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芪棱汤合黄连阿胶汤治疗脑卒中后焦虑状态的临床观察

Clinical observation on the effects of Qileng decoction and Huanglian Ejiao decoction on anxiety state of post-stroke patients

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【作者】 余琴华于涛蒋红玉李洁霞张思为李莉

【Author】 YU Qin-hua,YU Tao,JIANG Hong-yu,et al.(1.Department of Clinical Medicine,Conghua Institution of Guangzhou Medical College,Guangzhou 510925,Guangdong,P.R.China;2.Department of Traditional Chinese Medicine,Affiliated Shenzhen Munipical People’s Hospital of Jinan University,Shenzhen 518020,Guangdong,P.R.China)

【机构】 广州医学院从化学院临床医学部暨南大学附属深圳市人民医院中医科从化市中医医院脑病专科

【摘要】 目的观察芪棱汤合黄连阿胶汤治疗脑卒中后焦虑状态的临床疗效。方法将脑卒中后出现焦虑症状的68例病人随机分为芪棱汤合黄连阿胶汤治疗组和阿普唑仑对照组两组,每组34例,于治疗前及治疗后4周、8周分别进行汉密尔顿焦虑量表(HAMA)评分、神经功能缺损评分和不良反应。结果两组神经功能缺损评分和HAMA评分均有下降,而治疗组的下降程度比对照组明显(P<0.05)。治疗8周时治疗组临床总有效率达82.4%,高于对照组74.5%(P<0.05)。结论芪棱汤合黄连阿胶汤治疗卒中后焦虑有效,不良反应少,对神经功能的恢复也有促进作用。

【Abstract】 Objective To observe the therapeutic effect of Qileng Decoction(QLD) and Huanglian Ejiao Decoction(HLEJD) on post-stroke anxiety state in patients.Methods There 68 patients with post-stroke anxiety disorder were randomly divided into treatment group treated with QLD-HLEJD and control group nd treated with alprazolam,each group consisted of 34 cases.Each patient was estimated by Hamilton rating Scale for Anxiety(HAMA),Nervous Functional Impairment Assessment(NFIA) before treatment and 4 and 8 weeks after treatment.The results were analyzed.Results The scores of HAMA and NFIA were both reduced in the two groups,marked improvement in the treatment group was observed as compared to that of the control group.(P<0.05).The total effective rate of treatment group was 82.4%,higher than that of control group(74.5%)(P<0.05).Conclusion QLD and HLEJD are effective for treatment of anxiety patients after stroke and there little adverse reaction is observed.In addition,the neurofunction in the patients is also improved.

  • 【文献出处】 中国热带医学 ,China Tropical Medicine , 编辑部邮箱 ,2009年04期
  • 【分类号】R277.7
  • 【被引频次】10
  • 【下载频次】166
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