目的:观察补肾中药复方治疗老年性痴呆的临床疗效优势。方法:采用随机对照、双盲双模拟、多中心临床试验设计方法,将纳入的144例患者随机分为试验组和对照组每组72例,疗程为6个月,观察时间为0个月、3个月、6个月。结果:补肾复方中药与安理申均能改善患者MMSE、ADAS-cog、ADL量表评分,中药改善ADAS-cog评分优于安理申。分项研究,中药可改善"延迟回忆、命令、口语能力"评分,安理申可改善"注意力和计算力、语言、单词辨认"评分。疗效比较,中药改善"单词回忆、单词辨认"优于安理申,安理申改善"语言"评分可能优于中药,2组均能提高患者使用工具能力。结论:补肾复方中药能多方面改善患者认知功能及日常生活能力,较单靶点药物有一定的临床优势。
Objective: Observing the clinical curative effect Tonifying kidney prescription for the treatment of mild alzheimer's disease advantage. Methods: The method of randomized,double-blind,double simulation,multicenter clinical trial were designed. Participants included 144 patients were randomly divided into trial group and control group,72 cases in each group,the treatment for 6 months,the observation time is 0 month,3 month,6month. Results: Tonifying kidney prescription and aricept can improve the patients' MMSE,ADAS- cog,ADL scale score,traditional Chinese medicine to improve ADAS- cog score better than aricept. Respective study: Chinese medicine can improve " delayed recall,command,speaking ability score; Aricept can improve the attention and computing power,language and word recognition " score. On the aspect of Clinical curative effect,Chinese medicine's improving " the word memory,identify " is better than aricept,aricept improve"language"score may be better than the traditional Chinese medicine. Both groups can improve the ability of patients using tools. Conclusion: Traditional Chinese medicine can improve the patients' cognitive function and daily life ability in many aspects.