脑梗死后血管性痴呆应用中西医结合治疗的效果观察

Observation on the effect of integrated traditional Chinese and western medicine in the treatment of vascular dementia after cerebral infarction

目的探讨脑梗死后血管性痴呆患者采取中西医结合治疗的临床疗效。方法80例脑梗死后血管性痴呆患者,根据患者的入院顺序分为对照组和研究组,每组40例。对照组患者采用临床常规西医方案进行治疗,研究组患者采用中西医结合方案进行治疗。比较两组患者临床治疗效果、治疗前后日常生活活动能力评分以及精神状态评分。结果研究组患者治疗总有效率为90.0%,显著高于对照组的60.0%,差异具有统计学意义(P<0.05)。治疗前,两组患者的日常生活活动能力评分以及精神状态评分比较,差异无统计学意义(P>0.05);治疗后,研究组患者的日常生活活动能力评分(84.1±8.6)分以及精神状态评分(24.7±4.5)分均显著高于对照组的(73.7±7.4)、(19.0±3.7)分,差异具有统计学意义(P<0.05)。结论临床中为脑梗死后血管性痴呆患者提供中西医结合治疗的临床疗效明显,能够改善患者的临床症状、精神状态以及日常生活活动能力,应该给予大力的推广与应用。

Objective To discuss the clinical efficacy of integrated traditional Chinese and western medicine in the treatment of vascular dementia after cerebral infarction.Methods A total of 80 patients with vascular dementia after cerebral infarction were divided into control group and research group according to the order of admission,with 40 cases in each group.Patients in the control group were treated with clinical conventional western medicine,and patients in the research group were treated with the integrated traditional Chinese and western medicine.The clinical effect,activities of daily living score and mental state score before and after treatment were compared between the two groups.Results The total effective rate of treatment in the research group was 90.0%,which was significantly higher than 60.0%in the control group,and the difference was statistically significant(P<0.05).Before treatment,there was no statistically significant difference in the score of activities of daily living and mental state between the two groups(P>0.05).After treatment,the activities of daily living score(84.1±8.6)points and mental state score(24.7±4.5)points of the research group were significantly higher than(73.7±7.4)and(19.0±3.7)points of the control group,and the differences were statistically significant(P<0.05).Conclusion Integrated traditional Chinese and western medicine treatment has obvious clinical efficacy on patients with vascular dementia after cerebral infarction,and can help improve the clinical symptoms,mental state and activities of daily living of patients,which should be vigorously promoted and applied.