俞募配穴治療肝氣郁結(jié)型中風(fēng)后抑郁的臨床研究
發(fā)布時(shí)間：2018-08-28 17:35
【摘要】：目的：通過觀察俞募配穴針刺法治療肝氣郁結(jié)型中風(fēng)后抑郁(post-stroke depression, PSD)的臨床療效,研究探討PSD的有效臨床治療方法。 方法：本研究將60例符合入選標(biāo)準(zhǔn)的患者隨機(jī)分為治療組30例和對(duì)照組30例。治療組采用俞募配穴法針刺治療,對(duì)照組為口服西藥百憂解,兩組均2周1個(gè)療程,治療4個(gè)療程,療程結(jié)束后觀察統(tǒng)計(jì)療效。治療前后分別進(jìn)行漢密頓爾抑郁量表(HAMD)評(píng)分和中醫(yī)癥候評(píng)分,對(duì)比治療前后HAMD抑郁量表評(píng)分和中醫(yī)癥候評(píng)分變化,將各量表分值分別進(jìn)行組內(nèi)與組間比較,并進(jìn)行相關(guān)性分析,所得數(shù)據(jù)用SPSS17.0軟件進(jìn)行統(tǒng)計(jì)學(xué)分析。 結(jié)果： 1.兩組在治療4周、8周后,HAMD評(píng)分較治療前顯著下降,治療前后比較,均有顯著性差異(P0.05)。提示兩組治療均有明顯抗抑郁作用。 2.兩組在治療4周、8周后中醫(yī)證候評(píng)分逐漸下降,治療后與治療前比較,均具有顯著性差異(P0.05)。提示兩組對(duì)于改善PSD患者的中醫(yī)癥候有較好療效 3.兩組間治療4周后比較,HAMD評(píng)分和中醫(yī)癥候評(píng)分無顯著性差異(P0.05)。 4.兩組間治療8周后比較,HAMD評(píng)分和中醫(yī)癥候評(píng)分兩組間均有顯著性差異(P0.05)提示針刺組對(duì)于PSD患者的臨床療效優(yōu)于對(duì)照組。 結(jié)論： 俞募配穴針刺法對(duì)于PSD患者的臨床療效優(yōu)于西藥百憂解,可明顯改善PSD患者的中醫(yī)癥候和抑郁狀態(tài),俞募配穴針刺法是治療PSD的一種有效方法。
[Abstract]:Objective: to observe the clinical effect of Shu-fu-combined acupoint acupuncture on post-stroke depression (post-stroke depression, PSD) of liver-qi stagnation type, and to explore the effective clinical treatment of PSD. Methods: 60 patients were randomly divided into treatment group (n = 30) and control group (n = 30). The treatment group was treated with acupoint acupuncture and the control group was treated by oral administration of Prozac. The two groups were treated with 2 weeks and 1 course of treatment for 4 courses of treatment. The curative effect was observed and counted after the end of the course of treatment. Before and after treatment, the (HAMD) score and TCM symptom score of Hamilton depression scale were compared. The scores of HAMD depression scale and TCM symptom scale were compared before and after treatment, and the scores of each scale were compared with each other, and the correlation analysis was carried out. The data were analyzed by SPSS17.0 software. Results: 1. After 4 weeks and 8 weeks of treatment, Hamd scores in the two groups were significantly lower than those before treatment, and there were significant differences before and after treatment (P0.05). The results suggest that both groups have obvious antidepressant effects. After 4 weeks and 8 weeks of treatment, the TCM syndrome scores of the two groups decreased gradually, and there was significant difference between the two groups after treatment and before treatment (P0.05). It is suggested that the two groups have a better curative effect on improving the TCM symptoms of PSD patients. There was no significant difference in Hamd score and TCM symptom score between the two groups after 4 weeks of treatment (P0.05). There were significant differences in Hamd score and TCM symptom score between the two groups after 8 weeks of treatment (P0.05) indicating that the clinical efficacy of acupuncture group in PSD patients was better than that in control group. Conclusion: the clinical curative effect of Shu-fu-combined acupoint acupuncture on PSD patients is better than that of western medicine Prozac solution, and it can obviously improve the TCM symptoms and depression state of PSD patients. Shu-fu-point acupuncture is an effective method to treat PSD.
【學(xué)位授予單位】：黑龍江中醫(yī)藥大學(xué)
【學(xué)位級(jí)別】：碩士
【學(xué)位授予年份】：2013
【分類號(hào)】：R246.6
[Abstract]:Objective: to observe the clinical effect of Shu-fu-combined acupoint acupuncture on post-stroke depression (post-stroke depression, PSD) of liver-qi stagnation type, and to explore the effective clinical treatment of PSD. Methods: 60 patients were randomly divided into treatment group (n = 30) and control group (n = 30). The treatment group was treated with acupoint acupuncture and the control group was treated by oral administration of Prozac. The two groups were treated with 2 weeks and 1 course of treatment for 4 courses of treatment. The curative effect was observed and counted after the end of the course of treatment. Before and after treatment, the (HAMD) score and TCM symptom score of Hamilton depression scale were compared. The scores of HAMD depression scale and TCM symptom scale were compared before and after treatment, and the scores of each scale were compared with each other, and the correlation analysis was carried out. The data were analyzed by SPSS17.0 software. Results: 1. After 4 weeks and 8 weeks of treatment, Hamd scores in the two groups were significantly lower than those before treatment, and there were significant differences before and after treatment (P0.05). The results suggest that both groups have obvious antidepressant effects. After 4 weeks and 8 weeks of treatment, the TCM syndrome scores of the two groups decreased gradually, and there was significant difference between the two groups after treatment and before treatment (P0.05). It is suggested that the two groups have a better curative effect on improving the TCM symptoms of PSD patients. There was no significant difference in Hamd score and TCM symptom score between the two groups after 4 weeks of treatment (P0.05). There were significant differences in Hamd score and TCM symptom score between the two groups after 8 weeks of treatment (P0.05) indicating that the clinical efficacy of acupuncture group in PSD patients was better than that in control group. Conclusion: the clinical curative effect of Shu-fu-combined acupoint acupuncture on PSD patients is better than that of western medicine Prozac solution, and it can obviously improve the TCM symptoms and depression state of PSD patients. Shu-fu-point acupuncture is an effective method to treat PSD.
【學(xué)位授予單位】：黑龍江中醫(yī)藥大學(xué)
【學(xué)位級(jí)別】：碩士
【學(xué)位授予年份】：2013
【分類號(hào)】：R246.6
【參考文獻(xiàn)】
相關(guān)期刊論文 前10條
1 劉慶憲,王S茍，
本文編號(hào)：2210091
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