CAJ | 학술논문

目的：探讨自拟开忧解郁方治疗脑卒中后抑郁症的疗效。方法：76例纳入观察的PSD患者随机分为观察组和对照组各38例，两组均接受脑卒中常规治疗和康复训练，对照组口服黛力新，观察组在此基础上口服自拟开忧解郁方，连续治疗8周后对比治疗前后HAMD评分、ADL评分和临床疗效。结果：两组患者治疗后HAMD评分均有所下降，ADL评分均有所上升，与治疗前相比差异均具有统计学意义（P<0.05）；治疗后两组组间比较，观察组的HAMD评分低于对照组，而ADL评分高于对照组，差异均具有统计学意义（P<0.05）；治疗后观察组总有效率达92.1%，高于对照组的78.9%，但差异不具有统计学意义（P>0.05）。结论：自拟开忧解郁方能明显改善PSD患者的抑郁状态，提高日常生活能力，优于单纯西药治疗。
목적：탐토자의개우해욱방치료뇌졸중후억욱증적료효。방법：76례납입관찰적PSD환자수궤분위관찰조화대조조각38례，량조균접수뇌졸중상규치료화강복훈련，대조조구복대력신，관찰조재차기출상구복자의개우해욱방，련속치료8주후대비치료전후HAMD평분、ADL평분화림상료효。결과：량조환자치료후HAMD평분균유소하강，ADL평분균유소상승，여치료전상비차이균구유통계학의의（P<0.05）；치료후량조조간비교，관찰조적HAMD평분저우대조조，이ADL평분고우대조조，차이균구유통계학의의（P<0.05）；치료후관찰조총유효솔체92.1%，고우대조조적78.9%，단차이불구유통계학의의（P>0.05）。결론：자의개우해욱방능명현개선PSD환자적억욱상태，제고일상생활능력，우우단순서약치료。
Objective:To observe effects of Kaiyou Jieyu therapy on treating depression following stroke. Methods: 76 patients with PSD were randomly divided into two groups, 38 cases for each. Two groups were given normal treatment and healthy exercise. The control group was given Deanxit, the observation group was given Kaiyou Jieyu therapy more. The scores of HAMD, ADL and clinical effect were compared before and after treatment in 8 weeks. Results:In both groups, the HAMD scores were lower, the ADL scores were higher, with significant difference than before (P<0.05). The HAMD scores in the observation were lower, the ADL scores were higher, the difference was statically significant;the total efficacy were 92.1%and 78.9%respectively, has no significant difference. Conclusion:The therapy can improve the depression and was better than the western medicine solo.