中西医结合治疗血管性痴呆60例疗效观察

Treatment of Vascular Dementia with Combined TCM and WM, a Report of 60 Cases

目的:观察中西医结合治疗血管性痴呆的疗效。方法:将颅脑CT检查诊断为血管性痴呆患者120例随机分为两组。治疗组60例在胞二磷胆碱注射液治疗基础上加用中药口服;对照组60例单纯用胞二磷胆碱治疗,两组均治疗60天。结果:治疗组中临床治愈14例,显效28例,有效18例,全部有效。对照组中临床治愈6例,显效22例,有效18例,无效14例,总有效率为76.7%。两组总有效率比较,有显著差异(χ2=7.92,P<0.01)。结论:在西药治疗基础上配合中药口服,可有效改善血管性痴呆症状。

Objective： To observe the effect of combined TCM and WM on vascular dementia. Methods： One hundred and twenty cases of vascular dementia diagnosed with TCM were selected and randomly divided into two groups. Sixty cases in the treatment group were treated with oral TCM herbs and citicoline. Sixty cases in the control group were treated only with citicoline for sixty days. Result： In the treatment group, 14 cases were cured, 28 cases were excellence effective, 18 cases were effective. In the control group, 6 cases were cured, 22 cases were excellence effective, 18 cases were effective, 14 cases were ineffective and the total effective rate was 76.7%. The difference of total effective rate between the two groups was significant （P 〈0.01）. Conclusion：The syndromes of vascular dementia were improved with combined WM and TCM.