醒神解郁针法治疗脑卒中后抑郁疗效观察

Observation on Effect of "Xingshen Jieyu" Acupuncture Method in Treating Post Stroke Depression

[目的]观察醒神解郁针法治疗脑卒中后抑郁的临床疗效。[方法]将60例脑卒中后抑郁患者随机分为针刺组和西药组,每组30例。针刺组以百会、四神聪、神庭、足三里、三阴交、太冲为主穴,予针刺配合电针;西药组口服西酞普兰片20mg,每日早餐后顿服,两组均治疗30天。采用汉密尔顿抑郁量表(HAMD)、日常生活能力量表(BI),于治疗前、治疗后各进行一次疗效评定,并进行统计学分析。[结果]两组HAMD评分治疗后均较治疗前显著下降,差异有统计学意义(P<0.01),但组间抗抑郁疗效未见明显差异(P>0.05),两组抗抑郁总有效率分别为93.33%和90%,临床总体疗效相当(P>0.05);两组BI评分均较治疗前显著升高(P<0.05),针刺组比西药组增高更为明显,差异有统计学意义(P<0.05)。[结论]醒神解郁针法治疗脑卒中后抑郁疗效肯定,可明显提高脑卒中后抑郁患者的日常生活能力。

[Objective] To evaluate the efficacy of 'xingshen jieyu' acupuncture method in treating patients with post stroke depression. [Methods]Sixty patients with post-stroke depression were randomly assigned to two groups, 30 in each. Both were treated with routine medicine and rehabilitation treatment, but the acupuncture group were treated by 'xingshen jieyu' acupuncture method, while the medicine group received Citalopram tablets. The efficacy was assessed with HAMD scale, Barthel index(BI) before treatment and 30 days in both groups. [Results]HAMD scores significantly decreased in both groups(P<0.01), The efficacies of anti-depression were similar in comparison between groups(P>0.05),The total effective rates were 93.33% and 90%respectively, manifesting the same curative effect(P>0.05);BI score significantly increased(P<0.05) in both groups, but the improvement in decrease in the acupuncture group was more significant than the medicine group(P<0.05). [Conclusion] 'Xingshen jieyu' acupuncture method is effective in treating patients with post stroke depression.