摘要
目的:探讨针刺结合百忧解治疗对脑梗死后抑郁和日常生活能力的影响。方法:将60例脑梗死后抑郁患者随机分为治疗组和对照组各30例。两组均予神经内科常规治疗和传统常规针刺治疗。治疗组在基础治疗上给予针刺配合盐酸氟西汀(百忧解)治疗。观察组在基础治疗上给予盐酸氟西汀(百忧解)。两组疗程均为4周。两组患者于治疗前、治疗后分别进行汉密尔顿抑郁量表(HAMD)-17项评分、神经功能缺损程度评分和日常生活活动能力(ADL)评定。结果:两组治疗后汉密尔顿抑郁量表评分、神经功能缺损评分和Barthel指数评分与治疗前比较均明显改善(P<0.01),且治疗组各项指标均明显优于对照组(P<0.05)。结论:脑梗死后抑郁患者在予以脑梗死规范的基础治疗的同时加用针药联合治疗,能够减少神经功能缺损评分,改善抑郁症状,提高日常生活活动能力。
Objective：To explore the effect of acupuncture combined with fluoxetine on depression and activi- ties of daily living after cerebral infarction. Methods ：60 cases of patients with depression after cerebral infarc- tion were randomly divided into treatment and control groups, and each group had 30 patients. Two groups were given neural medical therapy and conventional acupuncture therapy as the basic treatment. Besides, the treat-ment group was given acupuncture and fluoxetine. The control group received fluoxetine. Both groups were trea- ted for 4 weeks. The therapeutic effects were evaluated by the Hamilton Depression Scale （HAMD） , National Institutes of Health Stroke Scale （NIHSS） and Barthel Index（ADL）. Results： Degrees of HAMD, NIHSS and ADL were improved in the two groups after treatment, and the differences were statistically significant （ P 〈 0. 01 ）. Conclusion：Combination of acupuncture and medicine on the basis of the conventional basic treatment for treating depression after cerebral infarction has a good clinical efficacy, and it can reduce the NIHSS, im- prove depressive symptoms and ADL independence.
出处
《针灸临床杂志》
2015年第1期28-30,共3页
Journal of Clinical Acupuncture and Moxibustion
关键词
脑梗死
抑郁
针刺
针药结合
Cerebral infarction
Depression
Acupuncture
Combination of acupuncture and medicine
