中西医结合治疗脑梗死后血管性痴呆的临床价值

Clinical value of combined traditional Chinese and western medicine in treatment of vascular dementia after cerebral infarction

目的探讨中西医结合治疗脑梗死后血管性痴呆的临床价值。方法将100例脑梗死后血管性痴呆患者随机分为对照组与治疗组各50例,对照组予盐酸氟桂利嗪胶囊治疗,治疗组在对照组的基础上予参麦注射液,比较两组患者的治疗效果。结果两组患者治疗后的PANSS总分及IMCT均较治疗前有显著改善(P<0.05),但治疗组较对照组明显(P<0.05);治疗组症状改善情况优于对照组,无改善比率明显低于对照组(P<0.01)。结论中西医结合治疗脑梗死后血管性痴呆,可显著改善其临床症状,改善患者的社会适用力,提高患者智力及记忆力水平。

Objective To explore the clinical value of combined traditional Chinese and western medicine in treatment of vascular dementia after cerebral infarction.Methods One hundred patients with vascular dementia after cerebral infarction were randomly divided into treatment group and control group,each had 50 cases.Control group was given flunarizine hy drochloride capsules for treatment,while treatment group was given the shenmai injection on the basis of control group.Therapeutic effects of two groups were compared.Results Total score of PANSS and IMCT in two groups after treatment had significantly improved compared with before treatment（P 0.05）;but treatment group was more obvious than control group（P 0.05）.The improvement of symptoms of treatment group was superior to control group,non-improvement rate of treatment group was significantly lower than that of control group（P 0.01）.Conclusion Combined traditional Chinese and western medicine in treatment of vascular dementia after cerebral infarction can significantly improve the clinical symptoms,patients＇ social and applicable power and increase intelligence and memory level of patient.