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小续命汤治疗脑卒中后抑郁临床研究

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目的:观察小续命汤治疗脑卒中后抑郁(PSD)的疗效。方法:120例随机分为治疗组和对照组各60例,两组均给予常规治疗包括稳定血压、脑血管药物、神经营养药物、理疗和康复治疗等,治疗组另用小续命汤颗粒剂,对照组另用盐酸氟西汀胶囊,疗程4周。结果:治疗后两组血浆NE、5-HT、DA水平均升高(P<0。05),两组HAMD和NIHSS评分均降低(P<0。05),ADL评分均升高(P<0。05),且治疗组变化大于对照组(P<0。05)。结论:小续命汤辅治脑卒中后抑郁可提高疗效,且安全。
Objective:To observe the curative effect of Minor Life-Prolonging Decoction in the treatment of post-stroke depression(PSD).Methods:A total of 120 cases were randomly divided into the treatment group and the control group,with 60 cases in each group.Both groups were given routine treatment including stabilizing blood pressure,cerebrovascular drugs,neurotrophic drugs,physiotherapy and rehabilitation therapy.The treatment group were treated with Minor Life-Prolonging Decoction Granules in addition while the control group were treated with Fluoxetine Hydrochloride Capsules in addition.The course of treatment was 4 weeks.Results:After treatment,the levels of plasma NE,5-HT and DA in the two groups were increased(P<0.05).The scores of HAMD and NIHSS in the two groups were decreased(P<0.05),and the ADL scores were increased(P<0.05).The changes in the treatment group were greater than those in the control group(P<0.05).Conclusion:Minor Life-Prolonging Decoction could improve the curative effect in the treatment of post-stroke depression,with safety.

Post-stroke depressionMinor Life-Prolonging DecoctionNeurotransmittersCurative effectHamilton depression score

陈建强、姜佳丽、侯金萍、李晨晨

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山东省济南市中西医结合医院脑病一科,山东 济南 271100

脑卒中后抑郁 小续命汤 神经递质 临床疗效 汉密尔顿抑郁评分

2024

实用中医药杂志
重庆医科大学中医药学院

实用中医药杂志

影响因子:0.546
ISSN:1004-2814
年,卷(期):2024.40(12)