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The control group was treated with conventional western medicine (nimodipine + piracetam), and the observation group was treated with western medicine combined with Shenhui decoction. The efficacy, TCM symptoms, cognitive function [Dementia Rating Scale (CDR), Mini - Mental State Examination (MMSE)], oxidative stress [nitrotyrosine(NT), reduced glutathione (GSH), total antioxidant capacity (T - AOC)], neurological function [neurofilament light chain polypeptide (NF - L), B - cell lymphoma - 2 (Bcl - 2), neuronal nitric oxide synthase (nNOS), brain- derived neurotrophic factor (BDNF)] and medication safety were compared between the two groups.Results: The efficacy of the observation group was higher than that of the control group (P < 0.05). After treatment, the TCM symptom scores, CDR scores, and levels of NT, NF - L and nNOS in the two groups were reduced, and the reduction was more significant in the observation group (P <0.05). After treatment, the MMSE score, GSH, T - AOC, Bcl - 2 and BDNF levels of the two groups increased, and the observation group increased more significantly (P <0.05). There was no significant difference in medication safety between the two groups (P > 0.05).Conclusion: Modified Shenghui Decoction is safe and effective in treating VD with kidney essence deficiency syndrome. It can not only promote the recovery of neurological function and reduce oxidative stress damage but also improve patients' cognitive function and enhance the overall clinical efficacy., authors=SUN Yu1 , WANG Han2 , authorsList=SUN Yu, WANG Han, authorCompany=1 The First Clinical Medical College, Anhui University of Chinese Medicine, Hefei 230031, China; 2 The First Affiliated Hospital, Anhui University of Chinese Medicine, Hefei 230031, China, correspAuthors=null, authorNote=null, correspAuthorsNote=null, copyrightStatement=null, copyrightOwner=null, extLink=null, articleAbsUrl=null, sourceXml=null, magXml=null, pdfUrl=null, pdf=null, pdfFileSize=null, pdfExtLink=null, richHtmlUrl=null, mobilePdfUrl=null, reviewReport=null, pdfFirstPage=null, abstractGraph=null, abstractGraphContent=null, abstractVideo=null, citation=null, cebUrl=null, magXmlContent=null, mapNumber=null, fund=安徽省名中医及基层名中医工作室建设项目 (中发展〔2022〕5号)), CN=ArticleExt(id=1304438809354068475, articleId=1304438809161130490, tenantId=1146029695717560320, journalId=1302318977290174537, language=CN, title=生慧汤加味对肾精亏虚证血管性痴呆患者的临床疗效观察, columnId=1303760933084484510, journalTitle=中医药学报, columnName=临床研究, runingTitle=null, highlight=null, articleAbstract=目的: 探究生慧汤加味治疗肾精亏虚证血管性痴呆(VD)患者的临床效果。 方法: 选取安徽中医药大学第一附属医院2023年1月—2024年6月收治的110例肾精亏虚证VD患者纳入研究,根据临床治疗方法的不同将其分为对照组和观察组,每组55例。对照组予以常规西医治疗(尼莫地平+吡拉西坦),观察组予以西医联合生慧汤加味治疗。比较两组临床疗效、中医症状、认知功能[痴呆评定量表(CDR)、简易精神状态量表(MMSE)]、氧化应激[硝基酪氨酸(NT)、还原性谷胱甘肽(GSH)、总抗氧化能力(T - AOC)]、神经功能[神经丝蛋白轻链多肽(NF - L)、B淋巴细胞瘤- 2(Bcl - 2)、神经元型一氧化氮合酶(nNOS)、脑源性神经营养因子(BDNF)]及用药安全性。 结果: 观察组疗效高于对照组(P <0.05)。治疗后,两组中医症状积分、CDR评分、NT、NF - L、nNOS水平均减少(P < 0.05),且观察组减少更明显(P < 0.05)。治疗后,两组MMSE评分、GSH、T - AOC、Bcl - 2、BDNF水平均增加(P < 0.05),且观察组增加更明显(P < 0.05)。两组用药安全性比较差异无统计学意义(P > 0.05)。 结论: 生慧汤加味治疗肾精亏虚证血管性痴呆安全有效,不仅能促进神经功能恢复、减轻氧化应激损伤,还能改善患者认知功能,提升整体疗效。, authors=孙玉1 , 汪瀚2 , authorsList=孙玉, 汪瀚, authorCompany=1 安徽中医药大学第一临床医学院,安徽 合肥 230031; 2 安徽中医药大学第一附属医院,安徽 合肥 230031, correspAuthors=* 汪瀚(1975-),男,博士,主任医师,从事中医治疗脑病相关研究。, 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中医药学报
|临床研究
2026
, 54
(2) :
68
-72
生慧汤加味对肾精亏虚证血管性痴呆患者的临床疗效观察
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孙玉, 汪瀚
作者信息
通讯作者:
* 汪瀚(1975-),男,博士,主任医师,从事中医治疗脑病相关研究。
作者简介:
孙玉(1994-),女,主治医师,从事中医治疗脑病相关研究。
Clinical Efficacy Observation of Modified Shenghui Decoction in Treating Vascular Dementia Patients with Kidney Essence Deficiency Syndrome
SUN Yu, WANG Han
Affiliations
1 The First Clinical Medical College, Anhui University of Chinese Medicine, Hefei 230031, China; 2 The First Affiliated Hospital, Anhui University of Chinese Medicine, Hefei 230031, China
doi: 10.19664/j.cnki.1002-2392.260036
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目的: 探究生慧汤加味治疗肾精亏虚证血管性痴呆(VD)患者的临床效果。 方法: 选取安徽中医药大学第一附属医院2023年1月—2024年6月收治的110例肾精亏虚证VD患者纳入研究,根据临床治疗方法的不同将其分为对照组和观察组,每组55例。对照组予以常规西医治疗(尼莫地平+吡拉西坦),观察组予以西医联合生慧汤加味治疗。比较两组临床疗效、中医症状、认知功能[痴呆评定量表(CDR)、简易精神状态量表(MMSE)]、氧化应激[硝基酪氨酸(NT)、还原性谷胱甘肽(GSH)、总抗氧化能力(T - AOC)]、神经功能[神经丝蛋白轻链多肽(NF - L)、B淋巴细胞瘤- 2(Bcl - 2)、神经元型一氧化氮合酶(nNOS)、脑源性神经营养因子(BDNF)]及用药安全性。 结果: 观察组疗效高于对照组(P <0.05)。治疗后,两组中医症状积分、CDR评分、NT、NF - L、nNOS水平均减少(P < 0.05),且观察组减少更明显(P < 0.05)。治疗后,两组MMSE评分、GSH、T - AOC、Bcl - 2、BDNF水平均增加(P < 0.05),且观察组增加更明显(P < 0.05)。两组用药安全性比较差异无统计学意义(P > 0.05)。 结论: 生慧汤加味治疗肾精亏虚证血管性痴呆安全有效,不仅能促进神经功能恢复、减轻氧化应激损伤,还能改善患者认知功能,提升整体疗效。
血管性痴呆
/
生慧汤加味
/
肾精亏虚证
/
认知功能
/
神经功能
/
氧化应激反应
Objective: To explore the clinical effect of Shenghui Decoction on vascular dementia with kidney essence deficiency.Methods: A total of 110 VD patients with kidney essence deficiency syndrome admitted to the First Affiliated Hospital of Anhui University of Traditional Chinese Medicine from January 2023 to June 2024 were selected and divided into the control group and the observation group according to different clinical treatment methods, with 55 cases in each group. The control group was treated with conventional western medicine (nimodipine + piracetam), and the observation group was treated with western medicine combined with Shenhui decoction. The efficacy, TCM symptoms, cognitive function [Dementia Rating Scale (CDR), Mini - Mental State Examination (MMSE)], oxidative stress [nitrotyrosine(NT), reduced glutathione (GSH), total antioxidant capacity (T - AOC)], neurological function [neurofilament light chain polypeptide (NF - L), B - cell lymphoma - 2 (Bcl - 2), neuronal nitric oxide synthase (nNOS), brain- derived neurotrophic factor (BDNF)] and medication safety were compared between the two groups.Results: The efficacy of the observation group was higher than that of the control group (P < 0.05). After treatment, the TCM symptom scores, CDR scores, and levels of NT, NF - L and nNOS in the two groups were reduced, and the reduction was more significant in the observation group (P <0.05). After treatment, the MMSE score, GSH, T - AOC, Bcl - 2 and BDNF levels of the two groups increased, and the observation group increased more significantly (P <0.05). There was no significant difference in medication safety between the two groups (P > 0.05).Conclusion: Modified Shenghui Decoction is safe and effective in treating VD with kidney essence deficiency syndrome. It can not only promote the recovery of neurological function and reduce oxidative stress damage but also improve patients' cognitive function and enhance the overall clinical efficacy.
Vascular dementia
/
Modified Shenghui Decoction
/
Kidney essence deficiency syndrome
/
Cognitive function
/
Neurological function
/
Oxidative stress response
孙玉, 汪瀚.
生慧汤加味对肾精亏虚证血管性痴呆患者的临床疗效观察.
中医药学报,
2026
, 54
(2)
: 68
-72
.
DOI: 10.19664/j.cnki.1002-2392.260036
SUN Yu, WANG Han.
Clinical Efficacy Observation of Modified Shenghui Decoction in Treating Vascular Dementia Patients with Kidney Essence Deficiency Syndrome[J].
Acta Chinese Medicine and Pharmacology ,
2026
, 54
(2)
: 68
-72
.
DOI: 10.19664/j.cnki.1002-2392.260036
2026年第54卷第2期
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doi: 10.19664/j.cnki.1002-2392.260036
接收时间:2025-01-07
首发时间:2026-09-09
https://castjournals.cast.org.cn/joweb/zyyxb/CN/10.19664/j.cnki.1002-2392.260036
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2种不同金属材料的力学参数
科 Family 属数 Number of genus 种数 Number of species 占总种数比例 Percentage of total species (%) 属 Genus 种数 Number of species 占总种数比例 Percentage of total species (%) 鹅膏菌科Amanitaceae 2 11 5.26 鹅膏菌属 Amanita 10 4.78 小菇科 Mycenaceae 2 12 5.74 丝盖伞属 Inocybe 5 2.39 多孔菌科 Polyporaceae 8 14 6.70 蜡蘑属 Laccaria 5 2.39 红菇科 Russulaceae 3 23 11.00 小皮伞属 Marasmius 6 2.87 小菇属 Mycena 11 5.26 光柄菇属 Pluteus 5 2.39 红菇属 Russula 17 8.13 栓菌属 Trametes 5 2.39
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