电项针早期干预对急性脑梗死患者抑郁事件发生的影响

Effect of Nucha Electrical Acupuncture Earlier Intervention on Depression Incident after Acute Cerebral Infarction

目的观察电项针早期干预对急性脑梗死患者脑卒中后抑郁(PSD)发生的预防效果。方法将尚未达到抑郁诊断条件的急性脑梗死患者随机分为电项针组和对照组,每组各30例,治疗前后采用Hamilton抑郁量表(HAMD)分别进行抑郁状态评定。结果电项针组发生PSD5例,其中轻度3例,中度1例,重度1例;对照组发生PSD12例,其中轻度6例,中度4例,重度2例(P<0.05)。结论电项针能减少PSD事件的发生并减轻其程度,可以应用于PSD的早期干预。

Objective To observe the nucha electrical acupuncture Intervening at early times preventing the occurrence of poststroke depression （PSD） in acute cerebral infarction （ACI） patients. Methods ACI patients whose scores of Hamilton Rating Scale for Depression （HAMD-24） were not above to the the level of mild depression were divided into acupuncture group （30 eases） and control group （30 eases）. They were assessed with HAMD-24 before and after treatment respectively. Results There were 5 eases in acupuncture group whose scores of HAMD-24 were above the level of depression, which were mild in 3 eases, medium in 1 ease, severe in 1 eases. While there were 12 eases in control group, which were mild in 6 eases, medium in 4 eases, severe in 2 eases （P〈0.05）. Conclusion The nucha electrical acupuncture intervening early can reduce the incidence and relieve the degree of PSD.