首页|清心疏肝方联合子午流注针法治疗脑卒中后肝气郁结型抑郁的效果

清心疏肝方联合子午流注针法治疗脑卒中后肝气郁结型抑郁的效果

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目的 分析清心疏肝方联合子午流注针法治疗脑卒中后肝气郁结型抑郁的效果.方法 前瞻性研究,纳入南阳市中医院2019年7月至2022年7月收治的90例脑卒中后肝气郁结型抑郁患者,根据随机数表法分为两组,每组45例.两组患者均口服盐酸氟西汀胶囊,对照组在此基础上加用子午流注针法治疗,研究组在对照组基础上加用清心疏肝方.治疗前后采用汉密尔顿抑郁量表(HMAD)评估患者抑郁程度,卒中专用生活质量量表(SS-QOL)评估患者生活质量,评估患者中医证候积分,统计患者治疗过程中不良反应(头晕、乏力、恶心呕吐、嗜睡)发生情况.结果 治疗后,两组HAMD评分、中医证候积分均降低,研究组低于对照组;两组SS-QOL评分均升高,研究组高于对照组(P<0.05).治疗过程中,研究组患者不良反应总发生率低于对照组,差异无统计学意义(P>0.05).结论 清心疏肝方联合子午流注针法可改善脑卒中后肝气郁结型抑郁患者临床症状,降低抑郁水平,提高生活质量.
Therapeutic Effect of Qingxin Shugan Formula Combined with Meridian Flowing Needle Technique on Post Stroke Liver Qi Stagnation Type Depression
Objective To analyze the clinical efficacy of Qingxin Shugan formula combined with meridian flowing needle technique in the treatment of depression caused by liver Qi stagnation after stroke.Methods This study was a prospective study,which included 90 patients with liver Qi stagnation type depression after stroke admitted to Nanyang Hospital of Traditional Chinese Medicine from July 2019 to July 2022.According to the random number table method,they were divided into two groups with 45 cases in each group.Both groups of patients were treated with fluoxetine hydrochloride capsules.On this basis,the control group was treated with meridian flowing needle technique,while the study group was treated with Qingxin Shugan formula on the basis of the control group.Before and after treatment,the Hamilton depression scale(HMAD)was used to evaluate the degree of depression in patients,the stroke specific quality of life scale(SS-QOL)was used to evaluate the quality of life of patients,the traditional Chinese medicine syndrome scores of patients were evaluated,and the incidence of adverse reactions(dizziness,fatigue,nausea and vomiting,drowsiness)during treatment was counted.Results After treatment,the HAMD score and traditional Chinese medicine syndrome score of the two groups of patients decreased compared to before treatment,and the study group was lower than the control group,and the SS-QOL scores of both groups of patients improved compared to before treatment,and the study group was higher than the control group(P<0.05).During the treatment,the total incidence of adverse reactions in the study group was lower than that in the control group,but there was no statistical difference(P>0.05).Conclusion The combination of Qingxin Shugan formula and meridian flowing needle technique can improve the clinical symptoms,reduce depression levels,and improve quality of life in patients with liver Qi stagnation depression after stroke.

strokedepressionQingxin Shugan formulameridian flowing needle technique

姚莉、高可平

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南阳市中医院内科,河南南阳 473000

南阳市精神病院精神科,河南南阳 473006

脑卒中 抑郁 清心疏肝方 子午流注针法

2024

河南医学研究
河南省医学科学院

河南医学研究

影响因子:0.979
ISSN:1004-437X
年,卷(期):2024.33(1)
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