Objective To explore the better treatment of post-stroke depression. Methods Sixty cases of post-stroke depression ranged from mild to middle degree were randomly divided into comprehensive therapy group and medication group, 30 cases in each group. In comprehensive therapy group, electroacupuncture at temple-three-needle was mainly applied and Fluoxetine Hydrochloride capsule was taken by oral administration; in medication group, Fluoxetine Hydrochloride capsule was applied by oral administration. Functional Independent Measure （FIM） Scale and WHOQOL-BREF evaluation results before and after treatment were compared after 4 weeks treatment. Results Comparing with the FIM scores before treatment, the differences in the two groups were significant （both P0.01）, and the improvement in comprehensive therapy group （74.97±9.52） was superior to that in medication group （66.70±9.23） （P0.01）. Signif icant differences were presented statistically in comparison of index scores of WHOQOL-BREF before and after treatment in two groups （P0.05, P0.01）, and it in comprehensive therapy group was superior to that in medication group （P0.05, P0.01）. Conclusion Activities of daily life and quality of life of post-stroke depression can be significantly improved by electroacupuncture at temple-three-needle and oral administration of Fluoxetine Hydrochloride capsule.
目的:评价针刺结合认知训练治疗轻度认知功能障碍的疗效。方法:将120例缺血性脑卒中后轻度认知功能障碍患者随机分为治疗组和尼膜同组,每组疗程12周。观察治疗前后2组患者在精神状态简易速检表(M in i-M ental State Exam ination,MMSE)、日常生活活动能力评定(ADL)、韦氏记忆量表(W echeslerM emory Scale,WMS)方面的变化。结果:两组MMSE比较,治疗组与尼膜同组治疗4周评估时差异即有显著性意义,P<0.05;治疗12周后,治疗组的ADL评分显著高于尼膜同组,P<0.05;治疗组治疗12周后WMS评分均高于治疗前WMS评分,差异有显著性(P<0.05)。结论:针刺结合认知康复训练治疗轻度认知功能障碍疗效优于尼膜同。
目的:分析医院中药膏方(traditional Chinese medical extraction,TCME)的临床加工与使用情况及其典型案例。方法:从膏方的起源发展、膏方在中山地区使用的适用性,总结与分析医院中药膏方的临床使用情况。结果:随着中医"治未病"的发展,中药膏方成为民众广为接受的养生保健和慢性病调理的重要手段之一,充分发挥中医药治疗的特色优势,开展中药膏方服务取得了良好的效果。结论:中药膏方在养生保健和慢性病调理方面,发挥了"治未病"作用,深受民众青睐。
