药物联合指压按摩治疗卒中后抑郁临床研究

Clinical Research of Chinese Medicine Combined with Massage in Treatment of Post-stroke Depression

目的:观察药物联合指压按摩治疗卒中后抑郁的临床疗效。方法:将104例卒中后抑郁患者随机平均分为对照组和观察组。对照组给予常规治疗和护理,观察组在对照组基础上服用自拟解郁通络汤和指压按摩治疗。在治疗前和治疗后6周末进行汉密尔顿抑郁量表(Hamilton depression scale,HAMD)、神经功能缺损程度评分(MSSS)和Barthel指数评分,比较2组临床疗效。结果:经过治疗后,观察组HAMD、MSSS和Barthel评分优于对照组,组间比较,差异有统计学意义(P<0.05);两组治疗后HAMD评分、MSSS评分、Barthel指数评分均明显改善,与治疗前比较,差异有统计学意义(P<0.05);观察组有效率为92.31%,高于对照组78.85%,两组有效率比较,差异有统计学意义(P<0.05)。结论:药物联合指压按摩治疗卒中后抑郁可以降低患者的抑郁程度和神经功能缺损程度,改善生活自理能力,提高临床有效率。

Objective：To investigate the clinical efficacy of Chinese medicine combined with massage in treatment of Post-stroke Depression. Methods ： 104 patients with PSD were divided into research group and control group. The control group was given regu- lar treatment and care, and the research group was treated with TCM formular named Jieyu Tongluo Decoction combined with mas- sage with finger. The effective rates of both groups were valuated with the Hamilton depression scale （HAMD）, MSSS index score and Barthel score before treatment and 6 weeks after treatment. Results ： the HAMD scores, MSSS and Barthel scores of the research group were significantly better than that of the control group respectively （ P 〈 0.05 ）. The HAMD scores, MSSS and Barthel scores of both groups after treatment were also significantly better than that before treatment respectively （ P 〈 0.05 ）. The effective rate 92.31% of the research group was significantly higher than that （78.85%）of the control group（ P 〈 0.05 ）. Conclusion：Chinese medicine combined with massage can achieve significant clinical effect in treatment of Post-stroke Depression.