激痛点刺络放血疗法治疗中风后抑郁的效果观察

Observation of therapeutic effect of acupuncture and bloodletting at trigger points on post-stroke depression

目的探讨激痛点刺络放血疗法治疗中风后抑郁的临床效果。方法随机对照研究。抽取2022年1月至2022年12月聊城市第二人民医院收治的中风后抑郁患者70例,按照随机数字表法分为对照组与观察组,每组35例。对照组予以常规针刺疗法,观察组在对照组基础上联合激痛点刺络放血疗法。比较两组治疗效果,治疗前后中医症候积分、抑郁评分。结果观察组治疗总有效率(94.29%,33/35)高于对照组(77.14%,27/35),P<0.05。治疗前,两组中医症候积比较差异未见统计学意义(P>0.05),治疗后,观察组精神抑郁、善太息、胁肋胀痛、脾胃失调及脘闷嗳气评分低于对照组(P<0.05);治疗前,两组抑郁评分比较差异未见统计学意义(P>0.05),治疗后,观察组抑郁评分低于对照组(P<0.05)。结论激痛点刺络放血疗法用于中风后抑郁的治疗中能进一步改善患者中医症候积分,减轻抑郁症状,整体干预效果较好。

Objective To investigate the clinical effect of acupuncture and bloodletting at trigger points in the treatment of post-stroke depression.Methods This study was a randomized controlled study.A total of 70 patients with post-stroke depression admitted to the Second People’s Hospital of Liaocheng from January 2022 to December 2022 were selected.They were divided into control group and observation group by random number table method,with 35 cases in each group.The control group received routine acupuncture therapy,while the observation group received acupuncture and bloodletting at trigger points based on the treatment of the control group.The therapeutic effects of the two groups were compared.The traditional Chinese medicine symptom scores and depression scores of the two groups were compared before and after treatment.Results The total effective rate in the observation group(94.29%,33/35)was higher than that in the control group(77.14%,27/35),P<0.05.Before treatment,there was no statistically significant difference in the traditional Chinese medicine symptoms scores between the two groups(P>0.05).After treatment,the observation group had lower scores of depression,good breath,rib distension and pain,spleen-stomach imbalance,and belching in the epigastric cavity compared with the control group(P<0.05).Before treatment,there was no statistically significant difference in depression scores between the two groups(P>0.05).After treatment,the depression scores in the observation group were lower than those in the control group(P<0.05).Conclusions Acupuncture and bloodletting at trigger points in the treatment of post-stroke depression can further improve the traditional Chinese medicine syndrome score,and alleviate depressive symptoms,which has a good overall intervention effect.