加味逍遥散治疗老年卒中后抑郁的临床疗效研究中医内科学专业论文.docxVIP

PAGE PAGE 10 有效率与对照组相比(P0.05)，治疗组的总有效率高于对照组，提示治 疗组在改善中医症状方面优于对照组。4、副作用方面，治疗组未见严重 不良反应，对照组患者中可见较为轻微的不良反应，即有 3 人感到口干， 3 人恶心，2 人感到头痛。 结 论：本课题以加味逍遥散治疗老年脑卒中后抑郁进行了临床疗效观 察，研究结果证明加味逍遥散对治疗 PSD 具有良好的疗效，总有效率达 80.6%，但在治疗效果上与单纯西药抗抑郁治疗相比并无显著差异。但中 药服用安全，副作用少，且起效时间较早，是一临床有效的方药，值得 进一步的研究。 关键词：加味逍遥散；老年卒中后抑郁；临床疗效 The modified Xiaoyaosan clinical effects of Elderly post-stroke depression Abstract Objective: Observed modified Xiaoyaosan depression clinical effica- cy in the treatment of elderly post-stroke depression, and the application of theefficacy of fluoxetine in treatment of PSD, from which toexplore the advantagesof Chinese medicine treatment of PSD. Methods: In this study, the choice of post-strokedepression in patients with clinical observations, selected 61 cases of patientsmeet the diagnostic criteria listed in this article, using the method of randomized block design, 61 patients (male 29 cases, 32 cases ofwomen) distributed equally to the treatme- nt groupthe (modified Xiaoyaosan + western medicine antidepressanttreatme- nt), control group (Western medicine antidepressanttreatment). Were given drug treatment, the Hamilton Depression Scale (HAMD) score before and after the observations in each group treatmentobservation hematuria will be routine, liver function, kidney function, ECG changes, asindicators of the treatment of drug safety, andobservationsThe indicators for comparative analysis. Results: 1、Assess the overall clinical efficacy, according to HAMD reduction rate, the treatment group waseffective in 19 cases (61.3%), pro- gress in four cases (19.35%), and 6 cases (19.35%), totaleffective rate and totaleffective rates were 61.3% and 80.6%. Control group, clinically significant effect 11 cases (36.67%), progress in 11 cases(36.67%),8 cases (26.7%), totaleffective rateand total effective rates were 36.67% and 73.3% . The total effective rate, P = 0.496 0.05, no difference between two groups total efficiency, P = 0.242 0.05, there was no difference. 2、 The H