益气活血方联合中医心理疗法治疗轻、中度中风后抑郁150例临床研究.docVIP

精品论文 参考文献 益气活血方联合中医心理疗法治疗轻、中度中风后抑郁150例临床研究 陈 雷 潘 玲 张云鹏指导老师 　　上海市徐汇区中心医院 上海 200031 　　【摘 要】目的：观察益气活血方联合中医心理疗法早期干预中风后抑郁症的临床疗效。方法：150例中风后抑郁症患者,随机分为中药治疗组、中药心理治疗组和对照组（各50例）。3组均给予常规治疗。中药治疗组(50例)用常规西药治疗并加服中药益气活血方、中药心理治疗组（50例）在中药治疗组的基础上再合用中医心理治疗。对照组(50例)在常规治疗基础上加服氟西汀。对3组治疗前后情况进行比较。研究结果均通过SPSS18.0实现。结果：3组治疗后均较前明显改善,2个治疗组与对照组比较在神经功能缺损评分未见明显优于对照组(Pgt;0.05)，中药心理治疗组在汉密尔顿评分上好于对照组(Plt;0.05)，且中药治疗组、中药心理治疗组在中医征候疗效评分明显优于对照组(Plt;0.01)。结论：益气活血方联合中医心理治疗对中风后抑郁具有较好的疗效。 　　【关键词】中风后抑郁； 益气活血；氟西汀；中医药疗法；中医心理治疗 　　【中图分类号】R277 【文献标识码】B 【文章编号】1674-8999（2015）8-0027-04 　　Yiqi and huoxue prescription combined therapy of traditional Chinese medicine treatment of mild and moderate depression after stroke in 150 cases of clinical research 　　Chenlei panling 　　【Abstract】objective: to observing yiqi and huoxue prescription combined therapy of traditional Chinese medicine the clinical curative effect of early intervention post-stroke depression.Methods: 150 cases of patients with post-stroke depression, were randomly divided into Chinese medicine treatment group, Chinese medicine psychotherapy group and control group (each 50 cases), Three groups are given conventional treatment., Chinese medicine treatment group (50 cases) was treated with routine western medicine and the medicine yiqi and huoxue prescription, Chinese medicine psychotherapy group (50 cases) on the basis of traditional Chinese medicine treatment group and then share of TCM psychotherapy. The control group (50 cases) on the basis of conventional treatment with fluoxetine., Comparison of three groups before and after treatment situation. The experimental results are achieved by SPSS18.0.Results: Three groups after treatment were obviously improved compared with the previous, two treatment group compared with control group in neural function defect scale did not see much better than the control group (P gt; 0.05), Chinese medicine therapy group on Hamilton rating in the control group (P lt; 0.05), and Chinese medicine treatmen