柴胡疏肝散联合心理护理干预治疗急性脑卒中后抑郁症的临床研究  

Observation of Chaihushugan Powder plus Psychological Nursing Intervention Therapy on Acute Post-stroke Depression

作　　者：刘三英[1] 

机构地区：[1]中南大学湘雅医院,湖南长沙410008

出　　处：《中国中医急症》2012年第8期1205-1206,1233,共3页Journal of Emergency in Traditional Chinese Medicine

基　　金：国家自然科学基金青年科学基金项目资助(30801506)

摘　　要：目的观察柴胡疏肝散联合心理护理干预治疗急性脑卒中后抑郁症肝郁气滞证的疗效。方法 85例患者随机分为两组,对照组42例,治疗组43例。对照组在西医常规治疗基础上进行心理护理干预,同时口服百忧解;治疗组在西医常规治疗基础上进行心理护理干预,同时口服柴胡疏肝散;两组疗程均为30 d。观察两组治疗后汉密尔顿抑郁量表(HAMD)评分、不良反应。结果两组治疗后HAMD积分较前显著降低,治疗后治疗组HAMD积分显著低于对照组,有效率显著高于对照组。对不良反应的观察提示柴胡疏肝散安全性良好。结论柴胡疏肝散联合心理护理干预治疗急性脑卒中后抑郁症肝郁气滞证疗效确切,且安全性良好。Objective ：To observe the therapeutic effects of Chaihushugan Powder plus psychological nursing in- tervention therapy on liver depression and qi stagnation syndrome in post-stroke depression. Methods：85 patients with liver depression and qi stagnation syndrome in post-stroke depression were randomly divided into the control group and the treatment group. On the basis of western routine therapies and the psychological nursing interven- tion therapy in 2 groups,the control group was used the prozac and the treatment group was added the Chai- hushugan Powder. After 30 days,the HAMD scores and the side effects were observed and compared in 2 groups. Results：The scores of HAMD were dropped significantly in both 2 groups after treatment. Meanwhile,this index in the treatment group was lower obviously than that in the control group after treatment. The effectiveness in treatment group was remarkably higher than that in control group after treatment. The observation of the side ef- fect showed that Chaihushugan Powder had good safety. Conclusion：The combination of Chaihushugan Powder and psychological nursing intervention therapy has definite therapeutic effect on the treatment of patients with liv- er depression and qi stagnation syndrome in post-stroke depression.

关 键 词：急性脑卒中 抑郁症 柴胡疏肝散 心理护理干预肝郁气滞 

分 类 号：R743.9[医药卫生—神经病学与精神病学]