祛痰化瘀补肾益气法治疗缺血性脑卒中认知功能减退的临床观察  

Clinical Observation of Qutanhuayubushenyiqi Method on Cognitive Function Impairment After Ischemic Stroke

作　　者：赵振武[1] 谢颖桢[1] 孟繁兴[2] 陈志刚[2] 

机构地区：[1]北京中医药大学东直门医院,北京100700 [2]北京中医药大学东方医院,北京100078

出　　处：《辽宁中医杂志》2010年第4期660-662,共3页Liaoning Journal of Traditional Chinese Medicine

摘　　要：目的:观察祛痰化瘀补肾益气法对缺血性脑卒中发病3个月内认知功能改善作用。方法:新发脑梗死非痴呆80例住院患者筛选后分为治疗组47例和对照组15例,分别给予吡拉西坦与祛痰化瘀补肾益气法方药,应用简易智能状态检查量表和蒙特利尔认知评估量表(北京版)在发病14天、1个月、3个月评定认知功能并进行比较。结果:治疗后两组MMSE与MoCA积分较发病14天时均显著提高(P<0.05),治疗组优于对照组(P<0.05)。结论:祛痰化瘀补肾益气法对缺血性脑卒中认知功能减退经有改善作用。Objective：To observe the effect of Qutanhuayubushenyiqi method on cognitive function after ischemic stroke within 3 months.Methods：The cognitive function in 80 patients in hospital with cerebral infarction no dementia were evaluated with mini-mental state examination（MMSE）and Montreal Cognitive Assessment（MoCA）Beijing Version after IQCODE screens at different phase points of 14 days,a month and 3 months.Among them 47 cases as the treatment group were treated on above principle and 15 with piracetam.Results：The total mark of MMSE and MoCA of two groups after treatment increased evidently（P0.05）.The clinical effect of the treatment group had an advantage over that of the control group in three months of treatment.Conclusion：The Qutanhuayubushenyiqi method may obviously enhance total cognitive function impairment after ischemic stroke.

关 键 词：卒中 认知功能 祛痰化瘀补肾益气法 

分 类 号：R743[医药卫生—神经病学与精神病学]