摘要
目的:观察采用中医辨证方法治疗脑卒中后抑郁的临床疗效。方法:选取我院收治的脑卒中后抑郁患者92例,按随机数字表法随机分为两组。对照组46例采取常规西医方法治疗,观察组46例采用中医辨证方法治疗,对比两组患者临床治疗效果。结果:观察组总有效率为95.65%(95%CI=84.80%~99.44%),对照组为67.39%(95%CI=53.84%~80.94%),两组综合疗效比较(u=4.686 6,P<0.001),差异有显著性意义;与对照组同时相比较,观察组升高BI评分参数(P<0.01)。结论:采用柴胡疏肝散辨证治疗脑卒中后抑郁患者的疗效优于单纯常规西医治疗,其收益为OR=0.09(95%CI=0.02~0.44),NNT=4(95%CI=2.27~8.06)。
Objective：to observe the clinical effect of syndrome differentiation of TCM on post-stroke depres- sion. Methods ：92 cases of patients with post - stroke depression selected and treated in our hospital were divided randomly into two groups,46 cases in each group. The control group was treated with conventional western medi- cine,while the observation group was treated with syndrome differentiation of TCM. The clinical effect was com- pared between two groups. Results： The total effective rate of observation group was 95.65% （95% CI = 84.80% to 99.44% ）,while the total effective rate of control group was 67.39% （95% CI =53.84% -80.94% ）. Com- pared the comprehensive effect between two groups （ U = 4. 686 6, P？ 0. 001 ）, the difference was statistically sig- nificant. Compared with control group at the same time, the observation group raised BI score parameters （P 〈 0.01 ）. Conclusion ： The clinical effect of Chaihu Shugan powder and syndrome differentiation of TCM on post - stroke depression is better than that of simple conventional western medicine. Its benefit is OR =0.09 （95% CI = 0.02 to 0.44）, NNT =4 （95% CI=2.27 to 8.06）.
出处
《山西中医》
2017年第10期28-29,共2页
Shanxi Journal of Traditional Chinese Medicine
关键词
脑卒中
抑郁
辨证治疗
中医药疗法
stroke, depression, treatment based on syndrome differentiation, therapy of TCM
