中西医结合疗法对高血压脑出血术后认知功能障碍的康复效果

Rehabilitation Effect of Integrated Traditional Chinese and Western Medicine Therapy on Cognitive Dysfunction after Hypertensive Cerebral Hemorrhage

目的:探讨中西医结合疗法对高血压脑出血术后认知功能障碍的康复效果。方法:选取襄阳市中心医院2019年1月至2020年12月期间收治的82例高血压脑出血术后认知功能障碍患者,随机分为对照组与观察组,各41例。对照组使用常规西医治疗,观察组则在对照组的基础上给予中医治疗,比较两组患者的临床疗效、认知功能指标变化、中医证候积分变化。结果:观察组患者治疗总有效率为92.68%,高于对照组的73.17%,差异具有统计学意义(P<0.05)。治疗前两组患者的各项Loewenstein认知功能评定表(LOTCA)评分比较,差异无统计学意义(P>0.05);治疗后观察组患者的各项LOTCA评分均明显高于对照组,差异具有统计学意义(P<0.05)。治疗前两组患者的各项中医证候积分比较,差异无统计学意义(P>0.05);治疗后观察组患者的各项中医证候积分低于对照组,差异具有统计学意义(P<0.05)。结论:中西医结合疗法对高血压脑出血术后认知功能障碍的康复效果显著,能有效改善认知功能,减轻中医证候,提高神经功能。

Objective To explore the rehabilitation effect of integrated traditional Chinese and western medicine therapy on cognitive dysfunction after hypertensive cerebral hemorrhage.Methods 82 patients with cognitive dysfunction after hypertensive intracerebral hemorrhage admitted to Xiangyang Central Hospital from January 2019 to December 2020 were randomly divided into control group and observation group,with 41 cases in each group.The control group was treated with conventional western medicine,and the observation group was treated with traditional Chinese medicine(TCM)on the basis of the control group.The clinical efficacy,changes in cognitive function indexes and changes of TCM syndrome scores were compared between two groups.Results The total effective rate of the observation group was 92.68%,higher than 73.17%of the control group(P<0.05).There was no significant difference in Loewenstein occupational therapy cognitive assessment(LOTCA)scores between the two groups before treatment(P>0.05).After treatment,the LOTCA scores of the observation group were significantly higher than those of the control group(P<0.05).There was no significant difference in the scores of TCM syndrome between the two groups before treatment(P>0.05).After treatment,the scores of TCM syndrome in the observation group were lower than those in the control group,and the difference was statistically significant(P<0.05).Conclusion The rehabilitation effect of integrated traditional Chinese and western medicine on cognitive dysfunction after hypertensive intracerebral hemorrhage is significant,which can effectively improve the cognitive function,relieve TCM syndrome and improve neurological function.