基于"治未病"理论防治卒中后抑郁OA
Prevention and Treatment of Post-stroke Depression based on the Theory of"Preventive Treatment for Disease"
卒中后抑郁(post-stroke depression,PSD)是继发于脑卒中的最常见且最严重的后遗症之一,其发病率正在逐年上升,严重影响了卒中病人的康复.目前众多的治疗方法应用于PSD的效果均不理想,因此PSD的预防和治疗格外重要.基于"治未病"理论,将PSD的病因病机贯穿于防病和治病的过程中,在PSD的发生、发展以及预后的各个阶段提前干预,有助于卒中后康复.具体而言,通过普及PSD,防微杜渐,调畅情志,顺应自然做到未病先防;已病之时,运用中药、针灸等综合治疗既病防变;病情趋于平稳之时,食疗、足浴、饮食调护等防止病情复发.
Post-stroke depression(PSD)is one of the most common and serious sequelae secondary to stroke.Its inci-dence is increasing year by year,which seriously affects the recovery of stroke patients.Currently,many treatment meth-ods are not effective in PSD,so the prevention and treatment of PSD are particularly important.Based on the theory of"treating the disease before it becomes a disease",the etiology and pathogenesis of PSD are integrated into the process of disease prevention and treatment,and early intervention at various stages of the occurrence,development and prognosis of PSD is helpful for post-stroke recovery.Specifically,through the popularization of PSD,we can prevent the slightest signs of disease,regulate emotions,and follow nature to prevent disease before it occurs;when the disease is already diagnosed,use traditional Chinese medicine,acupuncture and other comprehensive treatments to prevent the disease from becoming worse;when the condition becomes stable,diet therapy,Foot bath,dietary care,etc.can prevent recurrence of the disease.
刘华梅;吴平岭;李衫衫;赵峰;虞鹤鸣
南京中医药大学 江苏南京 210003南京中医药大学附属南京中医院 江苏南京 210001
临床医学
治未病卒中后抑郁防治
Treat the disease before it occursPost-stroke depressionPrevention and treatment
《中医药临床杂志》 2024 (006)
1055-1059 / 5
南京市"十三五"名中医(虞鹤鸣)工作室建设项目(YHM-2017-NJ);江苏省中医药管理局科技发展重点项目(ZD202010);江苏省中医药管理局科技发展计划项目(MS2021033);南京医学科技发展计划项目(YKK20164)
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