首页|艾地苯醌联合通窍活血汤加减治疗脑梗死后血管性认知功能障碍的疗效观察

艾地苯醌联合通窍活血汤加减治疗脑梗死后血管性认知功能障碍的疗效观察

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目的 探究脑梗死后血管性认知功能障碍患者行艾地苯醌结合通窍活血汤加减治疗的效果.方法 60 例脑梗死后血管性认知功能障碍患者为研究对象,根据患者所用治疗方法不同分为对照组与研究组,每组 30 例.对照组行艾地苯醌进行治疗,研究组在对照组基础上加入通窍活血汤加减治疗.对比两组治疗效果、神经功能评分、日常生活能力评分、认知功能评分.结果 两组治疗前神经功能评分、日常生活能力评分、认知功能评分对比,不存在显著差异(P>0.05).研究组治疗后神经功能评分(9.26±5.62)分低于对照组的(17.12±5.17)分,组间数据对比差异明显(P<0.05).研究组治疗后日常生活能力评分(80.43±7.24)分比对照组的(57.98±8.15)分高,组间数据对比差异明显(P<0.05).研究组治疗后认知功能评分(26.43±1.29)分高于对照组的(21.30±1.95)分,组间数据对比差异明显(P<0.05).与对照组的总有效率70.00%相比,研究组治疗总有效率93.33%更高,组间数据对比差异明显(P<0.05).结论 脑梗死后血管性认知功能障碍患者采用艾地苯醌与通窍活血汤加减联合治疗,不仅可以提升患者的日常生活能力,也能改善患者的认知及神经功能,促使其获得满意的治疗效果.
Observation on therapeutic effect of idebenone combined with modified Tongqiao Huoxue Decoction for the treatment of vascular cognitive dysfunction after cerebral infarction
Objective To explore the effect of idebenone combined with modified Tongqiao Huoxue Decoction on patients with vascular cognitive dysfunction after cerebral infarction.Methods A total of 60 patients with vascular cognitive dysfunction after cerebral infarction were selected.The patients were divided into a control group and a study group according to different treatment methods,with 30 cases in each group.The control group was treated with idebenone,and the research group was treated with modified Tongqiao Huoxue Decoction on the basis of the control group.The therapeutic effect,neurological function score,activities of daily living score,cognitive function score were compared between the two groups.Results Before treatment,there were no significant differences in neurological function score,activities of daily living score and cognitive function score between the two groups(P>0.05).After treatment,the neurological function score of(9.26±5.62)points in the study group was lower than(17.12±5.17)points in the control group,and the difference was significant in comparison(P<0.05).After treatment,the activities of daily living score in the study group was(80.43±7.24)points,which was higher than(57.98±8.15)points in the control group,and the difference was significant in comparison(P<0.05).After treatment,the cognitive function score of the study group was(26.43±1.29)points,which was higher than(21.30±1.95)points of the control group,and the difference was significant in comparison(P<0.05).The total effective rate of the study group was 93.33%,which was higher than 70.00%of the control group,and the difference was significant in comparison(P<0.05).Conclusion The combination therapy of idebenone and modified Tongqiao Huoxue Decoction in patients with vascular cognitive dysfunction after cerebral infarction can not only improve the patients'activities of daily living,but also improve the patients'cognitive and neurological function,and promote the patients to obtain satisfactory therapeutic effect.

IdebenoneTongqiao Huoxue DecoctionCerebral infarctionVascular cognitive dysfunctionNeurological function

张洪波

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272501 汶上县汶上街道社区卫生服务中心

艾地苯醌 通窍活血汤 脑梗死 血管性认知功能障碍 神经功能

2024

中国实用医药
中国康复医学会

中国实用医药

影响因子:0.797
ISSN:1673-7555
年,卷(期):2024.19(10)
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