血管性痴呆中医证候流行病学调查

Epidemiological Investigation on Traditional Chinese Medicine Syndromes of Vascular Dementia

目的探讨血管性痴呆中医证候的分布情况。方法对天津市养老院590位老人进行临床流行病学调查,确诊87例为血管性痴呆患者,分为认知正常组和血管性痴呆患者组(VD组),进行一般情况、简易智能精神状态量表(MMSE)得分以及中医辨证量表调查。结果通过血管性痴呆中医辨证量表的调查,发现血管性痴呆患者最常见的证型为肾精亏虚型,其次是瘀血阻络型。中医辨证量表的积分上,2组老人在每个证型上的积分差异均有统计学意义,血管性痴呆组积分均高于正常组。结论血管性痴呆并非单一脏腑疾病引起。

Objective To investigate the distribution of traditional Chinese medicine(TCM)syndromes of vascular dementia.Methods A clinical epidemiological survey was conducted among 590 elderly people in Tianjin nursing home.87 patients with vascular dementia were diagnosed and divided into normal cognitive group and vascular dementia group.The general condition,MMSE score and TCM syndrome differentiation scale were investigated.Results Through the investigation of TCM syndrome differentiation scale of vascular dementia,it was found that the most common syndrome type of vascular dementia patients was kidney essence deficiency type,followed by blood stasis type.On the score of TCM syndrome differentiation scale,there were significant differences in each syndrome type between the two groups,and the score of vascular dementia group was higher than that of normal group.Conclusion Vascular dementia is not caused by single visceral disease.