中西医结合治疗脑梗死后抑郁症疗效观察  

Efficacy Observation on the Treatment of Post Cerebral Infarction Depression by Combined Treatment of Traditional Chinese and Western Medicine

作　　者：陈奎[1] 

机构地区：[1]平舆县人民医院,河南平舆463400

出　　处：《实用中医内科杂志》2009年第8期68-69,共2页Journal of Practical Traditional Chinese Internal Medicine

摘　　要：[目的]观察中西医结合治疗脑梗死后抑郁症的临床疗效。[方法]将64例脑梗死后抑郁症患者随机分为两组。治疗组32例口服中药活血解郁汤配合氟西汀治疗;对照组32例应用氟西汀治疗。两组均在治疗前和治疗后4周、8周根据汉密顿抑郁量表(HAMD)和美国国立卫生研究院卒中量表(NISHH)进行评分。8周后进行疗效评定。[结果]治疗组治疗后4周、8周HAMD和NISHH评分与治疗前比较有显著性差异(P<0.05或P<0.01),与对照组同期比较有显著性差异(P<0.01)。治疗组总有效率93.7%,对照组65.6%,两组比较有显著性差异(P<0.01)。[结论]中西医结合治疗脑梗死后抑郁症疗效确切,且中西医结合治疗能产生增效作用。[Objective]To observe the therapeutic effect of conbined treatment of traditional Chinese and western medicine on post cerebral infarction depression. [ Methods]64 cases of post cerebral infarction depression were allocated to 2 group randomly. The treatment group (32 cases) was treated with Houxue Jieyu therapy (HJT) and flulextine in addition;the control group(32 cases) was treated with fluketine only.with a treatment course of 8 weeks for both groups. Thetherapeutic effect was evaluated before 4,8 weeks after treatment by HAMD and NISHH scoring in both groups. [Results]There was a significant difference in the therapeutic effect at 4,8 weeks after treatment and before treatment ( P<0.05 or P<0.01) ;The difference was significant, as compared with that of control group (P<0.01). The total effective rate in treatment group was 93.7% ,which was 65. 6% in control group respectively,there was a significant difference between two groups (P<0.01). [Conclusion]The combined treatment of traditional chinese and westen medicine is effective in treating post cerebral infarction depression.

关 键 词：脑梗死 抑郁症 中西医结合疗法 

分 类 号：R749.41[医药卫生—神经病学与精神病学]