摘要:
Objective: To analyze the clinical efficacy of the combined treatment of traditional Chinese medicine and Western medicine to patients with senile dementia. Methods: 63 elderly patients with senile dementia treated in our hospital from January 2009 to January 2010 were randomly divided into observe group (42 cases) and control group (21 cases), the control group were given Western medicine Duo-Kexi, and the observe group were given self-made Chinese medicine dialectically based on this method. The MMSE, ADL, HDS scores and the total efficiency were observed and analyzed before and after the treatment. Results: All patients' MMSE, HDS scores were significantly improved after the treatment, ADL scores were significantly decreased than that before treatment, which were statistically significant (P<0.05). MMSE, HDS scores of the observation group were (24.12±4.25) score and (26.44±5.25) score, which were higher significantly than those of the control group: (20.09±2.25) score and (25.35±4.46) score, ADL score was (27.05±7.99) score, which was significantly lower than that of the control group (32.33±8.67) score. There was statistical significance between the two groups (P<0.05). The total efficacy of the observation group was 93.02%, which was significantly higher than that of the control group 71.13% (P<0.05). Conclusion: The combined treatment of traditional Chinese medicine and Western medicine can treat the patients with senile dementia from both the symptom and the origin of the disease, clinical efficacy is better than the single western medicine treatment.%目的:探讨中西医结合治疗老年痴呆的临床疗效.方法:将我院2009年1月~2010年1月收治的63例老年痴呆患者随机分为观察组(42例)和对照组(21例),对照组给予西药都可喜治疗,观察组在此基础上加用自制中药辨证施治.观察两组患者治疗前后MMSE、ADL、HDS评分及总有效率,并进行对比分析.结果:两组患者治疗后MMSE、HDS评分均较治疗前有明显提高,ADL评分较治疗前有明显下降,治疗前后评分比较差异有统计学意义(P<0.05).观察组治疗后MMSE、HDS评分为(24.12±4.25)分、(26.44±5.25)分,明显高于对照组的(20.09±2.25)分、(25.35±4.46)分,ADL评分为(27.05±7.99)分,明显低于对照组的(32.33±8.67)分,组间比较差异有统计学意义(P<0.05).观察组总有效率为93.02%.明显高于对照组的71.13%,两组比较差异有统计学意义(P<0.05).结论:中西医结合辨证施治老年痴呆,能起到标本标兼治,扶正祛邪之功效,临床疗效优于单一西药治疗.