Whole-process case management effects on mental state and selfcare ability in patients with liver cancer

BACKGROUND Regarding the incidence of malignant tumors in China,the incidence of liver cancer ranks fourth,second only to lung,gastric,and esophageal cancers.The case fatality rate ranks third after lung and cervical cancer.In a previous study,the whole-process management model was applied to patients with breast cancer,which effectively reduced their negative emotions and improved treatment adherence and nursing satisfaction.METHODS In this single-center,randomized,controlled study,60 randomly selected patients with liver cancer who had been admitted to our hospital from January 2021 to January 2022 were randomly divided into an observation group(n=30),who received whole-process case management on the basis of routine nursing mea-sures,and a control group(n=30),who were given routine nursing measures.We compared differences between the two groups in terms of anxiety,depression,the level of hope,self-care ability,symptom distress,sleep quality,and quality of life.RESULTS Post-intervention,Hamilton anxiety scale,Hamilton depression scale,memory symptom assessment scale,and Pittsburgh sleep quality index scores in both groups were lower than those pre-intervention,and the observation group had lower scores than the control group(P<0.05).Herth hope index,self-care ability assessment scale-revision in Chinese,and quality of life measurement scale for patients with liver cancer scores in both groups were higher than those pre-intervention,with higher scores in the observation group compared with the control group(P<0.05).CONCLUSION Whole-process case management can effectively reduce anxiety and depression in patients with liver cancer,alleviate symptoms and problems,and improve the level of hope,self-care ability,sleep quality,and quality of life,as well as provide feasible nursing alternatives for patients with liver cancer.

A Method for Classification and Evaluation of Pilot’s Mental States Based on CNN

How to accurately recognize the mental state of pilots is a focus in civil aviation safety.The mental state of pilots is closely related to their cognitive ability in piloting.Whether the cognitive ability meets the standard is related to flight safety.However,the pilot’s working state is unique,which increases the difficulty of analyzing the pilot’s mental state.In this work,we proposed a Convolutional Neural Network(CNN)that merges attention to classify the mental state of pilots through electroencephalography(EEG).Considering the individual differences in EEG,semi-supervised learning based on improvedK-Means is used in themodel training to improve the generalization ability of the model.We collected the EEG data of 12 pilot trainees during the simulated flight and compared the method in this paper with other methods on this data.The method in this paper achieved an accuracy of 86.29%,which is better than 4D-aNN and HCNN etc.Negative emotion will increase the probability of fatigue appearing,and emotion recognition is also meaningful during the flight.Then we conducted experiments on the public dataset SEED,and our method achieved an accuracy of 93.68%.In addition,we combine multiple parameters to evaluate the results of the classification network on a more detailed level and propose a corresponding scoring mechanism to display the mental state of the pilots directly.

A CHILDES Analysis of Mental State Verbs in Mandarin-speaking Children

Mental state verbs(MSVs)are believed to be closely related with the development of Theory of Mind(ToM).Studies on MSVs have yielded fruitful results abroad over the past three decades,especially in ToM,while it still has a long way to go for the Mandarin-speaking children.The present study focuses on mental state verbs in Mandarin-speaking children and explores the universality of ToM,as well as the development features.An analysis of their spontaneous speech from the CHILDES archives reveals,first,that Mandarin-speaking children use desire terms much earlier than other terms,suggesting a pattern of theory-of-mind development similar to that in English;second,the developmental trend of the MSVs is relatively steady while the number of different categories varies a lot.This study suggests a consistency in the overall sequence,but variation in the timing of beginning and end points,which is helpful to further related investigation.

Agreement and conversion formula between mini-mental state examination and montreal cognitive assessment in an outpatient sample

AIM To explore the agreement between the mini-mental state examination(MMSE) and montreal cognitive assessment(Mo CA) within community dwelling older patients attending an old age psychiatry service and to derive and test a conversion formula between the two scales.METHODS Prospective study of consecutive patients attending outpatient services.Both tests were administered by the same researcher on the same day in random order.RESULTS The total sample(n = 135) was randomly divided into two groups.One to derive a conversion rule(n = 70),and a second(n = 65) in which this rule was tested.The agreement(Pearson's r) of MMSE and Mo CA was 0.86(P < 0.001),and Lin's concordance correlation coefficient(CCC) was 0.57(95%CI:0.45-0.66).In the second sample Mo CA scores were converted to MMSE scores according to a conversion rule from the first sample which achieved agreement with the original MMSE scoresof 0.89(Pearson's r,P < 0.001) and CCC of 0.88(95%CI:0.82-0.92).CONCLUSION Although the two scales overlap considerably,the agreement is modest.The conversion rule derived herein demonstrated promising accuracy and warrants further testing in other populations.

Analysis of influencing factors of anxiety and depression in patients with periodontitis

BACKGROUND Periodontitis is a chronic oral disease caused by pathogenic microorganisms that corrode tooth tissue,form periodontal pockets,absorb alveolar bone,and finally lead to tooth loss.During treatment,patients are prone to anxiety,tension,and other negative emotions,which affect their ability to face the disease and may also lead to aggravation of the original condition and affect oral health.Therefore,it is important to improve the negative psychology of patients with periodontitis to clarify the factors that may lead to negative psychological emotions.AIM To investigate the risk factors that may lead to anxiety and depression in patients with periodontitis.METHODS One hundred patients with periodontitis were selected between March 2022 and March 2023 at our hospital.All patients were assessed with the Zung Self-rating Depression Scale(SDS)(≥53 points indicate a depressive state)and Zung Selfrating Anxiety Scale(SAS)(≥50 points indicates an anxious state).In this study,patients who experienced anxiety or depression were included in the occurrence group and those without anxiety or depression were included in the nonoccurrence group.The baseline data of the two groups were compared to explore the risk factors for anxiety and depression in patients with periodontitis.RESULTS A total of 100 patients with periodontitis were included in this study.According to the SDS,38 patients(38.00%)developed depression,with an average SDS score of(68.52±5.85)points.According to the SAS,40 patients(40.00%)developed anxiety,and the average SAS score was(72.15±4.15)points.In this study,56 patients with anxiety or depression were included.Compared with the nonoccurrence group,the occurrence group had higher ages(≥60 years),lower level of hope(low level),educational level(high school or below),disease perception(poor),and sleep disorder(yes).The negative coping dimension scores of the simplified coping style questionnaire(SCSQ)and Dental Fear Scale(DFS)in the occurrence group were higher,whereas the score of the positive coping dimension of the SCSQ was significantly lower(P<0.05).There were no significant differences in the other data between the groups(P>0.05).The results of multiple logistics regression analysis showed that age(≥60 years),level of hope(low level),educational level(high school or below),disease perception(poor),sleep disorder(yes),high negative coping dimension scores of SCSQ,high score of DFS,and low positive coping dimension scores of SCSQ were all factors contributing to the anxiety and depression in patients with periodontitis(odds ratio>1,P<0.05).CONCLUSION Age,hope level,educational level,disease perception,sleep disorders,coping style,and dental fear were all associated with anxiety and depression in patients with periodontitis.

Effects of comprehensive nursing on postoperative complications,mental status and quality of life in patients with glioma

BACKGROUND The complexity and refractory of brain glioma requires treatment that should involve a multidisciplinary approach to improve quality of care and fulfill patients’needs.AIM To explore the effects of comprehensive nursing on postoperative complications,psychological state and quality of life in patients with brain glioma.METHODS A total of 106 patients with confirmed brain gliomas admitted to Nanchong Central Hospital between January 2019 and May 2021 were selected by random sampling.They were categorized into an observation group and a control group using a random number table with 53 patients in each group.Patients in the observation group were given comprehensive nursing in addition to conventional nursing and patients in the control group were given conventional nursing.The overall incidence of postoperative complications including limb dysfunction,high fever and epilepsy was compared between the two groups.The mental status was evaluated in the two groups before and after intervention using self-rating anxiety scale(SAS)and self-rating depression scale(SDS).Quality of life was assessed and compared using the European Organization for Research and Treatment of Cancer Quality of Life Questionnaire between the two groups before and after the intervention.RESULTS After intervention,the overall incidence of postoperative complications was significantly lower in the observation group(7.55%)than that in the control group(20.75%)(P<0.05).Before intervention,there was no significant difference in SAS and SDS scores between the two groups(P>0.05).However,after intervention,scores of SAS and SDS decreased in the two groups compared with those before intervention,and the scores of SAS and SDS were lower in the observation group than in the control group(all P<0.05).There was no significant difference in quality of life between the two groups before the intervention(P>0.05).In contrast,quality of life increased in the two groups compared with those before intervention,and it was higher in the observation group than in the control group(P<0.05).CONCLUSION Comprehensive nursing can reduce the incidence of postoperative complications,improve the psychological state of anxiety and depression and improve quality of life in patients with brain glioma.

Effects of positive psychological control intervention on sleep and psychology of officers and soldiers working at sea

BACKGROUND The working environment of submarine crews is also very special.They are in a closed,high-temperature,high-noise,high-vibration and narrow working and living space for a long time,and they suffer from physical discomfort caused by seasickness,which will affect the mental health of officers and soldiers.American psychologists have achieved positive results in psychological resilience training for officers and soldiers from the perspective of positive psychology.At present,there are few reports on the correlation between psychological resilience in the field of domestic research on submarine crew psychology,and it is necessary to conduct further research.METHODS A total of 121 soldiers working in a confined space of a large ship were randomly divided into an experimental group and a control group.The 50 soldiers in the experimental group were given a training course intervention,while the 71 soldiers in the control group did not receive any intervention measures.The Pittsburgh Sleep Quality Index,Psychological Resilience Scale,military Psycho-logical Stress Self-Assessment Questionnaire,and General Self-Efficacy Scale scores were compared before and 6 months after the intervention.RESULTS Under the positive psychological control intervention,except for sleep efficiency(P=0.05),the difference between the remaining dimensions of the Pittsburgh Sleep Quality Index scores and the total scores of the experimental group compared with the control group was statistically significant(P<0.05);the assessment of the psychological condition showed that,in addition to the Psychological Stress Self-assessment Questionnaire for Military Personnel scores(P=0.05),the scores of the Mental Toughness Scale(Dispositional Resilience Scale Resilience II)in the experimental group,General Self-Efficacy Scale scores were statistically significant(P<0.05)compared to pre-intervention.CONCLUSION Positive psychological intervention and control can improve the sleep state and psychological state of officers and soldiers working in confined space at sea.

The Relationship Between Uncertainty in Illness,State Anxiety,and the Life Satisfaction of College Students During the COVID-19 Epidemic

Objective:This study aimed to explore the relationship between uncertainty in illness,state anxiety,and the life satisfaction of college students during the COVID-19 epidemic.Methods:A cluster random sampling method was employed to select a total of 1522 college students from seven universities in China.The uncertainty in illness scale,state anxiety scale,and life satisfaction scale were used.Results:Uncertainty in illness had a negative effect on life satisfaction.Uncertainty in illness had a positive effect on state anxiety.State anxiety had a negative effect on life satisfaction.State anxiety played an important mediating role in the relationship between uncertainty in illness and life satisfaction-its mediating effect accounted for 17.43%of the total effect.Conclusion:A simple mediation model revealed that uncertainty in illness exerts influence both directly on life satisfaction and indirectly via state anxiety.Based upon these elucidated examples,several countermeasures and suggestions for life satisfaction are proposed.

Unhealthy Mental States Are Positively Associated with Subjective Pain or Fatigue in Specific Body Sites among High School Teachers in Japan

Unhealthy mental states have become common among teachers recently. Subjective physical symptoms are more likely to appear more readily than mental symptoms. In this study, we revealed that the relationship between mental states and subjective physical fatigue or pain in seven body sites among 2449 teachers. The 12-item General Health Questionnaire (GHQ-12) was used to assess mental state. We defined a score of 4 points and over in the GHQ-12 score as unhealthy mental state. We also asked about the presence of subjective physical fatigue or pain in each seven body sites in the past one year. In the results, 30.3% unhealthy mental states were found in females and 22.9% in males. Most of subjective physical fatigue or pains were detected in neck and shoulder, eyes, head and low back. Using multivariate logistic regression, higher scores in the GHQ-12 were positively associated with presence of subjective fatigue or pain in head and eyes in both genders, in lower extremities among females, and in back, upper extremities among males. Our results suggest that physical symptoms in specific body sites with gender differences may be useful in the early identification of unhealthy mental states among teachers. We should have efforts to pay attention to mental states among high school teachers if their symptoms do not get better after taking physical care.

Psychological and Physiological Health Benefits of a Structured Forest Therapy Program for Children and Adolescents with Mental Health Disorders

Mental health conditions in children and adolescents can be improved by slow mindful nature connection known as forest therapyor bathing.Forest therapy has recently received growing attention as an enabler of relaxation and preventive health care withdemonstrated clinical efficacy.However,it is not well-known that forest therapy also decreases mental health issues amongindividuals with mental health disorders.This study explored the psychological and physiological health benefits of structuredforest therapy programs for children and adolescents with mental health disorders.A one-group pre-test-posttest design wasemployed for our study participants.Twelve participants(aged 9–14 years)engaged in two one-hour guided standard sequenceforest therapy experiences.A Mindful Attention Awareness Scale(MAAS),Connectedness to Nature Scale(CNS),Profile ofMood States(POMS),place meanings(e.g.,functional,emotional,and cognitive attachment to the forest)questionnaire,andphysiological health assessment were administered to the participants.Our results showed that negative mood states weresignificantly reduced and that a positive mood state was significantly improved after the structured forest therapy programs.Also,mindfulness,nature connection,place meanings,and physiological health were significantly boosted after theinterventions.The results demonstrate substantial psychological and physiological health and well-being outcomes ofstructured forest therapy for similar individuals.

The State Power Grid Development Ltd Corp. officially established

The establishment of the State Power Grid Development Corp Ltd(SPG) was officially announced on June 18, marking the government’s determination to form a nationwide united power network to make the best of power generating capability. The State-owned corporation, with 2.5 billion yuan ($301 million) worth of operating capital raised by the government, will be responsible for investment. construction and management of the power transmission and substation projects involved in the construction of the Three Gorges Project.

To Knowledge of the Origin of the Brain Mental Activity

This paper is devoted towards the origin of a human subjective state, and we present a methodology for studying the origin of brain activity. We were first to reveal that the subjective states of a human being can be subjected to an objective remote registration. Recently we have established the existence of the so-called “psychogenic field”, which reflects the subjective state of human brain. The subjective state of a human being was shown to affect remotely the physicochemical properties of the blood. The interaction of neurophysiological and subjective processes is described in the context of systemic organization of a goal-directed behavior. An original schematic diagram is presented to describe the formation of a subjective brain state. This approach is based on the feedback influence of a psychogenic field on neuronal molecular processes (self-induction in the brain). We propose a paradigm for the origin of a subjective state and possible existence of physical phenomena and brain fields, which are unique for the active brain.

The Brunel Mood Scale Rating in Mental Health for Physically Active and Apparently Healthy Populations

There is a positive relationship between mood states and mental health. The aim of the present study was to investigate the construct validity and internal consistency of the Brunel Mood Scale (BRUMS) for use with different populations, which are physically active and apparently healthy. Measures were obtained from 1295 male (N = 709, 34 ± 20 years, mean ± SD) and female (N = 576, 43 ± 24 years, mean ± SD) volunteers. Factor analysis was used, verifying that six factors (components) accounted for 62.65% of the total variance of the scale. The Varimax method with Kaiser Normalization for the rotation of the factors for the main components, and it was observed that the 24 scale items loaded on six mood factors (anger, depression, tension, vigor, fatigue, and confusion). Internal consistency was good for all the factors identified. We suggest that the results provide some support for validity of the BRUMS for use with different populations, which are physically active and apparently healthy.

Mental Health Assessment of Elderly People Attending Geriatric Clinic in Medical City

Background: Worldwide elderly population and their life expectancy are increasing gradually. Longevity in most cases brings down poorer health as well as functional status. Thus, it is necessary to understand the problems as well as social, psychological, and medical needs of elderly people in order to plan their optimal care. Objectives: To assess the mental health status (depression and memory state) of elderly people attending Geriatric clinic in medical city, and to determine the influence of some sociodemographic factors on elderly mental health status. Subjects and Method: A cross-sectional study was conducted among elderly people aged 60 years and more who attended geriatric clinic of medical city in Baghdad, from 1st of April to the end of June 2015. Special questionnaire form had been used for data collection via direct interview. The evaluation of the mental state was performed by using modified version of Wechsler Memory Scale and geriatric depression scale. Results: A total of 400 elderly persons were enrolled in the study, 109 (27.3%) of them had impaired memory. The analysis of data revealed that the age and marital status had statistical significant association with memory state. Nearly three quarter (72.8%) of study group had depression according to geriatric depression scale. The majority of studied women had depression (90%), and the same percentage was observed among widowed elders joining in the study.

基于ERAS理念的多学科协作对Stanford A型主动脉夹层患者I期心脏康复的应用效果研究

目的探讨基于加速康复外科(ERAS)理念的多学科协作对Stanford A型主动脉夹层患者心脏康复的应用效果研究。方法选取河南省胸科医院在2021年1月至2022年11月期间收治的80例Stanford A型主动脉夹层患者,随机分为对照组及观察组,各40例。观察组采用基于ERAS理念的多学科协作护理,对照组予以常规护理。比较两组患者围手术期指标、心功能、心理状况、疼痛评分以及生活质量水平。结果观察组的气管插管时间、ICU停留时间、术后住院时间、下床活动时间短于对照组,差异有统计学意义(P<0.05)。护理前,两组患者的心功能水平比较,差异无统计学意义(P>0.05);护理后,两组患者心功能水平均优于护理前,且观察组心功能优于对照组,差异有统计学意义(P<0.05)。护理前,两组心理状态与疼痛程度比较,差异无统计学意义(P>0.05);护理后,两组患者心理状态及疼痛程度均有所改善,且观察组改善程度优于对照组,差异有统计学意义(P<0.05)。护理前,两组生活质量评分比较,差异无统计学意义(P>0.05);护理后,两组患者生活质量水平均升高,且观察组高于对照组,差异有统计学意义(P<0.05)。结论基于ERAS理念的多学科协作方案可改善Stanford A型主动脉夹层手术患者心功能,缓解患者不良情绪及疼痛程度,提高患者生活质量,缩短住院时间,可促进患者术后恢复。

Effect of Chaishao Jieyu Decoction on postoperative colorectal cancer patients with liver depression and spleen deficiency

Objective:To study the effect of Chaishao Jieyu Decoction on the improvement of mental state、immune function and diarrhea of Liver Depression and Spleen Deficiency patients with colorectal cancer after operation.Methods:76 cases of colorectal cancer patients after operation,according to the method of random grouping would be divided into the chinese medicine treatment(CMT)group and the western medicine control(WMC)group,each group 38 cases.The WMC group were treated with montmorillonite.The CMT group accepted oral administration of Chaishao Jieyu Decoction.The levels of anxiety and depression score,quality of life,T lymphocyte subsets and TNF-α,and improvement of diarrhea were compared.Results:With the therapy ending,the standards of SAS and SDS in CMT group were reduced signficantly than the WMC group(P<0.05),The score of QOL was obviously higher than the WMC group(P<0.05),the treatment group's CD3+、CD4+subsets levels increased obviously than the WMC group(P<0.05),the CD8+subsets and Tumor necrosis factor-alpha-levels were obviously lower than the WMC group(P<0.05),the improvement of diarrhea of the CMT group was obviously better than the WMC group(P<0.05).Conclusion:Chaishao Jieyu Decoction can effectively improve the mental state and diarrhea symptoms of postoperative patients with colorectal cancer,and significantly improve the immune function of the body,the Chaishao Jieyu Decoction's effect is excellent.

Exploring the Effects of Mental Imagery in the Solution Focused Approach

This study examined the effects of mental imagery in the solution-focused approach by evaluating the impact of positive self-image about the future on emotional states using the time machine question (which is a questioning technique used in the solution-focused approach). We compared the change in the emotional state of 270 participants, using the Japanese version of the Positive and Negative Affect Schedule (PANAS), before and after the intervention. The intervention conditions included: verbal description of one’s positive future on a worksheet (the language description condition), and imagining one’s positive future (the imagery condition). The results of the experiment showed that after the intervention, the scores of the imagery group on the positive and negative affect scales of the PANAS were significantly higher and lower, respectively, than those of the language description group. We also found that the amount of change in the scores of the positive and negative affect scales of the PANAS was significantly larger in the imagery group as compared to the language description group. These results indicate that interventions involving the imagining of one’s future via the time machine question of the solution-focused approach have a more direct impact on emotional states than interventions using a language description. This suggests that mental imagery plays an important role in interventions carried out within the framework of the solution-focused approach.

Effect of Chaishao Jieyu Decoction combined with Pingxiao Capsule on the patients with luminal breast cancer after operation

Objective:To study the improvement of Chaishao Jieyu decoction combined with Pingxiao capsule on the mental state、immune function and endometrium of patients with luminal breast cancer undergoing endocrine therapy after operation.Methods:60 cases of luminal breast cancer patients after operation,according to the method of random grouping would be divided into the control group and the observation group,each group 30 cases.The control group were treated with tamoxifen.On the basis,the observation group accepted oral administration of Chaishao Jieyu Decoction and Pingxiao capsule.The levels of 5-HT、DA、T lymphocyte subsets、IGF-1 and endometrial thickness were compared.Results:At the end of treatment,the observation group's 5-HT、DA、CD3+、CD4+levels were obviously higher than the control group(P<0.05),the observation group's CD8+levels、IGF-1 levels and endometrial thickness were significantly lower than the control group(P<0.05).Conclusion:Chaishao Jieyu Decoction combined with Pingxiao capsule can significantly improve the mental state、immune function of patients with luminal breast cancer undergoing endocrine therapy after surgery,and inhibit their endometrial thickening,the effect is exact.

Application Research of Music Therapy in Mental Health of Special Children

A healthy psychological state is the premise for children to carry out various activities.Previous surveys have shown that children with special needs are affected by their own obstacles and are more prone to psychological problems such as sensitivity,low self-esteem,and impulsiveness.Therefore,it is necessary to provide more sys-tematic mental health education support for special children.Mental health education programs are an efficient form of maintaining children’s mental health.However,in thefield of special education,the number of mental health education courses developed according to the physical and mental characteristics and developmental needs of special children is relatively small,and there are many difficulties in the implementation process.Autism dis-order(ASD)is a kind of pervasive developmental dysfunction that is relatively common and representative in clinical practice.In recent years,the number of autistic children has continued to surge,and has gradually expanded from a family problem to a serious social problem.At present,the evaluation of the effect of autism intervention mainly relies on various behavioral scales,which are subjective to a certain extent.At the same time,due to the unclear pathogenesis of autism,the treatment of autism cannot be predicated on the right medicine,and can only be intervened in various ways.The purpose of this paper is to explore the difference between the EEG signals of autistic children and typically developing control(TD)children through the analysis method of EEG signals,and based on the analysis of EEG signals from an objective point of view,to study whether the music therapy method of Chinese Zither playing training can effectively Improving the brain functional status of chil-dren with autism yields positive therapeutic outcomes.The experimental results show that the complexity of brain electrical signals of ASD children is much lower than that of TD children,and there is a significant difference in the brain functional state between the two.The music therapy method based on Chinese zither playing training can improve the brain function of autistic patients,and there is a positive therapeutic effect.And with the exten-sion of the training period,the effect may be more significant.Chinese zither playing training can provide a new direction for the intervention of autism.

A meta-analysis of Chinese herbal medicines for vascular dementia

OBJECTIVE： To investigate the efficacy and safety of Chinese herbal medicines in the treatment of patients with vascular dementia. DATA RETRIEVAL： We retrieved publications from Cochrane Library （2004 to July 2011）, PubMed （1966 to July 2011）, the Chinese Science and Technique Journals Database （1977 to July 2011）, the China National Knowledge Infrastructure （1979 to July 2011）, Google Scholar （July 2011）, and the Chinese Biomedical Database （1977 to July 2011） using the key words ＂Chinese medicine OR Chinese herbal medicine＂ and ＂vascular dementia OR mild cognition impair OR multi-infarct dementia OR small-vessel dementia OR strategic infarct dementia OR hypoperfusion dementia OR hemorrhagic dementia OR hereditary vascular dementia＂. SELECTION CRITERIA： Randomized controlled trials comparing Chinese herbal medicines with placebo/western medicine in the treatment of patients with vascular dementia were included. Diagnostic standards included Diagnostic and Statistical Manual of Mental Disorders-IV, and National Institute of Neurological Disorders and Stroke and Association Internationale pour la Recherche et I＇Enseignement en Neurosciences. Two participants independently conducted literature screening, quality evaluation and data extraction. The quality of each trial was assessed according to the Cochrane Reviewers＇ Handbook 5.0. MAIN OUTCOME MEASURES： Effective rate, Mini-Mental State Examination scores, Hasegawa Dementia Scale scores, and incidence of adverse reactions. RESULTS： We identified 1 143 articles discussing the effects of Chinese medicine on vascular dementia. Thirty-one of these were included in the analysis. These studies involved a total of 2 868 participants （1 605 patients took Chinese medicine decoctions （treatment group）; 1 263 patients took western medicine or placebo）. The results of our meta-analysis revealed that Chinese herbal remedies in the treatment group were more efficacious than the control intervention （relative risk （RR） = 1.27; 95% confidence interval （C/）： 1.18-1.38, P 〈 0.01）. Mini-Mental State Examination scores were higher in patients taking Chinese herbal medicines than in those in the control group （weighted mean difference （WMD） = 2.83; 95%CI： 2.55-3.12, P 〈 0.01）. Patients in the treatment group showed better disease amelioration than those in the control group （Hasegawa Dementia Scale scores; WMD = 2.41, 95%CI： 1.48-3.34, P 〈 0.01）. There were also considerably fewer adverse reactions among those in the treatment group compared with those in the control group （RR = 0.20, 95%CI： 0.08-0.47, P 〈 0.01）. CONCLUSION： Chinese herbal medicine appears to be safer and more effective than control measures in the treatment of vascular dementia. However, the included trials were generally low in quality. More well-designed, high-quality trials are needed to provide better evidence for the assessment of the efficacy and safety of Chinese medicines for vascular dementia.