通元针法治疗肝气郁结型卒中后抑郁的临床疗效观察  

Observation on Clinical Efficacy of Tongyuan Acupuncture Therapy for the Treatment of Liver-qi Stagnation Type of Post-stroke Depression

作　　者：吴进进 崔韶阳[2] 王曙辉[2] 赖新生[2] WU Jin-Jin;CUI Shao-Yang;WANG Shu-Hui;LAI Xin-Sheng(Cinical Medieal School of Acupuncture,Moxibustion and Rehabiltation,Guangzhou University of Chinese Medicine,Guangzhou 510006 Guangdong,China;Shenzhen Hospital of Guangzhou University of Chinese Medicine,Shenzhen 518034 Guangdong,China)

机构地区：[1]广州中医药大学针灸康复临床医学院,广东广州510006 [2]广州中医药大学深圳医院,广东深圳518034

出　　处：《广州中医药大学学报》2022年第10期2303-2308,共6页Journal of Guangzhou University of Traditional Chinese Medicine

基　　金：深圳市医疗卫生三名工程项目(编号:SZSM201612023)。

摘　　要：【目的】观察通元针法治疗肝气郁结型卒中后抑郁(PSD)患者的临床疗效。【方法】将60例肝气郁结型PSD患者随机分为试验组和对照组,每组各30例。2组患者均给予常规基础治疗及康复训练,在此基础上,对照组给予氟哌噻吨美利曲辛片治疗,试验组给予通元针法针刺治疗,疗程为4周。观察2组患者治疗前后中医证候积分、美国国立卫生研究院卒中量表(NIHSS)评分、汉密尔顿抑郁量表17项(HAMD-17)评分、抑郁自评量表(SDS)评分、改良Barthel指数(BI)评分的变化情况,并评价2组患者的临床疗效。【结果】(1)治疗4周后,试验组的总有效率为93.33%(28/30),对照组为86.67%(26/30);组间比较(秩和检验),试验组的疗效明显优于对照组,差异有统计学意义(P<0.05)。(2)治疗后,2组患者的中医证候积分、NIHSS评分、HAMD-17评分、SDS评分均较治疗前明显降低(P<0.01),BI评分均较治疗前明显升高(P<0.01),且试验组对中医证候积分、NIHSS评分、HAMD-17评分、SDS评分的降低作用及对BI评分的升高作用均明显优于对照组,差异均有统计学意义(P<0.05)。【结论】通元针法治疗肝气郁结型PSD患者疗效确切,可有效改善患者神经功能,提高患者日常生活能力,降低患者抑郁程度。Objective To observe the clinical efficacy of Tongyuan acupuncture therapy(an acupuncture therapy for dredging the governor vessel to regulate mind and conducting qi back to its source)for the treatment of liver-qi stagnation type of post-stroke depression(PSD).Methods Sixty patients with liver-qi stagnation type of PSD were randomly divided into the trial group and the control group,with 30 patients in each group.Patients of the two groups were given conventional basic treatment and rehabilitation training,and additionally,the control group was given Flupentixol and Melitracen Tablets,while the trial group was given Tongyuan acupuncture therapy.The treatment for the two groups lasted for 4 weeks.The changes in the traditional Chinese medicine(TCM)syndrome scores,National Institutes of Health stroke scale(NIHSS)scores,17-item Hamilton depression scale(HAMD-17)scores,self-rating depression scale(SDS)scores and modified Barthel index(BI)scores in the two groups were observed before and after treatment,and the clinical efficacy of the two groups was also evaluated.Results(1)After 4 weeks of treatment,the overall effective rate of the trial group was 93.33%(28/30)and that of the control group was 86.67%(26/30).The intergroup comparison by rank sum test showed that the efficacy of the trial group was significantly superior to that of the control group,and the difference was statistically significant(P<0.05).(2)After treatment,the TCM syndrome scores,NIHSS scores,HAMD-17 scores and SDS scores in both groups were significantly decreased(P<0.01)and the BI scores were significantly increased compared with those before treatment(P<0.01),and the trial group had stronger effect on lowering the TCM syndrome scores,NIHSS scores,HAMD-17 scores and SDS scores,and on increasing the BI scores than the control group,the difference being statistically significant(P<0.05).Conclusion The Tongyuan acupuncture therapy exerts certain effects in treating patients with liver-qi stagnation type of PSD through effectively improving patients�

关 键 词：卒中后抑郁(PSD) 肝气郁结 通元针法 氟哌噻吨美利曲辛片 神经功能 日常生活能力 疗效观察 

分 类 号：R246.6[医药卫生—针灸推拿学]