CAJ | 학술논문

目的观察柴牡醒脑汤合康复干预治疗脑卒中后认知功能障碍的临床疗效。方法53例脑卒中后认知功能障碍患者随机分为观察组27例和对照组26例。观察组采用神经内科常规治疗+康复干预+柴牡醒脑汤口服，对照组采用神经内科常规治疗+康复干预。以治疗后两组患者脑神经行为认知状况测定（NCSE）量表评定积分评价疗效。结果两组NCSE积分均较治疗前显著改善（P约0.05）。观察组有效率为88.89%，优于对照组的69.23%（P约0.05）。结论柴牡醒脑汤能明显促进脑卒中患者认知功能障碍的恢复。
목적관찰시모성뇌탕합강복간예치료뇌졸중후인지공능장애적림상료효。방법53례뇌졸중후인지공능장애환자수궤분위관찰조27례화대조조26례。관찰조채용신경내과상규치료+강복간예+시모성뇌탕구복，대조조채용신경내과상규치료+강복간예。이치료후량조환자뇌신경행위인지상황측정（NCSE）량표평정적분평개료효。결과량조NCSE적분균교치료전현저개선（P약0.05）。관찰조유효솔위88.89%，우우대조조적69.23%（P약0.05）。결론시모성뇌탕능명현촉진뇌졸중환자인지공능장애적회복。
Objective To observe the therapeutic effect of treatment with Chaimuxingnao decoction and rehabili-tation interventions on cognitive dysfunction in patients suffering from cerebral apeplexy. Methods Totally 53 pa-tients diagnosed as having cognitive dysfunction with cerebral apoplexy were divided randomly into compound group (n=27)and control group(n=26). Patients from compound group took regular treatment of internal medicine + Chaimux-ingnao decoction + rehabilitation interventions and patients from control group took regular treatment of internal medicine + rehabilitation interventions. The neurobehavioral status examination(NCSE) test was performed to evalu-ate efficacy after treatment. Results The effective rate of compound group was 88.89%, higher than 69.23% of control group(P<0.05). The scores of NCSE showed improvement after treatment both in compound and control groups (P<0.05). Conclusion Treatment with Chaimuxingnao decoction can have protective effect against cognitive dys-function in patients with cerebral apoplexy.