补阳还五汤加味疗缺血性中风后抑郁症的疗效观察.pdfVIP

目 录 中文摘要 ···················································1 英文摘要 ···················································2 引 言 ····················································4 正 文 ···················································6 1.临床研究 ················································6 1.1 病例选择 ·················································6 1.2评定标准 ················································12 2.治疗经过 ···············································13 2.1 一般临床资料 ·········································13 2.2 治疗方法 ··············································13 3.结果 ····················································15 4.讨论 ····················································17 5. 问题与展望 ·············································21 结 论 ··················································23 参考文献 ··················································24 附录 ·······················································27 综 述 ··················································36 致 谢 ··················································43 攻读学位期间发表的学术论文目录 ·······················44 作者声明 ··················································45 个人简历 ··················································46 中 文 摘 要 目 的：通过临床治疗观察补阳还五汤加味对治疗中风后发生抑郁症 状患者的临床疗效，为中医药临床治疗中风后抑郁症提供客观依据。 方 法：选取60 名中风患者，年龄在 58-75 岁之间，男女比例为3:2， 符合中国精神疾病分类方案与诊断标准第 2 版修订本（CCDIIR ）、国际 疾病分类第 10 版（ICD10 ）的诊断标准。从中分别选择中医治疗组病例 30 例和对照组病例 30 例。治疗组根据中医辨证论治原则，采用益气活血， 化瘀通络，舒脑安神方药及脑血管药物、神经营养药物、理疗等治疗措 施；对照组以脑血管药物、神经营养药物、理疗等措施治疗中风的同时， 加用西药抗抑郁药物治疗。两组均给予心理治疗。两组治疗前后分别行 汉密尔顿抑郁量表和改良爱丁堡斯堪的纳维亚神经功能缺损评分量表评 分，以疗效指数进行统计学比较。 结 果：治疗组与对照组疗效指数均有改善，二者做统计学比较 （P0.05 ），有统计学意义。 结 论：补阳还五汤加味能够改善中风后抑郁症状，有利于中风后神 经功能的恢复。益气活血，化瘀通络，舒脑安神是补阳还五汤加味改善 患者神经功能缺损和抑郁症状的主要作用。 关键词：补阳还五汤；中风；抑郁症；临床观察 1 Bu Yang Huan Wu deconction in the treatment of depression after ischemic stroke efficacy