针刺联合百忧解治疗脑梗死伴抑郁的疗效分析  

Curative analysis of acupuncture combined with fluoxetine in the treatment of cerebral infarction complicated with depression

作　　者：王伟伟[1] 霍金莲[1] 田永青[1] 刘勇[1] 

机构地区：[1]延安大学咸阳医院神经内科,咸阳市712000

出　　处：《国际精神病学杂志》2016年第1期113-115,共3页Journal Of International Psychiatry

摘　　要：目的探讨针刺联合百忧解在脑梗死伴抑郁治疗中的临床价值。方法将我院2013年1月至2014年10月期间收治的152例脑梗死伴抑郁患者平均分成两组,对照组予以百忧解治疗,观察组予以针刺联合百忧解治疗。采用汉密尔顿抑郁量表(HAMD-17)评估患者的抑郁程度,采用美国国立卫生研究院卒中量表(NIHSS)评估患者的神经功能,采用Barthel指数评估患者的日常生活能力。结果治疗后,观察组患者的HAMD评分明显低于对照组,抑郁总有效率明显高于对照组,神经功能缺损评分、Barthel指数评分均明显优于对照组(P<0.01)。结论针刺联合百忧解能有效改善脑梗死患者的抑郁情绪,抑制神经功能缺损,提高患者的日常生活能力。Objective To investigate the clinical value of acupuncture combined with fluoxetine in the treatment of cerebral infarction complicated with depression. Methods 152 cerebral infarction complicated with depression patients who sek medical treatment in our hospital from 2013 January to 2014 October were divided into two groups. Patients in control group were treated with fluoxetine,whereas patients in observation group were cured with acupuncture combined with fluoxetine. The depression state,neurological function and ability of daily living were evaluated by HAMD-17,National Institutes of Health Stroke Scale（ NIHSS） and Barthel index,respectively. Results After treatment,HAMD score of observation group was significantly lower than control group（ P〈0. 01）,depression total effective rate was significantly higher than control group（ P〈0. 01）,NIHSS score and Barthel index were significantly better than control group（ P〈0. 01）. Conclusion Acupuncture combined with fluoxetine has excellent effect in improving psychical emotion,inhibiting neurologic impairment and improving the patients＇ ability of daily life.

关 键 词：针刺 百忧解 脑梗死 抑郁 

分 类 号：R749.05[医药卫生—神经病学与精神病学]