益气补肾活血化痰方联合常规治疗对肾虚血瘀、痰浊阻滞型血管性痴呆认知功能障碍患者的临床疗效

Clinical effects of Yiqi Bushen Huoxue Huatan Recipe combined with conventional treatment on patients with cognitive dysfunction of vascular dementia due to Kidney Deficiency and Blood Stasis,Phlegm-Turbidity Obstruction

目的探讨益气补肾活血化痰方联合常规治疗对肾虚血瘀、痰浊阻滞型血管性痴呆认知功能障碍患者的临床疗效。方法106例患者随机分为对照组和观察组,每组53例,对照组采用常规治疗(尼莫地平、吡拉西坦),观察组在对照组基础上加用益气补肾活血化痰方,疗程8周。检测临床疗效、BDNF、NGF、Hcy、Hs-CRP、SOD、CCL-2、HDS-R评分、MMSE评分、Barthel指数、中医证候评分变化。结果观察组总有效率高于对照组(P<0.05)。治疗后,观察组BDNF、NGF、SOD、HDS-R评分、MMSE评分、Barthel指数高于对照组(P<0.05),Hcy、Hs-CRP、CCL-2、中医证候评分更低(P<0.05)。结论益气补肾活血化痰方联合常规治疗可减轻肾虚血瘀、痰浊阻滞型血管性痴呆认知功能障碍患者炎症反应,调节氧化应激反应,促进神经功能修复,提高临床疗效。