首页|自拟柴芪开郁汤联合穴位贴敷治疗脑卒中后轻中度气郁痰阻型抑郁的疗效观察

自拟柴芪开郁汤联合穴位贴敷治疗脑卒中后轻中度气郁痰阻型抑郁的疗效观察

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目的 探讨自拟柴芪开郁汤联合穴位贴敷治疗脑卒中后轻中度气郁痰阻型抑郁的临床效果。方法 选取某院2022年7月~2023年 7 月的脑卒中后轻中度气郁痰阻型抑郁的住院患者 80 例,按照随机数字表法分为对照组、试验组各 40 例,对照组在常规治疗基础上给予舍曲林口服治疗,试验组在常规治疗基础上给予自拟柴芪开郁汤联合穴位贴敷治疗,治疗 4 周,分别比较治疗前后患者中医症候积分、汉密顿抑郁量表(HAMD)评分、神经功能缺损程度(NIHSS)评分、日常生活活动能力(ADL)评分、疲劳程度(FAI)评分,并判定临床疗效。结果 治疗后两组患者NIHSS评分、FAI评分、HAMD评分均低于治疗前(P<0。05),且治疗后试验组低于对照组(P<0。05)。治疗后两组患者ADL评分均高于治疗前(P<0。05),且治疗后试验组高于对照组(P<0。05)。试验组临床有效率高于对照组(P<0。05)。结论对于脑卒中后轻中度气郁痰阻型抑郁患者,在基础西医治疗的同时给予自拟柴芪开郁汤联合穴位贴敷治疗,可有效减轻临床症状,促进神经功能恢复,缓解疲劳状态,改善日常生活状态,安全可靠。
Observation on the curative effect of Chaiqi Kaiyu Decoction combined with acupoint application in the treatment of mild/moderate depression(qi stagnation and phlegm obstruction type)after stroke
Objective To investigate the clinical effect of self-prepared Chaiqi Kaiyu Decoction combined with acupoint application on mild/moderate depression(qi stagnation and phlegm obstruction type)after stroke.Methods A total of 80 inpatients with mild/moderate depression(qi stagnation and phlegm obstruction type)after stroke in a hospital from July 2022 to July 2023 were selected and divided into the control group and the test group with 40 cases in each group according to random number table method.The control group was given oral treatment of Sertraline on the basis of conventional treatment,and the test group was given self-prepared Chaiqi Kaiyu Decoction combined with acupoint application treatment on the basis of conventional treatment.After 4 weeks of treatment,TCM syndrome score,Hamilton Depression Scale(HAMD)score,neurological impairment(NIHSS)score,activity of daily living(ADL)score,fatigue degree(FAI)score were compared before and after treatment,and clinical efficacy was evaluated.Results After treatment,the NIHSS score,FAI score and HAMD score of 2 groups were lower than before treatment(P<0.05),and the test group was lower than the control group after treatment(P<0.05).After treatment,the ADL scores of 2 groups were higher than before treatment(P<0.05),and after treatment,the test group was higher than the control group(P<0.05).The clinical effective rate of the test group was higher than that of the control group(P<0.05).Conclusion For patients with mild/moderate depression after stroke(qi stagnation and phlegm obstruction type),on the basic of western medicine treatment,self-prepared Chaiqi Kaiyu Decoction combined with acupoint application treatment can effectively reduce clinical symptoms,promote the recovery of nervous function,relieve fatigue state,and improve the state of daily life.It is safe and reliable.

Chaiqi Kaiyu DecoctionAcupoint applicationStrokeDepressedFatigued

刘芳芳、侯志峰、安颂歌、魏方、段倩倩

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安徽中医药大学研究生院,合肥 230038

宿州市第一人民医院中医科,安徽宿州 234000

安徽中医药大学第一附属医院脑病科,合肥 230031

柴芪开郁汤 穴位贴敷 脑卒中 抑郁 疲劳

中国民族医药学会科研项目

2022Z1002-450803

2024

中国处方药
南方医药经济研究所

中国处方药

影响因子:0.649
ISSN:1671-945X
年,卷(期):2024.22(4)
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