| 引用本文:吴颖，顾自悦.运用疏肝合营法治疗卒中后抑郁的相关性研究[J].世界中医药,2017,(01):. |
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| 运用疏肝合营法治疗卒中后抑郁的相关性研究 |
| Correlation Study on Therapeutic Effect of Shugan Heying Decoction on Patients with Post-Stroke Depression |
| 投稿时间：2016-01-11 |
| DOI：10.3969/j.issn.1673-7202.2017.01.028 |
| 中文关键词: 疏肝合营汤 @ 顾自悦 中医药 经验 卒中后抑郁 |
| English Keywords:Shugan Heying Decoction Gu Ziyue Traditional Chinese medicine therapy Post-stroke depression. |
| 基金项目:国家“十二五”支撑计划项目“名老中医特色治则治法传承研究”（编号：2013BAI13B02） |
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| 中文摘要: |
| 目的：探讨疏肝合营汤治疗卒中后抑郁的临床疗效。方法：将确诊为脑梗死的患者60例,按照区组随机化方法随机分为治疗组和对照组，所有患者给予脑梗死的神经科常规治疗方案，治疗组患者同时加用名老中医顾自悦经验方疏肝合营汤进行治疗。所有患者均于入院当天及治疗后的第2周、第6周和第8周分别应用汉密尔顿抑郁量表（HAMD）、神经功能缺损量表（NIHSS）和日常生活能力量表（ADL）来进行评分，以针对疏肝合营汤对于改善患者的神经功能缺损和抑郁症状情况给予评价。结果：与对照组相比，治疗组患者的抑郁症状及日常生活能力均较前好转（P<0.05）,但治疗组的神经功能缺损恢复未见明显好转（P>0.05）。结论：疏肝合营汤治疗脑梗死后抑郁症状的临床疗效肯定，并兼顾改善PSD患者的卒中症状还能够促进脑梗死后患者的神经功能的缺损进一步恢复，可以明显提高患者在生活中自理的能力，值得临床推广。 |
| English Summary: |
| To verify and test the effect of Shugan Heying Decoction on patients with Post-stroke depression (PSD). Methods:Sixty patients were divided into two groups. Both of the two groups were received neurological routine treatment for stroke, while patients in the treatment group received Shugan Heying Decoction additionally. HAMD, NIHSS and ADL scale were performed on the patients, at the day when they admitted into the hospital, 2 weeks later, 6 weeks later and 8 weeks later, to evaluate the improvements of PSD symptoms. Results:The efficacy was significantly improved after the treatment between the two groups (P<0.05). But there was no significant improvement in neurological function recovery in the treatment group (P>0.05). Conclusion:Shugan Heying Decoction could not only treat PSD, but also may further recover the defect of neural functions, suggesting traditional Chinese medicine therapy for PSD worth extensive application. |
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