赵东升 侯志峰

    【摘 要】 目的：观察中西医结合治疗肝郁脾虚型帕金森病抑郁患者的临床疗效。方法：选取帕金森病合并抑郁且中医辨证为肝郁脾虚型的患者50例，随机分为对照组25例，观察组25例，两组病例均在基础治疗上予以米氮平口服，观察组加用逍遥散合柴胡疏肝散，每日1剂，早晚分服。两组均治疗4周。治疗前后分别使用汉密尔顿抑郁评定量表(HAMD)、帕金森病评定量表第一部分(UPDRS partⅠ)，中医症候评分评估患者抑郁症状。结果：治疗后两组汉密尔顿抑郁量表、帕金森病评定量表、中医症候评分均较治疗前降低，且观察组较对照组下降更明显。结论：中西医结合治疗帕金森病合并抑郁患者疗效较好。

    【关键词】 肝郁脾虚;帕金森病;抑郁

    【中图分类号】R741 【文献标志码】 A 【文章编号】1007-8517(2021)08-0103-04

    Abstract：Objective To observe the clinical efficacy of combine traditional Chinese and western medicine in the treatment of depression of Parkinson's disease with liver depression and spleen deficiency.Methods 50 patients with Parkinson's disease and depression with liver stagnation and spleen deficiency were randomly divided into control group (25 cases) and observation group (25 cases).On the basis of basic treatment ......