首页|丹栀逍遥散联合和调督任安神针刺法对卒中后抑郁患者的临床疗效

丹栀逍遥散联合和调督任安神针刺法对卒中后抑郁患者的临床疗效

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目的 探讨丹栀逍遥散联合和调督任安神针刺法对卒中后抑郁患者的临床疗效.方法 98 例患者随机分为对照组和观察组,每组 49 例,对照组给予常规治疗,观察组在对照组基础上加用丹栀逍遥散联合和调督任安神针刺法,疗程 4 周.检测临床疗效、MoCA评分、肠道菌群(肠球菌、乳酸杆菌、大肠埃希菌、双歧杆菌)、免疫功能指标(IgM、IgG、IgA)、抑郁状态指标(HAMD评分、SDS评分)、不良反应发生率变化.结果 观察组总有效率高于对照组(P<0.05).治疗后,2 组MoCA评分、免疫功能指标升高(P<0.05),HAMD评分、SDS评分降低(P<0.05),肠球菌、大肠埃希菌减少(P<0.05),乳酸杆菌、双歧杆菌增加(P<0.05),以观察组更明显(P<0.05).2 组不良反应发生率比较,差异无统计学意义(P>0.05).结论 丹栀逍遥散联合和调督任安神针刺法可安全有效地改善卒中后抑郁患者认知功能和体液免疫,调节肠道菌群,减轻抑郁症状.
Clinical effects of Danzhi Xiaoyao Powder combined with Hetiao Duren Anshen Acupuncture Method on patients with post-stroke depression
AIM To explore the clinical effects of Danzhi Xiaoyao Powder combined with Hetiao Duren Anshen Acupuncture Method on patients with post-stroke depression.METHODS Ninety-eight patients were randomly assigned into control group(49 cases)for 4-week intervention of conventional treatment,and observation group(49 cases)for 4-week intervention of Danzhi Xiaoyao Powder,Hetiao Duren Anshen Acupuncture Method and conventional treatment.The changes in clinical effects,MoCA score,intestinal flora(Enterococcus,Lactobacillus,Escherichia coli,Bifidobacterium),immune function indices(IgM,IgG,IgA),depression status indices(HAMD score,SDS score)and incidence of adverse reactions were detected.RESULTS The observation group demonstrated higher total effective rate than the control group(P<0.05).After the treatment,the two groups displayed increased MoCA score,immune function indices(P<0.05),decreased HAMD score,SDS score(P<0.05),reduced Enterococcus,Escherichia coli(P<0.05),and elevated Lactobacillus,Bifidobacterium(P<0.05),especially for the observation group(P<0.05).No significant difference in incidence of adverse reactions was found between the two groups(P>0.05).CONCLUSION For the patients with post-stroke depression,Danzhi Xiaoyao Powder combined with Hetiao Duren Anshen Acupuncture Method can safely and effectively improve cognitive functions,humoral immunities,regulate intestinal flora,and alleviate depression symptoms.

Danzhi Xiaoyao PowderHetiao Duren Anshen Acupuncture Methodconventional treatmentpost-stroke depression

公维志、戴缙、梁峰、吴建丽

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黑龙江中医药大学附属第二医院推拿科,黑龙江 哈尔滨 150001

黑龙江中医药大学针灸研究所,黑龙江 哈尔滨 150040

丹栀逍遥散 和调督任安神针刺法 常规治疗 卒中后抑郁

国家自然科学基金中国民族医药学会科研项目黑龙江省博士后基金

821050302021Z1068-470301LBH-Z20081

2024

中成药
国家食品药品监督管理局,信息中心中成药信息站,上海中药行业协会

中成药

CSTPCD北大核心
影响因子:1.217
ISSN:1001-1528
年,卷(期):2024.46(5)
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