针刺“四关”穴治疗脑卒中后抑郁的临床研究

A Clinical Study on Post-Stroke Depression with Acupuncture at Siguan Acupoint

目的:观察"四关"穴与单用"合谷"穴或"太冲"穴治疗脑卒中后抑郁的临床疗效,为对穴研究提供临床参考。方法:将90例脑卒中后抑郁患者随机分为A、B、C组,每组30例。A组(合谷穴组)针刺双侧合谷穴治疗,B组(太冲穴组)针刺双侧太冲穴治疗,C组(四关穴组)针刺四关穴治疗,共治疗4周。治疗前后运用HAMD抑郁量表分别对3组患者进行评分,治疗4周后进行疗效评定和分析。结果:治疗后3组HAMD抑郁量表评分与治疗前比较,均显著下降,差异均有统计学意义(P<0.01);治疗后C组HAMD抑郁量表评分与A组、B组比较,下降更明显,差异有统计学意义(P<0.01);治疗后分别与A组、B组比较,C组总体疗效更高,差异有统计学意义(P<0.05);治疗后C组与A组比较,C组总有效率更高,差异有统计学意义(P<0.05)。结论:针刺"四关"穴与单用"合谷"穴或"太冲"穴均能有效改善患者的抑郁症状,针刺"四关"穴疗效优于单用"合谷"或"太冲"。

Objective： To discuss the clinical effect of acupuncture on Siguan acupoint and single ＂Hegu（LI4）＂ or ＂Taichong（LR3）＂ in post-stroke depression, to provide a reference for clinical research points. Methods：The 90 cases of patients with post-stroke were divided into group A, B and C, 30 cases in each. Patients were given acupuncture at ＂Hegu（LI4）＂ in group A（Hegu group）, ＂Taichong（LR3）＂ in the group B（Taichong group）and Siguan Acupoint in group C（Siguan group）, for 4 weeks. The HAMD was used to evaluate the patients,and the effect was evaluated and analyzed in 4 weeks. Results： After treatment, the three groups showed lower HAMD scores compared with before, and the difference was statistically significant（P〈0.01）. After the treatment,group C showed lower HAMD score than group A and B, with statistical difference（P〈0.01）. Group C showed better efficacy than the group A and B, and the difference was statistically significant（P〈0.05）. Group C showed higher effective rate than the group A, with statistical difference（P〈0.01）. Conclusion： Acupuncture on Siguan a cupoints can improve post-stroke depression better effect than acupuncture on ＂Hegu（LI4）＂ or ＂Taichong（LR3）＂;Acupuncture on Siguan acupoints showed better effect than ＂Hegu（LI4）＂ or ＂Taichong（LR3）＂.