当代临床医刊
噹代臨床醫刊
당대림상의간
The Medical Journal of Thepresent Clinical
2015年
3期
1369-1371
,共3页
康复训练%柴胡疏肝汤%脑卒中后抑郁%日常生活活动
康複訓練%柴鬍疏肝湯%腦卒中後抑鬱%日常生活活動
강복훈련%시호소간탕%뇌졸중후억욱%일상생활활동
Rehabilitation training%Chaihu shugan tang%PSD%Activities of daily living
目的 探讨康复训练结合柴胡疏肝汤辩证治疗对脑卒中后抑郁( PSD) 的疗效及患者神经功能缺损和日常生活活动( ADL)能力的影响. 方法 将80例PSD患者用随机分为对照组和治疗组,每组40例. 所有的患者给予常规药物治疗,对照组采用康复训练,治疗组在对照组治疗的基础上加柴胡疏肝汤治疗. 两组患者分别与治疗前24h及治疗4周后进行汉密顿抑郁量表( HAMD)、神经功能缺损程度量表( NDS)、和Barthel指数(BI)评定. 结果 治疗4周后,两组患者的HAMD、NDS及BI评分较治疗前明显改善(p<0.05 ),治疗组的HAMD、NDS及BI评分改善幅度均显著优于对照组,差异有统计学意义( p<0.05). 结论 康复训练结合柴胡疏肝汤辩证治疗PSD患者,疗效显著,同时促进患者神经功能的康复,提高ADL能力.
目的 探討康複訓練結閤柴鬍疏肝湯辯證治療對腦卒中後抑鬱( PSD) 的療效及患者神經功能缺損和日常生活活動( ADL)能力的影響. 方法 將80例PSD患者用隨機分為對照組和治療組,每組40例. 所有的患者給予常規藥物治療,對照組採用康複訓練,治療組在對照組治療的基礎上加柴鬍疏肝湯治療. 兩組患者分彆與治療前24h及治療4週後進行漢密頓抑鬱量錶( HAMD)、神經功能缺損程度量錶( NDS)、和Barthel指數(BI)評定. 結果 治療4週後,兩組患者的HAMD、NDS及BI評分較治療前明顯改善(p<0.05 ),治療組的HAMD、NDS及BI評分改善幅度均顯著優于對照組,差異有統計學意義( p<0.05). 結論 康複訓練結閤柴鬍疏肝湯辯證治療PSD患者,療效顯著,同時促進患者神經功能的康複,提高ADL能力.
목적 탐토강복훈련결합시호소간탕변증치료대뇌졸중후억욱( PSD) 적료효급환자신경공능결손화일상생활활동( ADL)능력적영향. 방법 장80례PSD환자용수궤분위대조조화치료조,매조40례. 소유적환자급여상규약물치료,대조조채용강복훈련,치료조재대조조치료적기출상가시호소간탕치료. 량조환자분별여치료전24h급치료4주후진행한밀돈억욱량표( HAMD)、신경공능결손정도량표( NDS)、화Barthel지수(BI)평정. 결과 치료4주후,량조환자적HAMD、NDS급BI평분교치료전명현개선(p<0.05 ),치료조적HAMD、NDS급BI평분개선폭도균현저우우대조조,차이유통계학의의( p<0.05). 결론 강복훈련결합시호소간탕변증치료PSD환자,료효현저,동시촉진환자신경공능적강복,제고ADL능력.
To investigate the effect of rehabilitation training combined with Chaihu shugan tang differentiating syndromes in treating the post stroke depression(PSD), and to observe the impact on the activities of daily living (ADL) and neural function impairment.Methods 80 PSD patients were randomly divided into the control group and the treatment group with 40 case in each. All the patients received routine therapy of drug, the control group used rehabilitation training while the treatment group added Chaihu shugan tang based on the treatment of the control group.To assess Hamilton Rating Scale for Depression( HAMD)、neuro-logical deficit score(NDS) and Barthel Index(BI)of the patients in 2 groups respectively 24h before treatment and 4 weeks after treatment.Results After 4 weeks of treatment, the the Scores of HAMD、BI and NDS in 2 group patients were improved more than before treatment(p<0.05),and the treatment group was difference statistically significant compared with the control group (p <0.05).Conclusion There is significant effect on rehabilitation training combined with Chaihu shugan tang therapy to the PSD, pro-moting the rehabilitation of neural function and improving the ADL performance simultaneously.
