CAJ | 학술논문

目的：观察口服中药汤剂大补肝汤对卒中后疲劳的临床疗效。方法83例脑卒中患者分为对照组(n=45)和治疗组(n=38)。两组均接受常规康复训练，治疗组每天口服中药汤剂，共4周。治疗前后使用疲劳严重程度量表(FSS)、汉密尔顿抑郁量表(HAMD)和改良Barthel指数(MBI)对两组患者进行评价。结果治疗后，两组HAMD评分、MBI评分均有改善(P<0.05)，治疗组FSS评分较治疗前降低(P<0.05)。治疗后，治疗组FSS、HAMD及MBI评分均较对照组同期有显著性差异(P<0.05)。结论大补肝汤能够减轻脑卒中患者的疲劳症状，减轻抑郁并提高康复疗效。
목적：관찰구복중약탕제대보간탕대졸중후피로적림상료효。방법83례뇌졸중환자분위대조조(n=45)화치료조(n=38)。량조균접수상규강복훈련，치료조매천구복중약탕제，공4주。치료전후사용피로엄중정도량표(FSS)、한밀이돈억욱량표(HAMD)화개량Barthel지수(MBI)대량조환자진행평개。결과치료후，량조HAMD평분、MBI평분균유개선(P<0.05)，치료조FSS평분교치료전강저(P<0.05)。치료후，치료조FSS、HAMD급MBI평분균교대조조동기유현저성차이(P<0.05)。결론대보간탕능구감경뇌졸중환자적피로증상，감경억욱병제고강복료효。
Objective To observe the effectiveness of Dabugantang decoction on post-stroke fatigue. Methods 83 stroke patients were included and divided into control group (n=45) and treatment group (n=38). Both groups accepted routine rehabilitation, while the treatment group was administrated with Dabugantang decoction twice daily for 4 weeks in addition. All the patients were evaluated with Fatigue Sever-ity Scale (FSS), Hamilton Depression Scale (HAMD), and Modified Barthel Index (MBI) before and after treatment. Results The scores of HAMD and MBI increased significantly in both groups after treatment (P<0.05). The score of FSS significantly decreased in the treatment group after treatment (P<0.05), but no significant difference was found in the control group (P>0.05). There were statistical differences in the scores of FSS, HAMD and MBI between two groups after treatment (P<0.05). Conclusion Dabugantang decoction can alleviate the fa-tigue and depression in stroke patients and improve activities of daily living.