针刺配合心理干预治疗脑卒中后失语伴抑郁临床观察  

Clinical Observation on Acupuncture Combined with Psychological Intervention in Treatment of Depression after Stroke with Aphasia

作　　者：艾霞[1] 张淑珍[1] 

机构地区：[1]陕西中医学院,陕西咸阳712046

出　　处：《辽宁中医杂志》2013年第9期1907-1908,共2页Liaoning Journal of Traditional Chinese Medicine

基　　金：咸阳市科技局项目(xk0817)

摘　　要：目的:观察针刺配合心理干预治疗脑卒中后抑郁的临床疗效。方法:将59例脑卒中患者分为针刺配合心理治疗组、药物治疗对照组。针刺取穴百会、神门、风府、风池、大椎基本穴位;心理疏导由本院精神科医生执行,对照组给予口服帕罗西汀,各组采用Hamilton抑郁量表(HAMD)和Hamilton焦虑量表(HAMA)评价疗效差异。结果:两组治疗28天后,治疗组总有效率为86.7%,对照组为69.0%。结论:应用针刺结合心理干预对脑卒中后语言障碍伴抑郁有明显的治疗优势。Objective：To assess the clinical efficacy on depression disorder treated with acupuncture and psychological inter-vention. Methods ：59 stroke cases were randomly divided into treatment group and control group. The treatment group was treated by acupuncture combined with psychotherapy. The control group was treated by Paroxetine. In acupuncture treatment group, Baihui, Shengmen, Fengfu, Dazhui points were used. Psychotherapy was applied by the physicians in psychiatric department of the hospital. Hamilton Anxiety scale （HAMA） and Hamilton Depressive scale （HAMD） were used to assess anxiety and depression. Re-sults ：After 28 -day treatment, the effective rate was 86.7% in treatment group and 69.0% in control group. Conclusion： Com-pared two treatments in treating anxiety and depression, the first treatment method has the best effect on treating anxiety and de-pression.

关 键 词：脑卒中抑郁 针刺疗法 心理疗法 

分 类 号：R749.13[医药卫生—神经病学与精神病学]