中医药大学,2020.
[20]刘玉.补肾开窍汤联合针刺治疗肾虚痰阻血瘀型轻中度血管性痴呆疗效观察[J].现代中西医结合杂志,2020,29(12):1259-1263,1268.
[21]王海明,丁世芹.五子衍宗汤结合醒脑开窍针刺治疗脑梗死后血管性痴呆临床观察[J].实用中医药杂志,2020,36(11):1393-1394.
[22]刘瑞.益肾祛痰化瘀汤结合子午流注开穴针刺治疗血管性痴呆临床分析[J].实用中医药杂志,2020,36(4):413-415
[23]郭静姬.针灸结合通痹益脑汤治疗脑梗死后血管性痴呆的临床效果[J].临床医学,2017,37(1):114-115.
[24]国郑,师彬,王从安,等.针刺联合温脾通络开窍汤治疗痰浊阻窍型血管性痴呆的效果[J].中国医药导报,2021,18(35):158-162.
[25]张振宁,范德辉,苏美意,等.针刺配合脑康颗粒口服治疗血管性痴呆临床疗效观察[J].按摩与康复医学,2020,11(22):60-61,64.
[26]牛琦云.针灸结合通痹益脑汤治疗脑梗死后血管性痴呆临床观察[J].陕西中医,2017,38(11):1591-1592.
[27]杨涛,尹晓新,朝浩.针灸结合通痹益脑汤治疗脑梗塞后血管性痴呆临床观察[J].陕西中医,2017,38(8):1128-1129.
[28]桑鹏,王俊兰.眼区电针治疗血管性痴呆的临床研究[J].中国中医药科技,2021,28(1):3-6.
[29]王振垚.针刺颈夹脊穴对卒中后血管性痴呆患者血清BDNF、VEGF、MMP-9水平的影响[J].上海针灸杂志,2019,38(8):842-847.
[30]郑运松,徐辉,赵腾,等.嗅三针治疗血管性痴呆的临床研究[J].中医药导报,2020,26(4):57-60.
[31]杨潇.“十三鬼穴结合醒脑开窍针刺法”治疗痰浊蒙窍型血管性痴呆的临床疗效观察[D].天津:天津中医药大学,2020.
[32]李雪娜.头穴联合颈夹脊穴排刺法治疗脑卒中后轻中度血管性痴呆的临床疗效观察[D].天津:天津中医药大学,2021.
[33]王俊兰.眼区电针治疗血管性痴呆的临床研究[D].哈尔滨:黑龙江省中医药科学院,2021.
[34]丰梁.智七针疗法治疗脑卒中后轻度血管性痴呆临床研究[D].杭州:浙江中医药大学,2020.
[35]周媛,柳淑青.针刺督脉穴及颈椎夹脊穴治疗脑卒中后轻度血管性痴呆疗效观察[J].现代中西医结合杂志,2020,29(10):1045-1048.
[36]李岩,霍耀聪,沙丽丽.通督醒神针刺法治疗血管性痴呆的临床观察[J].中国中医药科技,2021,28(1):86-88.
[37]刘会芳.醒脑益智针法对血管性痴呆患者认知功能影响的临床研究[D].郑州:河南中医药大学,2019.
[38]梅丽霞.辨证论治结合针刺治疗血管性痴呆52例疗效观察[J].国医论坛,2019,34(5):23-24.
[39]张刚,穆敬平,廖恒,等.通督调神针刺法对脑梗死后血管性痴呆患者的认知、行为能力及抗氧自由基的影响[J].世界中医药,2019,14(11):3050-3053.
[40]叶海森,武凯歌,张湘斌,等.醒脑开窍针刺法治疗血管性痴呆患者的疗效[J].世界中医药,2020,15(7):1071-1074.
[41]王晓燕,韩乐鹏,赵菲,等.针刺治疗血管性痴呆临床观察[J].实用中医药杂志,2019,35(9):1153-1154.
[42]谭涛,任珍,覃佐爱,等.调心通督针刺法治疗血管性痴呆的临床研究[J].中医药导报,2017,23(4):66-68.
[43]李少新,张庆萍,方慧.针灸治疗皮质下缺血性血管性痴呆研究现状[J].辽宁中医药大学学报,2017,19(12):80-82.
[44]张鑫,张丽丹,彭晓燕,等.“通督调神”针法治疗血管性痴呆研究概况[J].辽宁中医杂志,2017,44(8):1784-1786.
[45]谈太鹏,刘正楠,张静,等.循经督刺法治疗血管性痴呆的临床疗效观察[J].黑龙江中医药,2018,47(2):75-76.
[46]王渊,刘智斌,刘龙,等.雷射针刺治疗血管性痴呆的临床疗效及对血清抗凋亡因子的影响[J].四川中医,2019,37(2):187-190.
[47]张迪,位劭婧,王淑荣.飞经走气针刺法治疗脑梗死后血管性痴呆(瘀血阻络型)临床研究[J].针灸临床杂志,2021,37(3):31-35.
[48]褚玉琴.督脉腧穴透刺为主治疗肾精亏虚型血管性痴呆的临床观察[D].哈尔滨:黑龙江中医药大学,2020.
[49]张玉龙.芒针透刺督脉组穴治疗血管性痴呆的临床研究[D].合肥:安徽中医药大学,2019.
[50]田洋,崔光豪,李长慧.探讨基于“飞腾八法”针刺治疗血管性痴呆的临床研究[J].中国医药指南,2018,16(17):178-179.
[51]冯建邦,汤晨东,李英豪,等.复方苁蓉益智胶囊、针灸联合康复疗法治疗高血压病伴血管性痴呆临床研究[J].新中医,2021,53(18):63-66.
[52]高赟.观察认知功能康复训练联合补肾化瘀益智针刺法治疗血管性痴呆的临床疗效[J].按摩与康复医学,2021,12(14):43-44.
[53]许胜,钟海潮,钱月芳,等.补肾化瘀益智针刺法联合认知功能康复训练治疗肾虚血瘀型血管性痴呆临床研究[J].新中医,2019,51(9):231-233.
[54]张燕.中医综合护理措施联合常规疗法对血管性痴呆患者生活质量的影响[J].新中医,2019,51(12):275-277.
[55]王珩,杨雪,刘月姣.涌泉穴为主温针灸治疗血管性痴呆(肾精亏虚证)的疗效及对患者认知功能、血清IL-8、TNF-α、Livin水平的影响[J].四川中医,2021,39(12):207-210.
[56]王艳.颞三针联合化瘀通络灸对VD患者同型半胱氨酸水平的影响及疗效研究[D].合肥:安徽中医药大学,2021.
[57]任晓娜.头部透穴结合温针灸治疗肾精亏虚型血管性痴呆的临床研究[D].哈尔滨:黑龙江省中医药科学院,2019.
[58]张雅静.醒神通督法温针灸治疗血管性痴呆的临床疗效观察[D].南昌:江西中医药大学,2021.
[59]王顺吉,冶尕西,徐创龙,等.回医烙灸督脉联合针刺治疗血管性痴呆的临床疗效观察[J].中国针灸,2018,38(9):919-924.
[60]吴小慧,胡小毅,陈婉珉,等.针灸联合重复经颅磁刺激对轻度血管性痴呆患者认知功能及睡眠障碍的临床疗效评价[J].中国现代药物应用,2020,14(10):185-187.
[61]李硕,倪伟,田浩梅.“调心通督”针刺法联合经颅直流电刺激对血管性痴呆的临床观察[J].湖南中医药大学学报,2020,40(4):469-472.
[62]袁媛,党宝齐,浦建能,等.重复经颅磁刺激联合醒脑开窍针法对脑梗死后血管性痴呆患者认知功能及日常生活能力的影响[J].现代中西医结合杂志,2020,29(22):2470-2473.
[63]邢若,段松冷,王鹏.大活络胶囊、针灸配合康复疗法治疗高血压合并血管性痴呆疗效及对氧化应激、脑源性神经营养因子的影响[J].现代中西医结合杂志,2019,28(19):2102-2104,2119.
[64]封晓荣,张岁龙,黄春春.针刺联合丁基苯酞胶囊对血管性痴呆患者认知功能及MRI成像的影响[J].心血管康复医学杂志,2019,28(2):233-237.
[65]张柯.中西医结合治疗血管性痴呆疗效观察[J].实用中医药杂志,2019,35(7):840-841.
[66]江一静,范文曦,林凌,等.电针百会穴、神庭穴对血管性认知功能障碍的临床研究[J].世界中医药,2019,14(2):473-476.
[67]王洋岗,周春燕,任惠明,等.电针配合加味补阳还五汤对血管性痴呆患者记忆行为学、血清BDNF、VEGF及神经元凋亡相关分子表达的影响[J/OL].中华中医药学刊:1-11[2022-03-08].
[68]朱鸿.交叉电项针治疗血管性痴呆的临床疗效观察[D].哈尔滨:黑龙江中医药大学,2020.
[69]徐燕,陈勇华,李晓一,等.头穴投刺配合穴位贴敷治疗中风后血管性痴呆临床观察[J].浙江中医杂志,2020,55(5):359-360.
[70]Bu Y,Li WS,Lin J,et al.Electroacupuncture attenuates immune-inflammatory response in Hippocampus of rats with vascular dementia by inhibiting TLR4/MyD88 signaling pathway[J].Chinese Journal of Integrative Medicine,2022,28(2):153-161.
[71]Korczyn AD,Vakhapova V,Grinberg LT.Vascular dementia[J].Journal of the Neurological Sciences,2012,322(1/2):2-10.
Memo
基金项目：陕西省重点研发计划（2021SF-407）；国家自然科学基金项目（82074552）；陕西中医药大学经脉-脏腑相关研究创新团队项目（2019-YL09）；陕西中医药大学校级科研课题-研究生创新项目（2020CX01）