电针治疗肝气郁结气虚血瘀型缺血性中风后抑郁疗效观察  

Curative Effect Observation on Electroacupuncture for Depression after Ischemic Stroke of Liver Qi Depression Type and Qi Deficiency and Blood Stasis Type

作　　者：冼益民 梁艳安 朱丽华[1] 黄康柏 XIAN Yimin;LIANG Yan＇an;ZHU Lihua;HUANG Kangbai

机构地区：[1]广州中医药大学第一附属医院,广东广州510405 [2]广州中医药大学针灸康复临床医学院,广东广州510006

出　　处：《新中医》2018年第9期185-187,共3页New Chinese Medicine

基　　金：广东省自然科学基金项目(2015A030310375)

摘　　要：目的:观察电针治疗肝气郁结、气虚血瘀型缺血性中风后抑郁症的临床疗效。方法:将60例缺血性中风后抑郁患者随机分为2组各30例。对照组给予常规针刺患侧合谷、手三里、足三里、血海,双侧内关、神门、太冲治疗;治疗组在对照组治疗的基础上联合电针大椎和百会穴,2组均每天针刺1次,每周5天,连续治疗4周,观察比较2组治疗前,治疗1周、2周、4周患者的汉密尔顿抑郁量表(HAMD)评分,并统计临床疗效。结果:总有效率治疗组为73.3%,对照组为66.7%,2组比较,差异无统计学意义(P>0.05)。治疗后1、2、4周,2组HAMD评分逐渐下降,与治疗前比较,差异均有统计学意义(P<0.05);且治疗4周后,治疗组HAMD评分下降较对照组更显著,2组比较,差异有统计学意义(P<0.05)。结论:常规针刺治疗缺血性中风后抑郁症可有效改善患者的抑郁症状,但联合电针大椎穴、百会穴治疗效果更佳。Objective：To observe the clinical effect of electroacupuncture for depression after ischemic stroke of liver qi depression type and qi deficiency and blood stasis type. Methods：Divided 60 cases of patients with depression after ischemic stroke randomly into two groups,30 cases in each group. The control group received routine acupuncture on Hegu,Shousanli,Zusanli,Xuehai,bilateral Neiguan, Shenmen, Taichong acupoints for treatment, while the treatment group additionally received electroacupuncture on Dazhui and Baihui acupoints. The two group received acupuncture once a day for four weeks, five days in one-week course. Observed and compared scores of Hamilton depression scale（HAMD） in the two groups before treatment and after one week, two weeks and four weeks of treatment, and carried out the statistics of the clinical curative effect. Results： The total effective rate was 73.3% in the treatment group and was 66.7% in the contorl group, there being no significance in the difference（P〈0.05）. After one week, two weeks and four weeks of treatment, HAMD scores in the two groups were gradually decreased when compared with those before treatment,differences being significant（P〈0.05）. After four weeks of treatment,HAMD score in the treatment group was decreased more significantly than that in the control group, the difference being significant（P〈0.05）. Conclusion： Routine acupuncture for depression after ischemic stroke can effectively improve the symptoms of depression of patients, but the therapy combined with electroacupuncture on Dazhui and Baihui acupoints has better curative effect.

关 键 词：缺血性中风后抑郁症 肝气郁结 气虚血瘀 电针 大椎 百会 

分 类 号：R246.6[医药卫生—针灸推拿学]