原络接经灸法治疗脑卒中后抑郁临床研究  

Clinical Study on Yuan-Luo Point Meridian-connecting Moxibustion for Post-stroke Depression

作　　者：王妍文 韩冠先 霍学文 WANG Yanwen;HAN Guanxian;HUO Xuewen

机构地区：[1]洛阳市中医院,河南洛阳471003

出　　处：《新中医》2020年第9期124-127,共4页New Chinese Medicine

摘　　要：目的:观察原络接经灸法治疗脑卒中后抑郁的临床疗效。方法:将64例脑卒中后抑郁患者按随机数字表法分为观察组和对照组各32例。2组均给予神经内科常规治疗,对照组采用心理治疗,观察组采用原络接经灸法,艾柱灸十二经脉之原络穴。分别于治疗前、治疗第4周、治疗结束后(第8周)进行汉密尔顿抑郁量表(HAMD)、美国国立卫生院神经功能缺损量表(NIHSS)评分,评价临床效果。结果:治疗第4周、第8周,2组HAMD评分均较治疗前下降(P<0.05)。治疗第8周,观察组HAMD评分明显低于对照组(P<0.05)。治疗第4周,2组患者总有效率比较,差异无统计学意义(P>0.05)。治疗第8周,观察组总有效率明显高于对照组,差异有统计学意义(P<0.05)。治疗第4周、第8周,2组NIHSS评分均较治疗前下降,且观察组NIHSS评分均低于对照组,差异均有统计学意义(P<0.05)。结论:采用原络接经灸法治疗脑卒中后抑郁,不仅能缓解患者的抑郁症状,也能改善患者部分神经功能,提高生存质量,此法操作简便,疗程较短,患者依从性强,值得临床推广。Objective:To observe the clinical effect of Yuan-Luo point meridian-connecting moxibustion for post-stroke depression.Methods:Divided 64 cases of patients with post-stroke depression into the observation group and the control group according to random number table,32 cases in each group.Both groups received routine treatment of neurology.The control group received psychotherapy,while the observation group received moxibustion with moxa cones at Yuan-Luo points along twelve meridians,namely Yuan-Luo point meridian-connecting moxibustion.Before treatment,in the 4 thweek of treatment and after treatment(in the 8 th week),assessed the scores of Hamilton Depression Scale(HAMD)and National Institutes of Health Stroke Scale(NHISS),and evaluated the clinical effect.Results:In the 4 th and 8 th weeks of treatment,the scores of HAMD in both groups were lower than those before treatment(P<0.05).In the 8 thweek of treatment,the scores of HAMD in the observation group were lower than those in the control group(P<0.05).In the 4 thweek of treatment,there was no significant difference being found when comparing the total effective rates in both groups(P>0.05).In the 8 th week of treatment,the total effective rate in the observation group was evidently higher than that in the control group,difference being significant(P<0.05).In the 4 thand 8 thweeks of the treatment,the scores of NIHSS in both groups were lower than those before treatment,and the scores of NIHSS in the observation group were respectively lower than those in the control group,differences being significant(P<0.05).Conclusion:The application of Yuan-Luo point meridianconnecting moxibustion has good effect in treating post-stroke depression,which can not only relieve the symptoms of depression,but also improve partial nerve function and promote the quality of life.It is easy to operate with a short course of treatment and high compliance,which is worthy of clinical promotion.

关 键 词：脑卒中后抑郁 原络接经 灸法 从阴引阳 汉密尔顿抑郁量表 美国国立卫生院神经功能缺损量表 

分 类 号：R749.41[医药卫生—神经病学与精神病学]