涤痰开窍法治疗老年脑卒中后抑郁临床观察

Effect of Ditankaiqiao method for depression state after brain apoplexy in 86 aged patients

关键词:  抑郁状态  脑卒中  中西医结合治疗  涤痰开窍法

Key words:  depression  brain apoplexy  integrated therapy with TCM and Western medicine  Ditankaiqiao method

摘要:

[目的]探讨涤痰开窍法对老年脑卒中后抑郁的疗效。[方法]对照组采用常规脑卒中治疗,用抗抑郁西药盐酸氟西汀,治疗组在此基础上加用涤痰开窍药(法半夏、陈皮、竹茹、茯苓、枳实、石菖蒲、郁金等)治疗。[结果]两组治疗前后进行汉密顿抑郁量表(HAMD)评分和临床神经功能缺损评定,并作统计学处理(t检验),P<0.001,有显著性差异。[结论]中西医结合治疗脑卒后抑郁可明显改善症状,促进神经功能和日常生活活动能力的恢复。

Abstract:

[Objective] To investigate the therapeutic effect of Ditankaiqiao (waking up the patient from unconsciousness by clearing away phlegm) method for depression after brain apoplexy in aged patients. [Methods] Routine therapy was used in control group,while Ditankaiqiao (Pinellia rernata,Tangerine peel,Caulis bambusae in taeniam,Fructus aurantii immaturus,etc.)was added in treated group. [Results] Score with HAMD (Hamilton depression scale)was performed in both groups and nerve dysfunction was evaluated as well. Statistical analysis was used and taking P<0.01 as significant. [Conclusions] The treatment with integrated medicine can improve the symptom of depression after brain apoplexy,facilitating the recovery of nerve function and daily-life ability..