益气活血方治疗老年气虚血瘀型2型糖尿病脑梗死恢复期的疗效对患者抑郁情绪的影响

Effect of Yiqi Huoxue formula on depression in patients with type 2 diabetes mellitus with cerebral infarction of qi deficiency and blood stasis syndrome

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DOI
刊名
Journal of International Psychiatry
年,卷(期) 2017, 44(5)
作者
作者单位

河南省人民医院 ;

摘要
[摘要] 探讨益气养阴活血方治疗老年气虚血瘀型2型糖尿病脑梗死恢复期的疗效及对患者血糖血脂、生活质量、抑郁评分及神经功能缺损的影响。方法 选取2015年1月-2016年10月我院住院治疗的110例气虚血瘀型2型糖尿病合并脑梗死恢复期患者为研究对象,随机分为观察组和对照组,各60例,对照组接受西医常规治疗,观察组在对照组治疗基础上加用自拟益气活血方治疗,疗程均为14 d。观察2组临床疗效、神经功能缺损程度、空腹血糖(FBG)、餐后2 h血糖(2hPG)及糖化血红蛋白(HbAlc);比较两组患者治疗前后Epworth嗜睡量表(ESS)、Fugl-Meyer评分(FMA)、Barthel指数(BI)评分及生活质量、抑郁评分。结果 治疗组总有效率明显优于对照组(x2=11.23,P<0.01);治疗后,观察组ESS、FMA及BI评分显著高于对照组,差异有统计学意义(P<0.05);治疗后,观察组躯体功能、心理功能、社会功能评分高于对照组,差异有统计学意义(P<0.05);2组治疗后FBG、2hPG、HbAlc水平均较治疗前显著降低(P均<0.05),且观察组上述糖代谢指标的改善情况显著优于对照组(P均<0.05);治疗后两组HAMA评分、HAMD评分比较,差异具有统计学意义(t=7.31,8.35,P<0.05);2组治疗期间均未发现严重的药物相关的不良事件。结论 益气活血方治疗老年气虚血瘀型2型糖尿病脑梗死恢复期安全有效,能有效降糖降脂,促进神经功能的修复,改善运动情况、生活质量及抑郁情绪,值得推广。
Abstract
Abstract Objective To investigate the effect of Yiqi Huoxue Recipe on the treatment of type 2 diabetes mellitus with cerebral infarction of qi deficiency and blood stasis syndrome and its effect on blood glucose, blood lipid, quality of life, depression score and neurological deficit. Methods 110 patients with type 2 diabetes mellitus with cerebral infarction of qi deficiency and blood stasis syndrome from January 2015 to October 2016 year in our hospital were selected as the research object. They were randomly divided into observation group and control group, each 60 cases. The control group received routine treatment, while the observation group accepted with Yiqi Huoxue Decoction treatment. The clinical efficacy, the degree of neurological deficits, fasting blood glucose (FBG), 2 h postprandial blood glucose (2hPG) and glycosylated hemoglobin (HbAlc); two groups were compared before and after treatment of Epworth sleepiness scale (ESS), Fugl-Meyer score (FMA), Barthel index (BI) score, depression score and quality of life were observed after 14 d. Results The total effective rate of the treatment group was significantly higher than that of control group (x2=11.23,P<0.01); After treatment, the ESS, FMA and BI of observation group were significantly higher than the control group (P<0.05); The physical function, psychological function, social function scores of observation group were higher than that of control group (P<0.05); After treatment,the FBG, 2hPG and HbAlc levels reduced(all P <0.05), the improvement of observation group was significantly better than the control group (P <0.05); There was significantly difference of HAMA score, HAMD score (t=7.31, 8.35, P < 0.05); serious drug-related adverse events were not found during treatment in 2 groups. Conclusions Treatment of type 2 diabetes senile cerebral infarction of qi deficiency and blood stasis recovery period is safe and effective, reduce blood lipid, promote the recovery of neural function, improve the quality of life and exercise, depression, is worthy of promotion.
关键词
[关键词]:益气活血法;2型糖尿病;脑梗死;抑郁
KeyWord
Key Words Yiqi Huoxue formula; Type 2 diabetes mellitus; Cerebral infarction; Depression
基金项目
页码 829-832
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裴小溪,李玉成*,任莹,李法良. 益气活血方治疗老年气虚血瘀型2型糖尿病脑梗死恢复期的疗效对患者抑郁情绪的影响 [J]. 国际精神病学杂志. 2017; 44; (5). 829 - 832.

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