补中益气汤加减改善卒中后疲劳患者情志的临床观察

发布时间：2018-08-20 15:58

【摘要】：目的:探讨补中益气汤加减治疗卒中后疲劳患者合并焦虑抑郁状态的临床疗效。方法:将80例脑卒中后疲劳患者随机分成治疗组和对照组各40例,均给予康复治疗,治疗组患者在此基础上加用补中益气汤加减治疗。治疗前及治疗4周后分别进行主观疲劳程度(FSS)、汉密尔顿焦虑量表(HAMA)、汉密尔顿抑郁量表(HAMD)评定,比较两组患者的临床疗效。结果:对照组在治疗4周前后,患者的FSS评分、HAMA评分及HAMD评分差异均无统计学意义(P0.05)。而在治疗组,比较患者治疗4周前后的FSS评分、HAMA评分及HAMD评分,分值均显著减小,存在统计学意义(P0.05)。治疗组总有效率为87.5%,对照组总有效率为65%,治疗组患者的总有效率显著优于对照组,差异有显著性(P0.05)。结论:补中益气汤加减治疗能提高患者的疗效,能有效缓解患者的疲劳程度,同时还能改善卒中后疲劳患者可能合并的焦虑抑郁状态。
[Abstract]:Objective: to investigate the clinical effect of Buzhong Yiqi decoction (BYQD) in treating post-stroke fatigue patients with anxiety and depression. Methods: 80 patients with post-stroke fatigue were randomly divided into treatment group (n = 40) and control group (n = 40). (FSS), Hamilton anxiety scale (HAMA),) and Hamilton Depression scale (HAMD) were performed before and 4 weeks after treatment to compare the clinical efficacy of the two groups. Results: there was no significant difference in FSS score and Hama score and HAMD score between the control group and the control group before and after 4 weeks treatment (P0.05). In the treatment group, the Hama score and HAMD score of the patients before and after 4 weeks of treatment were significantly reduced, and there was statistical significance (P0.05). The total effective rate of the treatment group was 87.5 and the total effective rate of the control group was 65. The total effective rate of the treatment group was significantly better than that of the control group (P0.05). Conclusion: Buzhong Yiqi decoction can improve the curative effect of the patients, relieve the fatigue degree of the patients, and improve the anxiety and depression state of the patients with post-stroke fatigue.
【作者单位】：绍兴市人民医院(浙江大学绍兴医院);
【基金】：浙江省中医药科学研究基金计划项目(2010ZB149) 浙江省中医药(中西医结合)重点学科基金项目(2012-XK-A33)
【分类号】：R277.7

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