中医治疗中风后郁证的研究进展
Research Progress on Traditional Chinese Medicine Treatment of Post-Stroke Depression Syndrome
摘要: 中风又称为脑卒中,是一种常见的心脑血管疾病。中风后抑郁是其较为常见的并发症,具有较高的发病率和致残率,严重影响了患者的生存质量。中风后抑郁不仅给中风患者的生活造成了较大的影响,而且也给中风患者的恢复带来诸多负面影响。目前,随着医疗技术水平的提高,中国每年新增200多万名卒中病人,其中70%~80%因致残而丧失自理能力,死亡率逐年降低,但伴有身体及心理疾病等后遗症的病人却逐年增多,中风病人自身的心理变化以及外部肢体功能障碍、社会功能减退、角色转变等多方面的共同影响,可引起患者情绪与行为障碍。中风后郁证是脑血管疾病的一种常见并发症,主要表现为抑郁和焦虑障碍。中医治疗中风后郁证的方法主要有五音疗法、针灸、芳香疗法等,其在治疗的过程中发挥了重要的作用。文章就中医治疗中风后郁证的研究进展进行论述,为此病的防治提供参考。
Abstract: Stroke, also known as cerebral infarction, is a common cardiovascular and cerebrovascular disease. Post-stroke depression is a common complication with a high incidence rate and disability rate, which seriously affects the quality of life of patients. Post-stroke depression not only has a greater impact on the lives of stroke patients, but also brings many negative effects on their recovery. At present, with the improvement of medical technology, more than 2 million stroke patients are added in China every year, of which 70%~80% lose their ability to take care of themselves due to disability, and the mortality rate is decreasing year by year. However, the number of patients with physical and psychological sequelae is increasing year by year. The psychological changes of stroke patients themselves, as well as external limb dysfunction, social dysfunction, role changes, and other factors, can cause emotional and behavioral disorders in patients. Post-stroke depression syndrome is a common complication of cerebrovascular disease, mainly manifested as depression and anxiety disorders. Traditional Chinese medicine mainly uses five-tone therapy, acupuncture, and aromatherapy to treat post-stroke depression syndrome, which plays an important role in the treatment process. This article discusses the research progress of traditional Chinese medicine in treating post-stroke depression syndrome, providing a reference for the prevention and treatment of this disease.
参考文献
|
[1]
|
宋秀媛, 朱云红, 苏莉. 刍议从肾论治中风后郁证[J]. 中国民间疗法, 2015, 23(12): 69-70.
|
|
[2]
|
刘其松. 调神针法治疗中风后抑郁的临床观察[D]: [博士学位论文]. 广州: 广州中医药大学, 2014.
|
|
[3]
|
王金玉. 头穴丛刺配合浮针治疗卒中后抑郁的临床观察[D]: [硕士学位论文]. 哈尔滨: 黑龙江中医药大学, 2024.
|
|
[4]
|
孙喜奎. 四逆散合汤加减治疗中风患者肝郁脾虚证疗效观察[J]. 健康之路, 2013, 12(11): 504.
|
|
[5]
|
易云露, 赵文. 益气活血法治疗脑卒中后抑郁的研究进展[J]. 世界最新医学信息文摘, 2021, 21(10): 83-84.
|
|
[6]
|
赵进喜. 《黄帝内经》与中医现代临床[M]. 北京: 人民军医出版社, 2008.
|
|
[7]
|
郑景予. 祛瘀生新刺络法联合逍遥散治疗中风后郁证的临床研究[D]: [硕士学位论文]. 广州: 广州中医药大学, 2016.
|
|
[8]
|
金菊, 刘红权. 柴胡类方治疗中风后抑郁浅析[J]. 中国中医急症, 2013, 22(11): 1906-1907.
|
|
[9]
|
沈晓明. 中风后抑郁症病机钩玄[J]. 中国民间疗法, 2010, 18(1): 53-54.
|
|
[10]
|
白冠锋, 朱亚歌. 丹栀逍遥散合升降散对中风后抑郁症疗效观察[J]. 光明中医, 2017, 32(12): 1750-1752.
|
|
[11]
|
陈晗雯, 杨泽, 刘瑜婷, 等. 夏永良应用柴胡桂枝汤治疗中风后郁证经验[J]. 浙江中西医结合杂志, 2024, 34(2): 177-179.
|
|
[12]
|
梁增坤, 张丽敏, 胡勋. 解郁合欢汤加减治疗中风后抑郁的效果评价[J]. 光明中医, 2018, 33(19): 2853-2855.
|
|
[13]
|
马琦. 基于“微生物-肠-脑”轴的GLP-1在抑郁障碍发病机制中的作用研究[D]: [博士学位论文]. 乌鲁木齐: 新疆医科大学, 2023.
|
|
[14]
|
周慕含. 针刺夹脊穴治疗卒中后抑郁的临床研究[D]: [硕士学位论文]. 沈阳: 辽宁中医药大学, 2021.
|
|
[15]
|
雷彬, 董斐, 邢佳, 等. 运用五行音乐从形神论治中风后郁证的思路浅析[J]. 环球中医药, 2020, 13(1): 56-59.
|
|
[16]
|
田美欣, 杨淑萍, 杨青. 耳穴压豆法对中风-中经络患者抑郁状况的影响研究[J]. 中华护理教育, 2014, 11(6): 409-411.
|