芳香中药药枕联合耳穴贴压对卒中后抑郁患者的效果观察

Effect of Chinese herbal medicine pillow combined with auricular point sticking on patients with post-stroke depression

目的探讨芳香中药药枕联合耳穴贴压对卒中后抑郁的临床效果。方法将90例卒中后抑郁患者随机分为实验组1、实验组2和对照组,每组30例。实验组1在常规治疗护理基础上予芳香中药药枕联合耳穴贴压干预,实验组2在常规基础上予耳穴贴压干预,对照组只接受常规治疗护理。3组分别在干预前和干预4周后采用汉密尔顿抑郁量表(Hamilton Depression Scale,HAMD)和脑卒中临床神经功能缺损程度评分量表(National institutes of health stroke scale,NIHSS)进行疗效评价。结果 干预前后3组组内HAMD评分差异均有统计学意义,其中实验组1(t=18.148,P<0.001),实验组2(t=13.889,P<0.001)及对照组(t=9.988,P<0.001)。干预后3组HAMD评分组间差异也具有统计学意义(F=12.873,P<0.001)。干预前后3纽组间及组内NIHSS评分差异无统计学意义(P>0.05)。结论芳香中药药枕联合耳穴贴压可降低卒中后患者的抑郁症状,且效果优于单独采用耳穴贴压者。

Objective To investigate the effect of using Chinese herbal medicine pillow combined with auricular point sticking on patients with post-stroke depression（PSD）. Methods Ninety patients with PSD were randomly divided into 3 groups,experimental group A,experimental group B and a control group,30 cases in each group. Participants in the experimental group A using Chinese herbal medicine pillow and auricular point sticking,and participants in the experimental group B received auricular point sticking. All the groups received routine treatment and care. All participants completed the Hamilton Depression Scale （HAMD） and the National Institutes of Health Stroke Scale （NIHSS） before and after 4-week intervention. Results The HAMD scores were significantly different before and after intervention in each group, experimental group A （t： 18.148, P〈0.001 ）, experimental group B （t= 13.889, P〈0.001 ） and control group（t=9.988,P〈0.001）. The significant differences of HAMD scores were found among the 3 groups after intervention（F=12.873,P〈0.001 ）. There was no difference among NIHSS scores among the groups after interven- tion（P〉0.05）. Conclusion Using Chinese herbal medicine pillow combined with auricular point sticking could reduce depression symptoms of patients with PSD,and the effect was better than using auricular plaster therapy only.