健脾调气法针刺联合麦粒灸对肝郁脾虚型轻中度中风后抑郁症的治疗效果

Therapeutic Effect of Acupuncture and Grain Moxibustion with Method of Strengthening Spleen and Regulating Qi on Mild to Moderate Post-stroke Depression of Liver Depression and Spleen Deficiency Type

目的:探讨健脾调气法针刺联合麦粒灸治疗肝郁脾虚型轻中度中风后抑郁症(PSD)的效果。方法:择取2019年5月-2020年12月本院收治的肝郁脾虚型轻中度PSD患者80例,采用随机数字表法分为两组,每组40例。对照组使用盐酸舍曲林,观察组接受健脾调气法针刺联合麦粒灸。比较两组治疗前后的汉密尔顿抑郁量表(HAMD)评分、中医症候积分,评定临床效果并观察安全性。结果:两组治疗前HAMD评分、中医症候积分比较,差异均无统计学意义(P>0.05);两组治疗后HAMD评分、中医症候积分均减少,且观察组均低于对照组,差异均有统计学意义(P<0.05)。观察组治疗总有效率较对照组高,差异有统计学意义(P<0.05)。两组均未发生严重不良反应。结论:健脾调气法针刺联合麦粒灸治疗肝郁脾虚型轻中度PSD的效果优于盐酸舍曲林,能够进一步改善抑郁情绪与中医证候,值得推广。

Objective:To investigate the effect of acupuncture and grain moxibustion with method of strengthening spleen and regulating qi on mild to moderate post-stroke depression of liver depression and spleen deficiency type.Method:A total of 80 mild to moderate PSD patients of liver depression and spleen deficiency type who admitted to our hospital from May 2019 to December 2020 were selected and divided into two groups by random number table,with 40 cases in each group.The control group was given Sertraline Hydrochloride,and the observation group was given acupuncture combined with grain moxibustion with method of strengthening spleen and regulating qi.Hamilton depression scale(HAMD)scores and TCM syndrome scores before and after treatment were compared between two groups,the clinical effect and the safety were evaluated and observed.Result:There were no statistical differences in HAMD scores and TCM syndrome scores between two groups before treatment(P>0.05).After treatment,the HAMD scores and TCM syndrome scores of two groups reduced,and the observation group were lower than those of the control group,there were statistical significance(P<0.05).The total effective rate of treatment in the observation group was higher than that in the control group,and there was statistical difference(P<0.05).No serious adverse reactions occurred in two groups.Conclusion:The effect of acupuncture and grain moxibustion with method of strengthening spleen and regulating qi on mild to moderate post-stroke depression of liver depression and spleen deficiency type is better than that of Sertraline Hydrochloride,which can further improve depression and TCM syndromes,and it is worthy of promotion.