本文關(guān)鍵詞：毫針結(jié)合電針治療中風(fēng)后抑郁的臨床療效觀察　出處：《新疆醫(yī)科大學(xué)》2017年碩士論文　論文類型：學(xué)位論文

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【摘要】：目的:觀察毫針結(jié)合電針治療中風(fēng)后抑郁的臨床療效,為今后臨床治療中風(fēng)后抑郁提供更多的選擇。方法:將滿足研究條件的60例中風(fēng)后抑郁的患者隨機(jī)分為針刺1組、針刺2組及藥物組,每組各20例。針刺1組、針刺2組選用不同的穴位予以普通針刺結(jié)合電針治療。每日治療1次,連續(xù)治療7日為一個療程,間隔療程之間休息1天,連續(xù)觀察兩個療程。藥物組給予鹽酸氟西汀口服治療,每日20mg,每日1次,晨服,連續(xù)服用2周,觀察三組患者治療前后漢密爾頓抑郁評分、中醫(yī)癥候評分?jǐn)?shù)值變化。結(jié)果:抑郁方面:三組患者治療前后漢密爾頓抑郁評分組內(nèi)比較均有統(tǒng)計學(xué)差異(均P0.05);組間比較:治療后三組患者進(jìn)行兩兩比較,均無統(tǒng)計學(xué)差異(均P0.05)。中醫(yī)癥候改善方面:三組患者的中醫(yī)癥候評分進(jìn)行治療前后的組內(nèi)比較,均有統(tǒng)計學(xué)差異治療(均P0.05);組間比較:針刺1組與針刺2組比較差異有統(tǒng)計學(xué)意義(P0.05);針刺1組與藥物組比較差異有統(tǒng)計學(xué)意義(P0.05);針刺2組與藥物組無統(tǒng)計學(xué)意義(P0.05)結(jié)論:針刺1組、針刺2組及藥物組對于中風(fēng)后抑郁患者抑郁癥狀的改善療效相當(dāng);針刺1組改善中醫(yī)癥候方面療效優(yōu)于針刺2組、藥物組;針刺2組與藥物組療效相當(dāng)。
[Abstract]:Objective: To observe the clinical curative effect of electroacupuncture combined with acupuncture treatment of depression after stroke and provide more options for future clinical treatment of depression after stroke. Methods: 60 cases meet the conditions on the depression after stroke were randomly divided into acupuncture group 1, acupuncture 2 group and drug group, 20 cases in each group. The acupuncture group 1, acupuncture 2 groups of different points selected to be ordinary acupuncture combined with electroacupuncture. Daily for 1 times, for 7 consecutive days as a course of treatment interval of 1 days of rest, continuous observation of two courses. Drugs were given oral fluoxetine hydrochloride treatment, daily 20mg, 1 times per day, morning, for 2 weeks, the Hamilton depression score in three groups before and after treatment were observed, TCM syndrome score value changes. Results: depression: three groups of patients before and after treatment of Hamilton depression score group were statistically significant (P0.05); group comparison: after treatment three groups of patients By 22, there was no significant difference (P0.05). TCM symptom improvement: the TCM symptoms of the three groups of patients were compared before and after treatment group, there were statistically significant differences between the treatment (P0.05); comparison between groups was statistically significant in 1 groups: Acupuncture and acupuncture on the difference between the 2 groups (P0.05); a significant differences between the 1 acupuncture group and drug group (P0.05); 2 acupuncture group and drug group had no statistical significance (P0.05) conclusions: 1 acupuncture group, acupuncture group and drug group for a 2 improvement in depressive symptoms in patients with depression after stroke; acupuncture 1 group to improve the TCM syndrome better than the acupuncture group 2, drug group; acupuncture group 2 and efficacy of the drug group.

【學(xué)位授予單位】：新疆醫(yī)科大學(xué)
【學(xué)位級別】：碩士
【學(xué)位授予年份】：2017
【分類號】：R246.6

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