Analysis on the Application Value of Tongqiao Huoxue Decoction Combined with Cognitive Rehabilitation Training in the Treatment of Cognitive Impairment in Stroke

Abstract

Objective To analyze the application value of Tongqiaoxuoxue Decoction combined with cognitive rehabilitation training in the treatment of cerebral apoplexy cognitive impairment. Methods: A total of 96 stroke patients with cognitive impairment admitted to our hospital from January 2019 to January 2022 were selected and divided into control group and observation group by random number table method, with 48 cases in each group. Patients in the control group received conventional treatment combined with cognitive rehabilitation training, and those in the observation group were additionally given Tongqiao Huoxue Decoction on the basis of the control group. Clinical efficacy, cognitive function and hemorheology were compared between the two groups. Results: The clinical efficacy in observation group was significantly higher than that in control group (P<0.05). The scores of Summary Mental State Scale (MMSE), Montreal Cognitive Assessment Scale (MoCA) and Neurobehavioral Cognitive State Test (NCSE) in two groups after treatment were significantly increased (P<0.05), and the scores in the observation group were higher than those in the control group (P<0.05). Compared with before treatment, the levels of high whole blood viscosity, low whole blood viscosity, plasma viscosity and fibrinogen in two groups after treatment were significantly decreased (P<0.05), and the levels in the observation group were significantly lower than those in the control group (P<0.05). Conclusion: Tongqiao Huoxue Decoction combined with cognitive rehabilitation training has good clinical efficacy in the treatment of stroke patients with cognitive impairment, which can effectively improve the patients' cognitive function and hemorheology.