调督通脑针法治疗脑梗死后抑郁症的临床疗效

Clinical Effects on Du-regulating and Cerebrovascular-unblocking Acupuncture Therapy in the Treatment of Depression after Cerebral Infarction

目的:观察调督通脑针法治疗脑梗死后抑郁症的临床疗效。方法:选取68例脑梗死后抑郁症患者,随机分为观察组和对照组,2组均给予西医常规治疗及普通针刺治疗,观察组加用调督通脑针法,对照组加用口服草酸西酞普兰。治疗前及治疗4周末、8周末应用汉密尔顿抑郁量表(HAMD)、临床神经功能缺损评分量表(CNFD)、日常生活活动能力量表(BI)对患者的抑郁程度、神经功能缺损程度、生活能力进行评定,同时观察不良反应。结果:治疗结束后,观察组有效率为94.12%,对照组有效率为81.82%,差异有统计学意义(P<0.05);在改善患者HAMD评分方面,2组差异有统计学意义(P<0.05)、在临床神经功能缺损、Barthel指数评分方面,2组差异有统计学意义(P<0.05),且随着治疗时间延长,评分改善愈明显。结论:和艾司西酞普兰都能减缓患者的抑郁症状,但在促进神经功能康复及生命质量的改善方面,调督通脑针法更胜一筹。

Objective： To observe the clinical effects of Du-regulating and cerebrovascular-unblocking acupuncture therapy on depression after cerebral infarction. Methods： A total of 68 eligible cases of patients diagnosed with depression after cerebral infarction were admitted into Handan Hospital of Traditional Medicine from October 2015 to October 2016,which were randomly divided into the observation group and the control group according to the random number table. All the patients were treated with conventional western medicine therapy and conventional acupuncture therapy. On the basis of the conventional therapies,patients in the observation group were treated with Du-regulating and cerebrovascular-unblocking acupuncture therapy,whereas patients in the control group were treated with oral administration Escitalopram oxalate Tablets. Hamilton depression scale（ HAMD）,clinical neurological function deficit scale（ CNFD） and Barthel Index（ BI） were used to evaluate the patients＇ depression degree,nervous functional defects degree and living ability before treatment,4 weeks and 8 weeks after treatment respectively. In addition,adverse reactions were also observed. Results： The total effective rate was 94. 12% in the observation group,compared with 81. 82% in the control group,and the difference was statistically significant（ P〈0. 05）; the observation group was superior to the control group in improving the HAMD（ P〈0. 05）,CNFD and BI scores（ P〈0. 05）,and the differences were all statistically significant.Moreover,the grades improved more significantly with treatment time extension. Conclusion： Escitalopram oxalate,together with Du-regulating and cerebrovascular-unblocking acupuncture therapy were effective for depression after cerebral infarction,and Duregulating and cerebrovascular-unchocking acupuncture therapy was much better in promoting the recovery of neural function and enhancing the quality of life.