摘要
目的:观察醒脑开窍针法治疗卒中后抑郁症的临床疗效。方法:将256例患者随机分为2组,针刺组180例采用醒脑开窍针法治疗;对照组76例口服阿米替林治疗,均连续治疗30天。观察患者治疗前后的临床症状变化,并进行SDS量表和HAMD量表评估。结果:显效率针刺组为40.6%,对照组为23.7%,2组比较,差异有显著性意义(P<0.05);总有效率针刺组为72.8%,对照组为56.6%,2组比较,差异有显著性意义(P<0.05)。2组治疗后抑郁总分、严重指数均显著下降,与治疗前比较,差异均有显著性意义(P<0.05);治疗后针刺组抑郁总分、严重指数下降明显,与对照组比较,差异均有显著性意义(P<0.05)。2组治疗后HAMD量表总分均显著减少,与治疗前比较,差异均有显著性意义(P<0.05);治疗后针刺组总分减少明显,与对照组比较,差异有显著性意义(P<0.05)。针刺组治疗后的抑郁下降值、悲观下降值、烦躁下降值,与对照组比较,差异均有显著性意义(P<0.05);2组不寐下降值比较,差异无显著性意义(P>0.05)。其中,在改善抑郁、悲观的精神症状方面,针刺组疗效明显优于对照组,而在改善烦躁情绪方面,对照组疗效优于针刺组,2组在改善睡眠障碍方面没有明显差异。结论:醒脑开窍针法治疗卒中后抑郁症疗效可靠,可较好地改善临床症状。
Objective:To observe the therapeutic effect of acupuncture for restoring consciousness and inducing resuscitation in treating post-stroke depression.Methods: Two hundred and fifty-six post-stroke depression patients were randmnized into 2 groups. Group A(n=180)received acupuncture for restoring consciousness and inducing resusci- tation,and group B(n=76)received oral use of amitriptyline.The treatment lasted 30 days.The changes of symptoms as well as the scores of SDS and HAMD were observed be- fore and after treatment.Results:The markedly effective rate was 40.6% in group A. and 23.7% in group B,the difference being significant(P<0.05).The effective rate was 72.8% in group A,and 56.6% in group B,the difference being significant(P<0.05).The total scores of depression and its severity index after treatment decreased in the two groups(P<0.05 as compared with those before treatment).The score of HAMD re- duced after treatment in the two groups(P<0.05 as compared with those before treat- ment).The difference of the decrease of depression,pessimism and anxiety scores was sig- nificant between the two groups(P<0.05),but the difference of the decrease of insomnia score was insignificant(P>0.05).The improvement of depression and pessimism in group A was superior to that in group B,while group B had a better effect on relieving anxiety.Effect on sleep disorder in group A was similar to group B.Conclusion: Acupuncture for restoring consciousness and inducing resuscitation has a better effect on re- lieving symptoms of post-stroke depression.
出处
《新中医》
CAS
北大核心
2007年第10期27-28,共2页
New Chinese Medicine
