中西医联合治疗老年脑卒中伴精神障碍的临床疗效

Clinical efficacy of combination of traditional Chinese medicine and Western medicine in the treatment of elderly stroke patients with mental disorders

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DOI
刊名
Journal of International Psychiatry
年,卷(期) 2018, 45(3)
作者
作者单位

陕西汉中西交大附属320l医院经内科 ;

摘要
【摘 要】 探讨中西医联合治疗老年脑卒中伴精神障碍的临床疗效。方法 对我院2015年4月至2017年4月收治的80例老年脑卒中伴精神障碍患者的临床资料进行统计分析,依据治疗方法将这些患者分为中西医联合治疗组(n=40)和西医单独治疗组(n=40)两组,对两组患者的精神症状、CNS评分、HDS-R评分、MMSE评分、Bathel指数、临床疗效进行统计分析。结果 中西医联合治疗组患者的烦躁、紧张、思绪紊乱、易激怒、注意力障碍、睡眠障碍比例均显著低于西医单独治疗组(P<0.05),CNS评分显著低于西医单独治疗组(P<0.05),HDS-R评分、MMSE评分、Bathel指数均显著高于西医单独治疗组(P<0.05),治疗的总有效率95.0%(38/40)显著高于西医单独治疗组72.5%(29/40)(P<0.05)。结论 中西医联合治疗老年脑卒中伴精神障碍的临床疗效较西医单独治疗好。
Abstract
[Abstract] Objective To investigate the clinical efficacy of combined traditional Chinese and Western medicine in the treatment of elderly stroke patients with mental disorders. Methods The clinical data of 80 cases of elderly stroke patients with mental disorders in our hospital from April 2015 to April 2017 were statistically analyzed, these patients were divided into combination of traditional Chinese medicine and Western medicine group (n=40) and Western medicine alone treatment group (n=40) two groups according to the treatment methods, mental symptoms, the CNS scores, HDS-R scores, MMSE scores, Bathel indexes, clinical efficacy of the two groups were statistically analyzed. Results The irritability, nervousness, irritability, thought disorder, attention deficit disorder, sleep disorder ratios of the combination of traditional Chinese and Western medicine treatment group were significantly lower (P<0.05), the CNS score was significantly lower (P<0.05), the HDS-R score, MMSE score and Bathel index were significantly higher (P<0.05), the total treatment efficiency 95.0% (38/40) was significantly higher than the Western medicine alone treatment group 72.5% (29/40) (P<0.05). Conclusion The clinical efficacy of combination of traditional Chinese medicine and Western medicine in the treatment of elderly stroke patients with mental disorders is better than Western medicine alone treatment.
关键词
【关键词】中西医联合治疗;老年脑卒中伴精神障碍;临床疗效
KeyWord
[Keywords] Combination of traditional Chinese and Western medicine treatment; Senile cerebral apoplexy with mental disorder; Clinical curative effect
基金项目
页码 505-507
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梁勇*,向文杰, 张科儒, 陶黎. 中西医联合治疗老年脑卒中伴精神障碍的临床疗效 [J]. 国际精神病学杂志. 2018; 45; (3). 505 - 507.

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