CAJ | 학술논문

目的:观察活血疏肝解郁汤联合盐酸氟西汀治疗脑卒中后抑郁的临床疗效.方法:按区组随机化方法将80例本病患者分为治疗组和对照组各40例.对照组予盐酸氟西汀治疗,治疗组予活血疏肝解郁汤联合盐酸氟西汀治疗.两组均进行心理干预,观察12周,分析两组患者治疗各阶段汉密尔顿抑郁量表(HAMD)、ZUNG抑郁自评量表(SDS)评分情况.结果:治疗组第12周末HAMD表总有效率优于对照组,差异有统计学意义(P<0.05);第8、12周末SDS表总有效率均优于对照组,差异有统计学意义(P<0.01或P<0.05).结论:活血疏肝解郁汤配合盐酸氟西汀片治疗脑卒中后抑郁有较好临床疗效.
목적:관찰활혈소간해욱탕연합염산불서정치료뇌졸중후억욱적림상료효.방법:안구조수궤화방법장80례본병환자분위치료조화대조조각40례.대조조여염산불서정치료,치료조여활혈소간해욱탕연합염산불서정치료.량조균진행심리간예,관찰12주,분석량조환자치료각계단한밀이돈억욱량표(HAMD)、ZUNG억욱자평량표(SDS)평분정황.결과:치료조제12주말HAMD표총유효솔우우대조조,차이유통계학의의(P<0.05);제8、12주말SDS표총유효솔균우우대조조,차이유통계학의의(P<0.01혹P<0.05).결론:활혈소간해욱탕배합염산불서정편치료뇌졸중후억욱유교호림상료효.
@@@@ Objective: To observe the curative effect on post-stroke depression with the combination of blood-quickening liver-coursing and depression-resolving decoction and fluoxertine hydrochloride. Methods: In accordance with block randomiza-tion 80 cases of the acute cerebral infarction were randomly separated into two groups. The control group was treated with fluoxertine hydrochloride and the treatment group was treated with blood-quickening liver-coursing and depression-resolving decoction as well as Andfluoxertine Hydrochloride. Tow groups accepted Psychologic intervention. The scores of the Hamiltion Depression Scale and the ZUNG Self-rating Depression Scale in both tow group's were analyzed at different stages. Results:There was statistical difference in HAMD effect between treatment and control groups in the treatment in twelfth weekend(P<0.05); There was significant difference in SDS effect between treatment and control groups in the treatment of eighth and twelfth weekend(P<0.01 or P<0.05). Conclusion: The combination of blood-quickening liver-coursing and depression-resolving decoction and fluoxertine hydrochloride can provide curative effect on post-stroke depression.