复方菖蒲益智汤治疗中风后轻度认知功能障碍的临床效果

刘莉

兴平市中医医院，陕西 咸阳，713100

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摘要：

目的 分析复方菖蒲益智汤治疗中风后轻度认知功能障碍的临床疗效。方法 选取 2015年 1月至 2017年 6月我院收治的中风后轻度认知功能障碍患者 76例为观察组，同期选取 73例中风后轻度认知功能障碍为对照组，对照组口服尼莫地平片，观察组予复方菖蒲益智汤。分别于治疗前、后采用 MMSE 量表和 MoCA 量表评估两组患者认知功能，采用经颅多普勒仪测定其脑血管血流速度。结果 治疗后，两组 MMSE 评分和 MoCA 评分均升高，且观察组均高于对照组（P＜0.05）。治疗后，两组双侧 ACA、MCA、PCA 和 VA 及 BA 的血流速度均升高，且观察组均高于对照组（P＜0.05）。结论 复方菖蒲益智汤可改善中风后轻度认知功能障碍患者的脑血流速度，提高其认知功能，其疗效优于尼莫地平。

关键词： 复方菖蒲益智汤；中风后轻度认知功能障碍；脑血流速度

中图分类号：R285.6文献标志码：A文章编号： 2096-1413(2018)07-0118-02

Clinical effect of compound Changpu Yizhi decoction on
mild cognitive impairment after stroke


LIU Li
(Traditional Chinese Medicine Hospital of Xingping, Xianyang713100,China)



ABSTRACT:Objective To explore the clinical effect of compound Changpu Yizhidecoction on mild cognitive impairment afterstroke. Methods From January 2015 to June 2017,76 cases of patients with mild cognitive impairment after stroke treated in our hospital were selected as the observation group,and 73 cases of patients with mild cognitive impairment after stroke in the same period were selected asthe controlgroup.The controlgroup was treated with nimodipine tablets,and the observation group was treated with compound Changpu Yizhidecoction.The MMSE and MoCA scales were used to assess the cognitive function before and after treatment,and cerebral blood flow velocity was measured by transcranial doppler.Results Aftertreatment,the MMSE score and MoCA score increased in both groups,and those in the observation group were higher than the controlgroup (P<0.05). After treatment,the blood flow velocity of bilateral ACA,MCA,PCA,VA and BA increased in both groups,and those ofthe observation group were higher than the controlgroup (P<0.05). Conclusion Compound Changpu Yizhidecoction can improve the cerebralblood flow velocity and the cognitive function of patients with mild cognitive impairment after stroke,and the curative effect is better than nimodipine.                                                                                                                                                                          　                                       KEYWORDS: compound Changpu Yizhidecoction;mild cognitive impairment after stroke;cerebral blood flow velocity

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