《中国康复理论与实践》

《中国康复理论与实践》 ›› 2014, Vol. 20 ›› Issue (3): 266-268.

• 论文 • 上一篇    下一篇

大补肝汤治疗卒中后疲劳的临床效果

孙新亭，迟倩倩，王晓艳   

  1. 1.首都医科大学康复医学院，北京市100068；2.中国康复研究中心北京博爱医院神经康复科，北京市100068。
  • 收稿日期:2013-10-09 修回日期:2013-11-12 出版日期:2014-03-25 发布日期:2014-03-25

Effect of Dabugantang Decoction on Post-stroke Fatigue

SUN Xin-ting, CHI Qian-qian, WANG Xiao-yan.   

  1. Capital Medical University School of Rehabilitation Medicine, Department of Neural Rehabilitation, Beijing Bo'ai Hospital, China Rehabilitation Research Centre, Beijing 100068, China
  • Received:2013-10-09 Revised:2013-11-12 Published:2014-03-25 Online:2014-03-25

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摘要： 目的观察口服中药汤剂大补肝汤对卒中后疲劳的临床疗效。方法83 例脑卒中患者分为对照组(n=45)和治疗组(n=38)。两组均接受常规康复训练，治疗组每天口服中药汤剂，共4 周。治疗前后使用疲劳严重程度量表(FSS)、汉密尔顿抑郁量表(HAMD)和改良Barthel 指数(MBI)对两组患者进行评价。结果治疗后，两组HAMD评分、MBI 评分均有改善(P<0.05)，治疗组FSS 评分较治疗前降低(P<0.05)。治疗后，治疗组FSS、HAMD及MBI评分均较对照组同期有显著性差异(P<0.05)。结论大补肝汤能够减轻脑卒中患者的疲劳症状，减轻抑郁并提高康复疗效。

关键词: 卒中后疲劳, 大补肝汤, 抑郁, 日常生活活动能力, 中药

Abstract: Objective To observe the effectiveness of Dabugantang decoction on post-stroke fatigue. Methods 83 stroke patients were included and divided into control group (n=45) and treatment group (n=38). Both groups accepted routine rehabilitation, while the treatment group was administrated with Dabugantang decoction twice daily for 4 weeks in addition. All the patients were evaluated with Fatigue Severity Scale (FSS), Hamilton Depression Scale (HAMD), and Modified Barthel Index (MBI) before and after treatment. Results The scores of HAMD and MBI increased significantly in both groups after treatment (P<0.05). The score of FSS significantly decreased in the treatment group after treatment (P<0.05), but no significant difference was found in the control group (P>0.05). There were statistical differences in the scores of FSS, HAMD and MBI between two groups after treatment (P<0.05). Conclusion Dabugantang decoction can alleviate the fatigue and depression in stroke patients and improve activities of daily living.

Key words: post-stroke fatigue, Dabugantang decoction, depression, activities of daily living, Traditional Chinese Medcine