摘要
目的:探讨“醒脑开窍”针法治疗卒中后抑郁症(poststrokedepression,PSD)的临床疗效。方法:采用“醒脑开窍”针法作为干预手段,设口服阿米替林作为西药对照。针刺组选取内关、水沟、百会、印堂、三阴交穴,每穴留针20min,每天治疗2次。以患者治疗前后的临床症状为指标衡量疗效,并通过抑郁自评量表(SDS)、汉密尔顿抑郁量表(HRSD)评估不同治疗方法对不同心理情绪障碍的作用。结果:经过不同方法治疗后,PSD患者的临床症状和各种抑郁量表相关指标均得到了改善,“醒脑开窍”针法显效率和总有效率明显高于西药组,且对改善抑郁、悲观的精神症状效果明显优于西药(P<0.05),且具有无毒副作用的特点。结论:“醒脑开窍”针法治疗卒中后抑郁症疗效显著。
Objective： To observe the therapeutic effect of ＂Xingnao Kaiqiao Zhenfa＂ （Acupuncture Technique for Restoring Consciousness） in the treatment of post-stroke depression. Methods： A total of 256 stroke patients were divided into acupuncture group （n = 180, male 138, female 42） and medication group （n = 76, male 57 and female 19） according to their visiting sequence to our hospital. Acupoints used were Neiguan （PC 6）, Renzhong （GV 26）, Baihui （GV 20）, Yintang （EX-HN 3） and Sanyinjiao （SP 6, the affected side） and the needles were retained for 20 min every time. Patients of medication group were asked to take Amitriptyline （50 mg/d at first, 200 mg/d）. Acupuncture treatment was conducted twice daily, and after one month＇s treatment the therapeutic effect was evaluated. Self-Rating Depression Scale （SDS） and Hamilton Rating Scale for Depression （HRSD） were used to assess the patient＇s state of depression. Results： After the treatment, of the 180 and 76 cases in acupuncture and medication groups, 31 （17.2%） and 13 （17. 1%） were cured, 73 （40.6%） and 18 （23.7%） had a marked improvement in their depression state, 27 （15.0%） and 12 （15.8%） had an improvement, 49 （27.2%） and 33 （43.4%） failed, with the effective rates being 72.8 % and 56.6 % respectively. The markedly effective rate and the total effective rate of acupuncture group were significantly higher than those of medication group （P〈0.05）. After the treatment, the total scores of SDS and HRSD and the severity index of two groups decreased pronouncedly in comparison with those of their individual pre-treatment; and the therapeutic effects of acupuncture group were significantly better than those of medication group in reducing SDS, HRSD and severity index （P〈0.05）. In addition, the decreased values of depression, pessimistic mood and irritability of acupuncture group were all bigger than those of medication group （P〈0.05）. No significant difference was found between two groups in the decreased value of insomnia （P〉0.05）. Conclusion： ＂Acupuncture Technique for Restoring Consciousness＂ can effectively improve depression patients＇ symptoms and the therapeutic effect of acupuncture is markedly superior to that of medication for post-stroke patients.
出处
《针刺研究》
CAS
CSCD
2007年第1期58-61,共4页
Acupuncture Research
关键词
卒中后抑郁症
醒脑开窍针刺法
药物
ost-stroke depression
Acupuncture technique for restoring consciousness
Medication
