辨证论治缺血性中风后认知功能障碍的疗效观察中医内科学专业论文.docxVIP

PAGE PAGE 2 症等方面比较差异均无统计学意义（P＞0.05）。 2.治疗前各组均有不同程度的认知功能障碍、神经功能缺损及日常 生活活动能力下降，但以气虚血瘀型组较严重，与各组比较差异有显著 性意义（P＜0.01 或 P＜0.05）。 3.经治疗后，观察组各亚组认知功能障碍、神经功能缺损及日常生 活活动能力均有不同程度改善，与对照组比较差异有显著性意义（P＜ 0.01 或 P＜0.05）,尤以气虚血瘀型组为明显，与各亚组比较差异有显 著性意义（P＜0.05）。 4.观察组各亚组认知功能障碍及中医证候疗效评定总有效率与对 照组比较差异均有显著性意义（P＜0.01 或 P＜0.05），尤以气虚血瘀型 组为明显，与各亚组比较差异有显著性意义（P＜0.05）。 结 论：缺血性中风患者认知功能障碍与气虚血瘀证型关系最为密切， 气虚血瘀可能是缺血性中风后认知功能障碍的基本病因病机，加用中医 辨证施治有显著改善缺血性中风患者认知功能障碍的作用。 关键词：辨证论治；缺血性中风；认知功能障碍；疗效 The observation on the curative effects of syndrome differentiation-based treatment of post-ischemic sroke cognitive impairment ABSTRACT Objective: (1)To observe the correlation between post-ischemic sroke cognitive impairment and syndrome types of TCM and report the cognitive impairment’s possible syndrome types of TCM; (2) To observe the effect of syndrome differentiation-based treatment of ischemic sroke on cognitive impairment for seeking the TCM therapies to control cognitive impairment. Methods: Patients from the Senior Cadre Geriatric Ward or Outpatient Department of The First Affiliated Hospital To Guangxi TCM University were chosen between Jan 2008 to Dec 2008.All of those patients were divided into the observation group and control group.The observation group was divided into three subgroups, namely, phlegm-heat excess syndrome of FU-organ group, QI-deficiency blood stasis group and Yin-deficiency wind stirring group. Each group had 30 patients. After admission, assessment of cognitive impairment, neurologic impairment， ADL and TCM Syndrome Evaluation were given to each group. According to therapeutic principle of Western medicine, the patients in each group were received conventional therapy including anti-platelet aggregation, the promotion of brain cell metabolism, lowering intracranial pressure, blood pressure control, lipid-lowering , control of blood glucose, correctionof fluid and electrolyte imbalance, infection prevention or control, rehabilitation and symptomatic treatment.The patients in