摘要
目的观察针药并用治疗中风后抑郁症的临床疗效。方法将64例中风后抑郁症患者随机分为治疗组和对照组,每组32例。治疗组采用针刺配合中药治疗,对照组采用口服盐酸氟西汀治疗。观察两组治疗前后汉密尔顿抑郁量表(HAMD)、改良Barthel指数评定量表和中医证候积分变化情况及临床疗效。结果治疗组总有效率为87.5%,对照组为75.0%,两组比较差异具有统计学意义(P<0.05)。两组治疗后中医证候积分、神经功能缺损评分、HAMD量表评分及改良Barthel指数评分与同组治疗前比较,差异均具有统计学意义(P<0.05)。治疗组治疗后中医证候积分、神经功能缺损评分、HAMD量表评分及改良Barthel指数评分与对照组比较,差异均具有统计学意义(P<0.05)。结论针药并用是一种治疗中风后抑郁症的有效方法。
Objective To observe the therapeutic efficacy of acupuncture combined with medication in treating post-stroke depression. Method Sixty-four post-stoke depression patients were randomized into a treatment group and a control group, 32 each. The treatment group was intervened by acupuncture plus Chinese medication, and the control group was by Fluoxetine hydrochloride. Hamilton Depression Rating Scale （HAMD）, Modified Barthel Index （MBI）, symptom score of traditional Chinese medicine （TCM）, and therapeutic efficacy were observed and compared before and aRer treatment in the two groups. Result The total effective rate was 87.5% in the treatment group versus 75.0% in the control group, and the difference was statistically significant （P〈0.05）. The two groups both had significant changes in comparing TCM symptom score, neural function defect score, HAMD, and MBI scores after treatment （P〈0.05）. Compared to the control group, the treatment group had marked differences in TCM symptom score, neural function defect score, HAMD and MBI scores after treatment （P〈0.05）. Conclusion Acupuncture combined with medication is an effective method in treatin~ post-stroke depression.
出处
《上海针灸杂志》
2013年第5期349-351,共3页
Shanghai Journal of Acupuncture and Moxibustion
关键词
针刺疗法
抑郁症
中风后遗症
针药并用
Acupuncture therapy
Depression
Post-stroke sequelae
Acupuncture medication combined
