针刺治疗中风后抑郁症患者43例临床观察

Clinical efficacy of acupuncture in treating 43 patients with post-stroke depression

目的探讨针刺治疗中风后抑郁症患者的临床疗效。方法 86例中风后抑郁症患者随机分为对照组和治疗组,各43例。2组患者均给予中风后常规治疗,对照组在此基础上口服帕罗西汀,治疗组采取针刺治疗,疗程均为4周。疗程结束后观察2组的临床疗效,并对治疗前后汉密尔顿抑郁量表(HAMD)积分、神经功能缺损评分及不良反应发生情况进行统计学分析。结果治疗组总有效率为90.70%,显著高于对照组的74.42%,经统计学分析,差异有统计意义(P<0.05);治疗后2组HAMD积分及神经功能缺损评分显著低于同组治疗前(P<0.05),且治疗组降低幅度优于对照组(P<0.05);治疗组不良反应发生率(2.33%)显著低于对照组(20.93%),差异有统计意义(P<0.05)。结论针刺治疗中风后抑郁症临床疗效显著,且无明显不良反应。

Objective To explore the clinical efficacy of acupuncture in treating patients with post-stroke depression. Methods 86 patients were randomly divided into control group and treatment group,43 cases each. Two groups were treated with conventional therapy. Additionally,the control group took paroxetine orally and the treatment group was interfered with acupuncture,4 weeks as one course. The efficacy was observed,HAMD score,neurological impairment score and adverse reaction were statistically analyzed before and after treatment. Results The total effective rate of treatment group was 90.70% and markedly higher than of control group( 74.42%). There was a significant difference( P < 0. 05). After treatment,HAMD score and neurological impairment score of 2 groups were significantly lower than of before,there was a significant difference( P<0.05),and treatment group was superior to control group. The incidences of adverse reactions of two groups were 2. 33% and 20. 93% respectively,the difference was significant( P < 0. 05). Conclusion Acupuncture in treating post-stroke depression patients has a striking efficacy and no visible side-effects.