血管性痴呆的危险因素及综合诊治的临床分析

Clinical analysis of vasculardementia risk factors and comprehensive diagnosis and treatment

目的探讨血管性痴呆(vasculardementia,VD)的危险因素和临床诊治。方法对采取药物、康复及高压氧等综合治疗措施治疗的VD患者85例进行临床分析总结。分析各危险因素如高血压、糖尿病、冠心痛、短暂性脑缺血发作等与VD的关系。以MMSE、HDS、BDS、ADI量表评价其疗效。结果 85例患者经过综合治疗,其临床痴呆症状均有明显改善。治疗后MMSE、HDS、ADI评分较治疗前显著升高,差异有统计学意义(P<0.05);BDS评分较治疗前显著下降,差异有统计学意义(P<0.05)。结论贫血、高血压、糖尿病、短暂性脑缺血发作和冠心病与VD有关,可能是VD的独立危险因素。采取综合治疗措施可以显著提高VD的治疗效果。

Objective To investigate vasculardementia（VD） risk factors and clinical treatment. Methods 85 cases who were treated by medication,rehabilitation,hyperbaric oxygen therapy and other comprehensive treatments were selected and analyzed and summaried.Analyzed risk factors such as hypertension, diabetes, coronary heart,transient ischemic attack and other relationships with VD. Used MMSE, HDS, BDS, ADI scale to evalute the efficacy. Results After comprehensive treatments,85 cases＇ clinical symptoms of dementia all had significant improvement. MMSE,HDS,ADI score was significantly higher than before the treatment, the difference had statistically significant （P 〈 O.05）,BDS score decreased significantly than before the treatnent,the difference had statistically significant （P 〈 0.05）. Conclusion Anemia,hypertension,diabetes, transient ischemic attacks and coronary heart disease have relation with VD,each of them may be an independent risk factor for VD.Comprehensive treatment measures can significantly improve the therapeutic effect of VD.