|
|
Clinical effect of Chaihu Guizhi Longgu Muli Decoction combined with tiaoshen kaiyu acupuncture on post stroke depression |
HUANG Jing ZHANG Yining PANG Xiuyu |
Department of Acupuncture and Moxibustion, Heilongjiang College of Traditional Chinese Medicine, Heilongjiang Province, Harbin 150000, China
|
|
|
Abstract Objective To investigate the clinical effect of Chaihu Guizhi Longgu Muli Decoction combined with tiaoshen kaiyu acupuncture on post stroke depression. Methods A total of 126 patients with post stroke depression admitted to Heilongjiang College of Traditional Chinese Medicine from June 2021 to June 2022 were selected and they were divided into three groups by random number table method, with 42 cases in each group. The decoction group was treated with routine therapy+Chaihu Guizhi Longgu Muli Decoction orally, the acupuncture group was treated with routine therapy+tiaoshen kaiyu acupuncture, and the combined group was treated with routine therapy+Chaihu Guizhi Longgu Muli Decoction orally+tiaoshen kaiyu acupuncture, with 15 days as a course of treatment, and three courses of treatment. The symptom score, depression score, serological index level, clinical efficacy, and adverse reaction rate of patients were evaluated. Results After treatment, the scores of symptoms and depression in the three groups decreased, and those in the combined group were lower than those in the decoction group and acupuncture group (P<0.05); after treatment, serum levels of homocysteine, microtubule-associated protein, and ubiquitin carboxy-terminal hydrolase L1 in three groups were decreased, and those in the combined group were lower than those in the decoction group and acupuncture group (P<0.05). The clinical efficacy of combination group was better than that of decoction group and acupuncture group (P<0.05). There was no significant difference in the incidence of adverse reactions among the three groups (P>0.05). Conclusion Chaihu Guizhi Longgu Muli Decoction combined with tiaoshen kaiyu acupuncture has a significant effect on post stroke depression, can improve the clinical symptoms of patients, inhibit brain damage, and has good safety.
|
|
|
|
|
[1] 祁杰,张磊,邓丽君,等.卒中后抑郁患者脑白质纤维束改变及其与抑郁程度的相关性研究[J].中国全科医学,2022,25(9):1123-1129.
[2] 徐昌琴,容宁,徐凤凤,等.脑卒中后抑郁大鼠杏仁核下游信号通路分子在发病中的作用[J].中华老年心脑血管病杂志,2021,23(5):535-538.
[3] 唐艳.缺血性脑卒中后抑郁现状调查及NIHSS评分判断卒中后抑郁风险的应用价值研究[J].中国当代医药,2022,29(7):273-277.
[4] Xi,WANG,Chunqi,et al. Clinical Observation of Huatanjieyu Granule in the Treatment of Post-stroke Depression[J]. Medicinal Plant,2020,11(3):91-93.
[5] 宋敏,左政,李亚楠,等.中西医治疗中风后抑郁症的概况[J].世界中医药,2021,16(10):599-602.
[6] 王红胜,王建彬,张新裔,等.柴胡加龙骨牡蛎汤加减预防中风后抑郁的临床研究[J].中西医结合心血管病电子杂志,2020,8(10):176-178.
[7] 田明,郑丹.醒神开郁针法对脑卒中后抑郁患者临床疗效、SAS及HAMD量表评分、5-HT水平影响研究[J].中风与神经疾病杂志,2021,38(6):411-414.
[8] 河南省卒中学会卒中后心理与情感障碍分会,河南省医师协会精神科分会,河南省心理卫生协会.脑卒中后抑郁临床诊疗指南[J].临床心身疾病杂志,2020,26(3):1-5.
[9] 周仲瑛.中医内科学[M].北京:中国中医药出版社,2007:373-380.
[10] 唐启盛,曲淼,包祖晓,等.抑郁症中医证候规律及诊疗标准制定的研究[J].北京中医药大学学报,2011,34(2):77-81.
[11] Montgomery SA,Smeyatsky N,de Ruiter M,et al. Profiles of antidepressant activity with the Montgomery-Asberg Depression Rating Scale [J]. Acta Psychiatr Scand Suppl,2015, 32(20):38-42.
[12] 中国中西医结合学会神经科专业委员会.抑郁症中西医结合诊疗专家共识[J].中国中西医结合杂志,2020, 40(2):141-148.
[13] 邵洪伟.耳穴电针治疗2型糖尿病合并脑卒中后抑郁症的疗效观察[J].广州中医药大学学报,2020,37(3):457-464.
[14] 王奕丹,王建楠,伍慧茹,等.FTY720对卒中后抑郁大鼠单胺类神经递质影响的实验研究[J].中国比较医学杂志,2021,31(4):38-43.
[15] 随燕芳,宋振华,曾骥,等.高频重复经颅磁刺激联合艾司西酞普兰对脑卒中后抑郁患者神经功能、抑郁状态及其血清炎症因子的影响[J].中华物理医学与康复杂志,2021,43(9):793-796.
[16] 王辉,谢有良,翟立武,等.脑卒中后抑郁的情志病机探讨[J].中国中医基础医学杂志,2021,27(4):548-549, 565.
[17] 王家兴,聂皎.中医治疗脑卒中后抑郁的临床研究进展[J].实用中西医结合临床,2021,21(23):157-158.
[18] 张靖,于利娇,郭盼盼,等.柴胡加龙骨牡蛎汤治疗肝气瘀滞型脑卒中后抑郁患者的效果[J].中国医药导报,2022,19(5):79-81.
[19] 王珍珍,鲁海,王媛卓,等.调神开窍针刺法与Notch信号通路、内源性神经干细胞在卒中后抑郁治疗中相关性的理论探讨[J].针灸临床杂志,2021,37(1):98-101.
[20] 王秋菊.丁苯酞对急性缺血性脑卒中患者神经功能,脑血流灌注及外周血UCH-L1、sICAM-1水平的影响[J].检验医学与临床,2022,19(2):216-219.
[21] 迟兆明.卒中解郁汤治疗脑卒中后抑郁的临床效果及对血清5-HT及Hcy的影响研究[J].中华养生保健,2022, 40(13):27-30.
[22] 祁金敏,李宗喜,全凯.亚低温辅治重型颅脑损伤及对血清和肽素、高迁移率族蛋白B1、微管相关蛋白tau的影响[J].实用医院临床杂志,2021,18(3):118-121.
[23] 王佳,张红玉,杜鹏,等.血清UCH-L1与NGAL对重度脑损伤患者的病情及短期预后的评估价值[J].标记免疫分析与临床,2020,27(2):195-199.
[24] 王倩,曾培,袁莉莉,等.柴胡加龙骨牡蛎汤调控NF-κB信号通路对癫痫大鼠神经炎症及海马神经元损伤的影响[J]. 陕西中医,2021,42(10):1327-1332,1362.
[25] 卢鸿.柴胡加龙骨牡蛎汤加减在卒中后抑郁中的应用效果[J].中国当代医药,2022,29(34):164-167.
[26] 张靖,于利娇,郭盼盼,等.柴胡加龙骨牡蛎汤治疗肝气瘀滞型脑卒中后抑郁患者的效果[J].中国医药导报,2022,19(5):79-81,85.
[27] 范穗强,孟春想,张凯娜,等.加味柴胡桂枝汤联合草酸艾司西酞普兰对脑卒中后抑郁的疗效及对血清视黄醇结合蛋白4和P物质表达的影响[J].中国医药,2022, 17(1):121-125.
[28] 朱晓煜,聂玲辉,丁月文,等.柴胡疏肝汤对颞叶癫痫小鼠的脑保护作用[J].中国临床药理学杂志,2021,37(10):1158-1162. |
|
|
|