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目的探讨中西医结合治疗脑血管病致抑郁症的方法及临床效果。方法比较案例分析法。选取我院近年收治的脑血管病所致抑郁症患者144例,分为采用常规西医治疗的西医组和在常规西医治疗基础上进行中医治疗的中西医组各72例,比较组别间治疗前后HAMD、SDS、NIHSS分值及临床疗效。结果治疗后中西医组HAMD、SDS得分显著低于西医组,NIHSS得分显著高于西医组。临床疗效上,中西医组的治愈率47.2%、总有效率91.7%均显著高于西医组,无效率8.3%显著低于西医组,差异有统计学意义(P<0.05)。结论中西医结合治疗脑血管病致抑郁症能显著缓解患者抑郁状况,改善患者神经功能受损情况,临床效果显著。
Objective To explore the method and clinical effect of treating traditional Chinese and western medicine on depression caused by cerebrovascular disease. Methods Compare case studies. A total of 144 patients with depression caused by cerebrovascular disease admitted to our hospital in recent years were selected and divided into two groups: the Western medicine group (conventional Western medicine group) and the Western medicine group (72 Chinese and western medicine groups) HAMD, SDS, NIHSS score and clinical efficacy. Results After treatment, the scores of HAMD and SDS in Chinese and Western medicine groups were significantly lower than those in Western medicine group, and NIHSS scores were significantly higher than those in Western medicine group. Clinical curative effect, the Chinese and Western medicine group’s cure rate 47.2%, the total effective rate 91.7% were significantly higher than the Western medicine group, the inefficiency 8.3% was significantly lower than the Western medicine group, the difference was statistically significant (P <0.05). Conclusion Integrative treatment of depression caused by cerebrovascular disease can significantly alleviate depression in patients with neurological impairment, improve the clinical effect is significant.