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目的:研究中西医联合康复治疗对急性期脑卒中并发抑郁患者的临床应用效果。方法:随机选取2015年6月至2016年4月雷州市中医医院接诊的100例急性脑卒中并发抑郁患者作为研究对象,按照抽签方式分成两组。对照组50例,应用传统常规西医康复治疗;观察组50例,在对照组的基础上联合应用中药、针刺等中医综合疗法进行治疗。比较两组患者治疗前后的脑卒中量表(NIHSS)、神经功能缺损程度量表(CSS)、汉密顿抑郁量表(HAMD)、预后生活质量(BI指数)评分以及临床疗效。结果:治疗前,两组患者的NIHSS、CSS、HAMD以及BI评分比较,差异均无统计学意义(P>0.05);治疗后,两组患者的NIHSS、CSS、HAMD及BI评分比较,观察组明显优于对照组,差异具有统计学意义(P<0.05);观察组患者的临床疗效显著高于对照组,差异具有统计学意义(P<0.05)。结论:中西医联合康复治疗方法能够有效改善急性期脑卒中并发抑郁患者的神经功能和精神抑郁状态,有利于促进患者康复。
Objective: To study the clinical effect of combined traditional Chinese and Western medicine rehabilitation on patients with acute stroke complicated by depression. Methods: A total of 100 patients with acute stroke complicated with depression admitted to Leizhou TCM Hospital from June 2015 to April 2016 were randomly selected as the research subjects, and were divided into two groups according to the way of drawing lots. Control group of 50 cases, the use of conventional conventional Western rehabilitation; observation group of 50 cases, in the control group based on the combination of Chinese medicine, acupuncture and other traditional Chinese medicine for treatment. The National Institutes of Health Stroke Scale (NIHSS), Neurological Deficit Scale (CSS), HAMD, BI Index scores and clinical outcomes before and after treatment were compared between the two groups. Results: Before treatment, there was no significant difference in NIHSS, CSS, HAMD and BI scores between the two groups (P> 0.05). After treatment, NIHSS, CSS, HAMD and BI score of the two groups were compared, The difference was statistically significant (P <0.05). The clinical curative effect of observation group was significantly higher than that of control group, the difference was statistically significant (P <0.05). Conclusion: Integrative Chinese and Western medicine rehabilitation therapy can effectively improve the neurological deficits and depression in patients with acute stroke complicated with depression, which is good for the rehabilitation of patients.