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目的:研究康复训练联合阿托伐他汀对SIVD患者认知功能及日常行为能力的影响。方法:选取97例确诊为SIVD的患者,根据随机数表法将所有患者分为观察组(n=48)和对照组(n=49),对照组给予口服多奈哌齐,观察组给予口服阿托伐他汀和康复训练。结果:治疗1个月后,观察组和对照组的MMSE、Mo CA、BI评分与治疗前差异均无统计学意义(P>0.05);治疗6个月后,观察组的MMSE、Mo CA、BI评分显著高于治疗前(P<0.05);观察组的MMSE、Mo CA、BI评分显著高于对照组(P<0.001);观察组治疗1个月与6个月后总有效分别为16.6%与87.5%,高于同期对照组的12.24%(x~2=0.363,P=0.547)与53.06%(x~2=27.523,P<0.001),差异无统计学意义。结论:康复训练联合阿托伐他汀能有效治疗SIVD,值得在临床中推广。
Objective: To investigate the effect of rehabilitation training combined with atorvastatin on cognitive function and daily behavioral abilities of SIVD patients. Methods: A total of 97 patients diagnosed as SIVD were enrolled in this study. All patients were divided into observation group (n = 48) and control group (n = 49) according to random number table method. Control group was given oral donepezil, Statins and rehabilitation training. Results: After 1 month of treatment, there was no significant difference in MMSE, Mo CA, BI scores between the observation group and the control group before treatment (P> 0.05). After 6 months’ treatment, the MMSE, Mo CA, BI score in the observation group was significantly higher than that before treatment (P <0.05); MMSE, Mo CA and BI scores in the observation group were significantly higher than those in the control group (P <0.001); the total effective rates in the observation group after treatment for 1 month and 6 months were 16.6 % And 87.5% respectively, which was higher than that of control group (x = 2 = 0.363, P = 0.547) and 53.06% (x ~ 2 = 27.523, P <0.001) Conclusion: Rehabilitation training combined with atorvastatin can effectively treat SIVD and is worth popularizing in clinic.