Clinical Observation of Wuling Capsules Combined with Psychological Intervention for Post-stroke Depression
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摘要:
目的:观察乌灵胶囊联合心理干预治疗卒中后抑郁(P S D)的临床疗效。方法:选取86例P S D患者,随机分为对照组及观察组各4 3例。2组均予双抗、降脂、控制血压、营养神经等治疗,观察组再予乌灵胶囊联合心理干预治疗。观察2组治疗前后神经功能缺损评分(NIH S S)、汉密尔顿抑郁量表(H A M D)评分及血液流变学指标的变化,记录不良反应发生情况。结果:治疗后,2组NIH S S及H A M D评分均较治疗前降低,差异均有统计学意义(P<0.05);观察组NIH S S及H A M D评分均低于对照组,差异均有统计学意义(P<0.05)。治疗后,2组血浆黏度、血小板最大聚集率、纤维蛋白原水平均较治疗前下降,差异均有统计学意义(P<0.05);观察组3项血液流变学指标水平均低于对照组,差异均有统计学意义(P<0.05)。对照组总有效率7 6.7%,观察组总有效率9 3.0%,2组比较,差异有统计学意义(P<0.05)。结论:乌灵胶囊联合心理干预治疗P S D,临床疗效确切,能有效改善患者的血液流变学指标,促进神经功能恢复,减轻抑郁程度。
Abstract:
Objective: To observe the clinical effect of Wuling capsules combined with psychological intervention for post-stroke depression(PSD).M e th o d s:Selected 86 cases of patients with PSD,and divided them into the control group and the observation group randomly,43 cases in each group.Both groups were given dual antiplatelet therapy,lipid-lowering,blood pressure control and trophic nerve for treatment,while the observation group was additionally given Wuling capsules combined with psychological intervention.Observed the National Institutes of Health Stroke Scale(NIHSS),scores of hamilton depression scale(HAMD)and changes of hemorheology index and recorded the incidence of adverse reaction in the two groups.R e s u lts:After treatment,scores of NIHSS and HAMD in the two groups were decreased when compared with those before treatment,differences being significant(P < 0.05).Scores of NIHSS and HAMD in the observation group were lower than those in the control group,differences being significant(P < 0.05).After treatment,the plasma viscosity,maximum platelet aggregation rate and fibrinogen level in the two groups were decreased when compared with those before treatment,differences being significant(P<0.05).The three hemorheology indexes in the observation group were lower than those in the control group,differences being significant(P<0.05).The total effective rate was 76.7%in the control group and was 93.0%in the observation group,difference being significant(P< 0.05).Conclusion:The therapy of Wuling capsules combined with psychological intervention for PSD has a definite clinical effect,can effectively improve hemorheology indexes of the patients,promote the recovery of neurological function and reduce the degree of depression.