【摘要】：目的：觀察眼針結(jié)合心理干預(yù)療法治療中風(fēng)后抑郁的臨床療效。材料與方法：將符合納入標(biāo)準(zhǔn)的60例中風(fēng)后抑郁患者按照隨機原則分為兩組,對照組30例,予腦卒中常規(guī)基礎(chǔ)治療,并應(yīng)用路優(yōu)泰聯(lián)合心理干預(yù)療法治療,每次60分鐘,每周2次,4周為1個療程。試驗組30例,在對照組的基礎(chǔ)上加用眼針療法,選取肝穴、心穴、脾穴,每次針刺后留針30分鐘,每天針刺1次,4周為1療程。兩組患者均在治療前以及治療后,采用漢密頓抑郁量表(HAMD)17項版、抑郁自評量表(SDS)、中醫(yī)癥狀量化表對患者抑郁狀態(tài)進(jìn)行評分及比較。結(jié)果：1.兩組患者在治療后(HAMD)評分、(SDS)評分、中醫(yī)癥狀量化表評分均較治療前降低,差異具有統(tǒng)計學(xué)意義(P0.05),提示兩種治療方案對中風(fēng)后抑郁均有效。2.治療后試驗組(HAMD)評分、(SDS)評分、中醫(yī)癥狀量化表評分降低程度明顯大于對照組,差異具有統(tǒng)計學(xué)意義(P0.05)。提示眼針結(jié)合心理干預(yù)療法治療中風(fēng)后抑郁療效優(yōu)于單純心理干預(yù)療法。3.試驗組總有效率為90%,對照組總有效率為63.33%,兩組間總有效率差異具有統(tǒng)計學(xué)意義(P0.05),試驗組療效優(yōu)于對照組。結(jié)論：眼針結(jié)合心理干預(yù)療法治療中風(fēng)后抑郁臨床療效肯定,且比單獨應(yīng)用心理干預(yù)療法更好,值得進(jìn)一步研究及推廣。
[Abstract]:Objective: to observe the clinical effect of eye acupuncture combined with psychological intervention therapy on post-stroke depression. Materials and methods: sixty patients with post-stroke depression were randomly divided into two groups: control group (n = 30) received routine basic treatment of stroke, and was treated with Luyou Tai combined with psychological intervention therapy for 60 minutes each time. Two times a week, 4 weeks as a course of treatment. The experimental group (30 cases) was treated with eye acupuncture on the basis of the control group. The liver points, heart points and spleen points were selected. The acupuncture was kept for 30 minutes after each acupuncture, once a day for 4 weeks as a course of treatment. Before and after treatment, the patients in both groups were evaluated and compared with the 17 items of Hamilton Depression scale (HAMD) and the Chinese Medicine symptom scale (SDS),) of Self-rating Depression scale (SDS),). The result is 1: 1. Two groups of patients in the treatment of (HAMD) scores, (SDS) scores, TCM symptoms of quantitative table scores were lower than before treatment, the difference was statistically significant (P0.05), suggesting that the two treatment schemes are effective for post-stroke depression. 2. After treatment, the (HAMD) score of the experimental group, (SDS) score, TCM symptoms of quantitative table scores significantly lower than the control group, the difference was statistically significant (P0.05). The results suggest that eye acupuncture combined with psychological intervention therapy is better than simple psychological intervention therapy in the treatment of post-apoplectic depression. The total effective rate of the test group was 90 and the total effective rate of the control group was 63.33. The difference between the two groups was statistically significant (P0.05). The effect of the test group was better than that of the control group. Conclusion: the therapeutic effect of eye acupuncture combined with psychological intervention therapy on post-apoplectic depression is definite and better than that of psychological intervention therapy alone. It is worth further study and popularization.
【學(xué)位授予單位】：遼寧中醫(yī)藥大學(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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