中西医联合治疗老年脑卒中伴精神障碍的临床疗效

Clinical efficacy of combination of traditional Chinese medicine and Western medicine in the treatment of elderly stroke patients with mental disorder

目的探讨中西医联合治疗老年脑卒中伴精神障碍的临床疗效。方法对我院2015年4月~2017年4月收治的80例老年脑卒中伴精神障碍患者的临床资料进行统计分析,依据治疗方法将这些患者分为中西医联合治疗组(n=40)和西医单独治疗组(n=40)两组,对两组患者的精神症状、神经功能缺损量表(CNS)评分、痴呆修改量表(HDS-R)评分、简明精神状态量表(MMSE)评分、日常生活活动能力量表(Barthel指数)、临床疗效进行统计分析。结果中西医联合治疗组患者的烦躁、紧张、思绪紊乱、易激怒、注意力障碍、睡眠障碍比例均显著低于西医单独治疗组(P<0.05),CNS评分显著低于西医单独治疗组(P<0.05),HDS-R评分、MMSE评分、Bathel指数均显著高于西医单独治疗组(P<0.05),治疗的总有效率95.0%(38/40)显著高于西医单独治疗组72.5%(29/40)(P<0.05)。结论中西医联合治疗老年脑卒中伴精神障碍的临床疗效较西医单独治疗具有更好的临床疗效。

Objective To investigate the clinical efficacy of combined traditional Chinese and Western medicine in the treatment of elderly stroke patients with mental disorders. Methods The clinical data of 80 cases of elderly stroke patients with mental disorders in our hospital from April 2015 to April 2017 were collected and statistically analyzed, these patients were divided into combination of traditional Chinese medicine and Western medicine group （n=40） and Western medicine alone treatment group （ n=40 ） according to the treatment methods. Mental symptoms, the CNS scores, HDS-R scores, MMSE scores, Bathel indexes, clinical efficacy of the two groups were statistically analyzed and compared before and after treatment. Results The irritability, nervousness, irritability, thought disorder, attention deficit disorder, sleep disorder ratios of the combination of traditional Chinese and Western medicine treatment group were significantly lower （P 〈 0.05 ）, the CNS score was significantly lower （P 〈 0.05 ）, the HDS-R score, MMSE score and Bathel index were significantly higher （P〈0.05）, the total treatment efficiency 95.0 % （ 38/40 ） was significantly higher than the Western medicine alone treatment group by 72.5 % （ 29/40 ）（P 〈 0.05 ）. Conclusion The clinical efficacy of combination of traditional Chinese medicine and Western medicine in the treatment of elderly stroke patients with mental disorders is better than Western medicine alone treatment.