362例脑梗死患者证候与梗死后抑郁及认知障碍关系的研究

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1、·34·中国中医急症2014年1月第23卷第1期JETCM．Jan．2014，Vo1．23，No．1·研究报告·362例脑梗死患者证候与梗死后抑郁及认知障碍关系的研究术何莉娜颜志刚孙景波。(1．广东省广州市越秀区光塔街社区卫生服务中心，广东广州510120；2．广东省中医院，广东广州510120)中图分类号：R743．9文献标志码：A文章编号：1004—745X(2014)01—0034—03doi：10．3969~．issn．1004-745X．2014．01．016【摘要】目的观察脑梗死各证候与梗死后抑郁及认知障碍关系。方法比较脑梗死各证候伴发抑郁、认知障碍，以及同时伴发

2、抑郁与认知障碍的例数，并比较各证候间HAMD与MMSE评分之间的差异。结果肝阳暴亢，风火上扰证和阴虚风动证伴发抑郁的例数多于其他3证(P<0．05)，HAMD评分亦高于其余3证(P<0．05)。气虚血瘀和阴虚风动证伴发抑郁的例数多于其他3证(P<0．05)，MMSE评分亦低于其余3证(P

3、orderafterInfarctionin362CasesofCerebralIn—farctionPatientsHELi—na，YANZhi-gang1，SUNJing-bo2．1GuangtaStreetCommunityHealthServiceCenter，YuexiuDistrict，GuangzhouCity，GuangdongProvince，Guangdong，Guangzhou510120，China；2TCMHospitalofGuangdongProvincial，Guangdong，Guangzhou510120，China【Abstract】Ob

4、jective：ToinvestigatetherelationshipoftraditionalChinesemedicines(TCM)syndromeofcere．bralinfarctionandthedepressionandcognitivedisorderafterinfarction．Methods：TheseindicatorswerecomapredsuchasthenumberofcasesofcerebralinfarctionTCMsyndromewiththedepressionandcognitivedisorder，thenumberofcas

5、eswiththedepressionandcognitivedisordersimultaneously．Meanwhile．thedifferencebetweendifferentTCMsyndromesofHAMDandMMSEscoreswerecompared．Results：Thenumberswithde．pressionofliveryanghyperactivity，phlegm—windinterferece，windformationfromyindeficiencyweresignificantlyhigherthantheother3groups(

6、P<0．05)．TheHAMDscorewashigherthantheother3groups(P<0．05)．Thenumberswithdepressionofqideficiencyandbloodstasis，windformationfromyindeficiencyweresignificantlyhigherthantheother3groups(P<0．05)．TheMMSEscorewaslowerthantheother3groups(P<0．05)．Thenumberswithdepressionandcognitivedisorderofwindfo

7、rmationfromyindeficiencyweresignificantlyhigherthantheother4groups(P