中风后抑郁症的中医治疗分享.PDF

中风后抑郁症的中医治疗分享 Experience in Traditional Chinese Medicine on Post-stroke Depression 赵红 Zhao Hong 天津中医药大学第一附属医院 The First Teaching Hospital, Tianjin University of TCM, Tianjin, 300193, P.R. China 背 景Background 脑中风“三高”现象 “Three high phenomenon” 发病率 Incidence （100~300）/10万 致残率 （100~300）/100 thousand Disabled rate 50%-70%存活的患者遗留 瘫痪、失语等严重残疾 Disabled rate is 50%-70% 病死率 病死率高达20.7％ Mortality Mortality rate is about 20.7% 背 景Background 中风后抑郁（PSD）是中风常见的并发症之一，文 献报道发病率高达30%，是中风后情绪障碍的主要 表现形式。 PSD对中风患者的病程、康复和预后会 产生重大负性影响，其死亡率比无抑郁脑卒中患者 高3~4倍。我院采用石学敏院士设立的“醒脑开窍” 针刺法治疗本病临床已有收效，现介绍如下。 Post-stroke depression (PSD) is one of the most common complications after stroke and is the main performance of emotion disturbance after brain stroke. The incidence rate in population is 30 % which has been reported in papers. PSD negatively affects patients’ duration, rehabilitation and prognosis. Mortality in PSD patients is 3 - 4 times higher than it in non-PSD patients. XNKQ therapy which established by academician Shi Xue-min is one of the effective and feasible methods on treating post-stroke depression. My topic today is to share the experience of the treatment effect of XNKQ acupuncture therapy on PSD. 如何诊断？How To Diagnose ？ 西 医 诊 断 标 准 Diagnostic criteria of Western Medicine 1. 中华医学会第四届全国脑血管学术会议制订的“各类脑血管疾病诊断 要点”中对中风病的诊断标准 According to the diagnosis of va