The Clinical Observation Of The Way Dispersing Blood Stasis And Dredging Collaterals To Improve Cognitive Function In Vascular Dementia

【Purpose】:To explore the clinical curative effect of dispersing blood stasis and dredging collaterals to improve cognitive function in vascular dementia.【Method】: A total of 64 cases of vascular dementia patiens during October in 2014 to October in 2016 in Ruikang affiliated hospital of Guangxi University of traditional Chinese Medicine neurology clinic and rehabilitation clinic and hospital treatment,in line with Yu xuezuluo Style were compared.According to the random digitstable they were randomized into treatment group and control group,each group 32 cases.Control group was given convention-al western medicine treatment,such as anti-platelet aggregation,adjust blood lipid and stable thrombus,lower the blood pressure and blood lipid,lower the glycemic index,quit smoking and drinking and so on.While the observation group was given Huayu tongluo decoction on the basis of conventional western medicine treatment for three months.The clinical curative effect of the two group were compaired after 3 months.Before the treatment and 3 months after the treatment,respectively,observe two groups of simple intelligent state exami-nation(MMSE),hasegawa intelligence scale(HDS),self-care ability of daily life scale(ADL),P300 and the integral of traditional Chinese medicine symptom.All data using SPSS19.0 statistical analysis software for analysis.Measurement data using t test,counting data using X~2 test.【Results】:(1)The comparison between the two groups before treatment had no significant difference(P > 0.05),two groups is comparable;(2)One months after the treatment,the two groups respectively compared with before treatment MMSE,HDS,ADL scale score,the score of two groups were slightly improved,but no difference in statistics(P>0.05).The comparison between the two groups is no statistical significance one month after the treatment(P>0.05).(3)The MMSE,HDS,ADL scale scores and P300 three months after the treatment of the control group were slightly improved,but no difference in statistics(P>0.05).The MMSE,HDS,ADL scale scores and P300 three months after the treatment of the treatment group compared with before treatment were statistically significant differences(P<0.05).(4)Clinical curative effect: the total effective rate was 84.38% in treatment group after treatment,significantly higher than 59.38% in the control group.The difference was statistically significant(P < 0.05).Remand that the curative effect of the treatment group is better than the control group.(5)Does not appear in the process of dispersing blood stasis and dredging collaterals method about the impact treatment of adverse reactions.【Conclusion】:The therapeutic effectiveness of dispersing blood stasis and dredging collaterals to improve cognitive function in vascular dementia is predominant.It can obviously improve clinical symptoms in patients with vascular dementia,improve cognitive function,improve cognitive function rating scale improve the life quality of patients and patients families.This method deserves further study.