电项针结合五行音乐疗法治疗脑卒中后抑郁的临床研究

Clinical effect of electro-nape acupuncture combined with five-element music therapy in the treatment of post-stroke depression

目的探讨电项针结合五行音乐疗法辅助治疗脑卒中后抑郁(PSD)的临床效果。方法选取我院2018年1月~2019年9月收治的60例PSD患者,根据随机数字表法分为对照组与治疗组,各30例,给予对照组患者氟西汀口服治疗,治疗组在对照组的基础上接受电项针结合五行音乐治疗。比较两组患者临床疗效、治疗前后抑郁及生活能力评分。结果治疗组治疗总有效率高于对照组,差异有统计学意义(P<0.05);两组治疗后的汉密尔顿抑郁量表(HAMD)评分均低于治疗前,差异有统计学意义(P<0.05),且治疗组的HAMD评分低于对照组,差异有统计学意义(P<0.05);两组治疗后的日常生活能力(ADL)评分均高于治疗前,差异有统计学意义(P<0.05),且治疗组的ADL评分高于对照组,差异有统计学意义(P<0.05)。结论电项针结合五行音乐疗法治疗PSD疗效明确,可有效缓解患者抑郁症状。

Objective To investigate the clinical effect of electro-nape acupuncture combined with five-element music therapy in the treatment of post-stroke depression(PSD).Methods Sixty patients with PSD who were admitted to the hospital from January 2018 to September 2019 were selected.They were divided into control group and treatment group by the random table method,each had 30 cases.The control group was treated with oral administration of Fluoxetine,while treatment group was treated with electro-nape acupuncture combined with five-element music therapy on the basis of the treatment of control group.The clinical effect,depression,activities of daily living scores before and after treatment were compared between the two groups.Results The total response rate of treatment group was higher than that of control group(P<0.05).After treatment,scores of Hamilton depression scale(HAMD)of both groups were lower than those before intervention,the differences were statistically significant(P<0.05),and HAMD score of treatment group was lower than that of control group,the difference was statistically significant(P<0.05).The activity of daily living(ADL)scores of both groups after treatment were higher than those before treatment,the differences were statistically significant(P<0.05),and ADL score of treatment group was higher than that of control group,the difference was statistically significant(P<0.05).Conclusion Electro-nape acupuncture combined with five-element music therapy is effective in the treatment of PSD,and it can effectively alleviate depressive symptoms of patients.