摘要
目的观察偶刺治疗脑卒中后失眠伴抑郁患者的疗效。方法将80例脑卒中后失眠伴抑郁患者随机分为治疗组和对照组,每组40例。治疗组采用偶刺心俞、巨阙、肝俞、期门穴,每日1次,每次20 min;对照组口服盐酸帕罗西汀片20 mg,每次1粒,每晚睡前服用。两组均治疗2个疗程(连续治疗2星期为1个疗程)。并用匹兹堡睡眠质量指数(PSQI)观察两组治疗前及治疗2星期、4星期的变化情况和临床疗效。结果治疗组和对照组患者治疗2星期和4星期PSQI评分、HAMD评分均降低(P<0.05);治疗组PSQI、HAMD评分的改善优于对照组,治疗组PSQI、HAMD评分于第2星期显著改善,与对照组存在显著差异(P<0.05);其后2星期继续保持这种差异;治疗组和对照组总有效率分别为90.0%(36/40)和15.0%(6/40),治疗组疗效明显优于对照组(P<0.05)。结论结果表明偶刺治疗脑卒中后失眠伴抑郁安全有效,其疗效优于盐酸帕罗西汀片。
Objective To observe the therapeutic efficacy of paired needling in treating insomnia with depression after cerebral stroke. Method Eighty patients with insomnia plus depression after cerebral stroke were randomized into a treatment group and a control group, 40 cases in each group. The treatment group was intervened by paired needling at Xinshu （BL15）, Juque （CV14）, Ganshu （BL18）, and Qimen （LR14）, once a day, 20 rain each session; the control group was by oral administration of Paroxetine hydrochloride tablet 20 mg, 1 tablet each time prior to sleep at night. Two treatment courses were observed in the two groups （successive 2-week treatment as a course）. The Pittsburgh Sleep Quality Index （PSQI） was adopted to observe the two groups before treatment, after 2-week treatment, and after 4-week treatment, and the clinical efficacy was also evaluated. Result Respectively after 2-week and 4-week treatment, the PSQI scores and Hamilton Depression Scale （HAMD） scores dropped significantly in the two groups compared to that before the intervention （P〈0.05）; the improvements of the PSQI and HAMD scores in the treatment group were more significant than that in the control group; the scores were markedly improved in the 2nd week in the treatment group and were significantly different from that in the control group （P〈0.05）; the significant differences were maintained in the following 2 weeks; the total effective rate was respectively 90.0% （36/40） in the treatment group and 15.0% （6/40） in the control group, and the therapeutic efficacy of the treatment group was markedly superior to that of the control group （P〈0.05）. Conelusion The results show that paired needling is safe and effective in treating insomnia with depression after cerebral stroke, and its therapeutic efficacy is superior to that of Paroxetine hydrochloride tablets.
作者
付丽
马朝阳
唐雷
王颖
FU Li MA Zhao-yang TANG Lei WANG Hng.(Wuhan Central Hospital, Wuhan 430014,China)
出处
《上海针灸杂志》
2016年第10期1184-1186,共3页
Shanghai Journal of Acupuncture and Moxibustion
