【摘要】 目的:探讨中西医结合治疗血管性痴呆的临床疗效。方法:120例脑中风伴痴呆的患者随机分为2组,每组60例。治疗组采用一般治疗和哈伯因片200μg/d及中草药口服治疗8周,对照组采用一般治疗和哈伯因200μg/d口服8周。用长谷川痴呆量表和ADL Batthel指数来评定治疗前后痴呆和神经功能缺损情况。结果:治疗组治疗后智能缺损评分升高显著(P<0.01,总有效率为83.3％;对照组治疗后智能缺损评分也有明显好转(P<0.05),总有效率为65％,治疗组智力明显改善优于对照组(P<0.01)。两组ADLBarthel指数治疗前后无明显变化(P>0.05),两组均无死亡。结论 中西医结合疗法能显著提高血管性痴呆的认知能力。更多还原

【Abstract】 Objective-to observe the efficacy of TCM WM (Traditional Chinese Medicine and Western Medicine) in treating vascular dementia (VD). Methods; 120 cases of VD were divided randomly into 2 group treatment group (n = 60) was combined with tablets Huperzine-A and traditional Chinese medicine herbs on basis of common therapy;control group(n= 63) was treated with common therapy and tablets Huperzine-A. 8 weeks was one course for both groups. To judge the clinical efficacy with Hasegawa’s Dementia scale(HDS)and activity of daily living(ADL) barthel index before and after treatment. Results-In the treatment group > the intelligence score after tretment was significant increased than that before treatment (P < 0. 01), total effective was 83.3%; in the control group, the intelligence score after treatment was significant increased than that before treatment(P<0. 05),total effective rate was 65%. The intelligence score of the treatment group and the control group improved remarkably(P<0. 01) .there were no obvious difference between the 2 groups in ADL(P>0. 05)and there appeared no death in 2 groups 8 weeks after treatment. Conclusion;TCM WN treating VD could produce improvement the in cognition.更多还原