摘要
西医治疗非痴呆型血管性认知障碍(VCIND)的有效药物主要有以下三类:以尼莫地平、丁苯酞为代表的脑循环改善剂,以奥拉西坦、甲磺酸二氢麦角碱为代表的脑代谢改善剂,以多奈哌齐为代表的胆碱酯酶抑制剂。中医认为VCIND可归属于呆证、健忘范畴,疾病的发生与痰、瘀、毒、虚相关,以活血、化痰、解毒、补肾填髓为基本治则。针灸、针药联合、中西药联合治疗临床应用广泛,其他疗法如认知康复训练、重复经颅电刺激、中文朗读等也逐渐在临床中推广应用。参考文献44篇。
The most effective drugs used in western medicine for the treatment of vascular cognitive impairment no dementia(VCIND)mainly include the following three categories:brain circulation improver represented by nimodipine and butaphthalide,brain metabolism improver represented by oxiracetam and dihydroergoine mesylate,and cholinesterase inhibitor represented by donepezil.In traditional Chinese medicine,VCIND can be classified into the category of dementia syndrome and amnesia,and the occurrence of diseases is related to phlegm,stasis,toxicity and deficiency.The basic treatment principle is to activate blood,resolve phlegm,remove toxin,tonify kidney and supplement marrow.Acupuncture and moxibustion,combination of acupuncture and medicine,and combination of Chinese and western medicine have been widely used in clinic.Other therapies,such as cognitive rehabilitation training,repetitive transcranial electrical stimulation,and Chinese reading aloud,have also been gradually popularized in clinic.There are 44 references in total.
作者
王春旭
马静毅
顾超
WANG Chunxu;MA Jingyi;GU Chao(Longhua Hospital,Shanghai University of Traditional Chinese Medicine,Shanghai 200032,China)
出处
《山东中医药大学学报》
2023年第3期370-375,共6页
Journal of Shandong University of Traditional Chinese Medicine
基金
上海市科委国内科技合作项目(编号:22015820900)。
关键词
非痴呆型血管性认知障碍
脑循环改善剂
脑代谢改善剂
胆碱酯酶抑制剂
活血化痰
补肾填髓
针药联合
中西药联合
vascular cognitive impairment no dementia
brain circulation enhancer
brain metabolism enhancer
cholinesterase inhibitor
activating blood and resolving phlegm
tonifying kidney and supplementing marrow
combination of acupuncture and medicine
combination of Chinese and western medicine
