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目的:观察针药结合治疗血管性痴呆的疗效.方法:采用针灸结合中药治疗血管性痴呆30例,并与西药(nimodipine)进行对照,治疗2个月,观察两组治疗前后长谷川痴呆评定表(HDS)评分值、两组的临床疗效和治疗前后血浆心钠素(ANP)的变化情况.结果与结论:治疗后两组智能的改善及疗效均有显著差异(P＜0.01),针药组优于西药组.从血浆心钠素含量看,VD患者治疗前与正常人无显著区别(P＞0.05);针药组及西药组治疗后血浆NAP均明显升高(P＜0.01),这种升高效应以针药更为显著(P＜0.01).,Objective: To investigate the therapeutic effect of acupuncture plus herbal medicine on vascular dementia (VD). Methods: Thirty cases of vascular dementia were treated by acupuncture plus Chinese herbal medicine for 2 months, in comparison with west medication (Nimodipine) in the control group, to observe the evaluation value of Hasegawa Dementia Scale (HDS) before and after the treatments between the two groups, the clinical therapeutic effect and changes of plasma atrial natriuretic peptide (ANP) before and after the treatments between the two groups. Results and Conclusion: There were significant differences in intelligence and therapeutic effect between the two groups (P＜0.01) before and after the treatment, but the therapeutic effect was better in the acupuncture plus medicine group than in the west medication group. Judging from content of atrial natriuretic peptide, there was no significant difference between VD patients and normal adults before the treatment (P＞0.05). Plasma ANP significantly increased in the acupuncture plus medicine group and west medicine group after the treatment (P＜0.01), more remarkably in the acupuncture plus medicine group (P＜0.01).