祛痰化瘀方治疗痰瘀互阻型老年性痴呆40例  

Expelling Phlegm and Blood Stasis Prescription in the Treatment of Intermingled Phlegm and Blood Stasis Senile Dementia for 40 Cases

作　　者：罗娟[1] 于铁[1] 张淼[1] 

机构地区：[1]辽宁省大连大学附属中山医院中医科,大连116001

出　　处：《中国中医药现代远程教育》2016年第22期81-83,共3页Chinese Medicine Modern Distance Education of China

摘　　要：目的观察祛痰化瘀方在痰瘀互阻型老年性痴呆方面的临床疗效。方法收集2014年4月—2016年4月收治的痰瘀互阻型老年性痴呆症患者80例,随机分为治疗组和对照组,每组患者均40例。对照组予口服盐酸多奈哌齐片治疗,治疗组予祛痰化瘀方治疗,4周为1个疗程,共治疗2个疗程。结果治疗组各量表评分均优于对照组;治疗组患者的治疗有效率92.5%,明显高于对照组患者的治疗有效率72.5%,治疗后2组脑萎缩例数均减少,但治疗组减少更明显,差异为显著性差异,(P<0.05)有统计学意义。结论祛痰化瘀方治疗痰瘀互阻型老年痴呆能够取得更加有效的治疗效果,且安全无副作用,值得在临床上推广应用。Objective To observe the clinical effect of expelling phlegm and blood stasis prescription in the treatment of intermingled phlegm and blood stasis senile dementia. Methods Collecting 80 cases of patients with intermingled phlegm and blood stasis senile dementia from April 2014 to April. 2016, they were randomly divided into treatment group and control group, with 40 cases in each group. The control group was given oral donepezil hydrochloride tablets therapy. The treatment group was treated with expelling phlegm and blood stasis prescription. 4 weeks was a course of treatment, and the treatment continued a total of 2 courses of treat- ment. Conclusion Each scale score of the treatment group was better than that of the control group. The effective rate of the treat- ment group was 92.5% which was significantly higher 72.5% of the control group. After treatment, the cases of brain atrophy of the two groups were reduced, but the treatment group had more significant reduction, and the difference wasstatistically significant （P 〈 0.05） . Conclusion The expelling phlegm and blood stasis prescription in the treatment of intermingled phlegm and blood stasis senile dementia can obtain better therapeutic effect, has safety without side effects, and it is worthy of clinical application.

关 键 词：祛痰化瘀方 痰瘀互阻 老年痴呆 呆证 

分 类 号：R277.7[医药卫生—中医学]