高压氧结合针刺治疗脑卒中后抑郁的临床研究

发布时间：2018-08-19 17:27

【摘要】：目的：观察高压氧结合针刺治疗卒中后抑郁的临床疗效。方法：将60例符合纳入标准的卒中后抑郁住院患者随机分为高压氧结合针刺组和对照组,高压氧结合针刺组和对照组各30例。高压氧结合针刺组：男性12例,女性18例；年龄最大的80岁,年龄最小的45岁,平均年龄62.10±8.99岁；对照组：男性14例,女性16例；年龄最大的78岁,年龄最小的42岁,平均年龄62.03±9.67岁。两组患者均给予神经内科常规处理(控制血压,调节血糖等)及针刺治疗,高压氧结合针刺组同时加用高压氧治疗。高压氧每天1次,每次120min,压力为2ATA；针刺采用“健脑调神”法：穴取大椎、四神聪、上星,鸠尾每日1次,每次30min,10次为一个疗程,连续治疗两个疗程。两组患者在治疗前和治疗20天后均采用汉密尔顿抑郁量表(Hamilton Dpression, HAMD)和日常生活活动能力量表(Activity of Daily Living Scale, ADL)进行疗效评定,所得数据用SPSS18.0软件进行统计学分析。结果：1.高压氧结合针刺组患者治疗前后HAMD量表评分有明显差异(P0.01),提示高压氧结合针刺对于改善卒中后抑郁患者的抑郁症状有较好的疗效；2.高压氧结合针刺组患者治疗前后ADL量表评分有明显差异(P0.01),提示针刺对于改善卒中后抑郁患者的日常生活能力有较好的疗效；3.高压氧结合针刺组与对照组组间疗效比较,两组相比有差异(P0.05),说明高压氧结合针刺组可以取得更好的疗效。结论：1.高压氧结合针刺治疗对改善卒中后抑郁可以取得较好的疗效,可明显改善患者的抑郁状态以及提高日常生活能力。2.高压氧结合针刺法是值得在治疗卒中后抑郁临床中推广应用的。
[Abstract]:Objective: to observe the clinical effect of hyperbaric oxygen combined with acupuncture on post-stroke depression. Methods: sixty inpatients with post-stroke depression were randomly divided into hyperbaric oxygen combined with acupuncture group and control group, and hyperbaric oxygen combined with acupuncture group and control group with 30 cases each. Hyperbaric oxygen combined with acupuncture group: male 12, female 18; oldest 80 years, the youngest 45 years, mean age 62.10 卤8.99; control group: 14 males, 16 females, the oldest 78 years, the youngest 42 years old. The average age was 62.03 卤9.67 years old. Patients in both groups were given routine treatment (blood pressure control, blood glucose regulation, etc.) and acupuncture treatment. Hyperbaric oxygen combined with acupuncture group was also treated with hyperbaric oxygen. The pressure of hyperbaric oxygen was 120 min, the pressure was 2ATA.Acupuncture was done by "invigorating the brain and regulating the mind": the acupoints were collected from Dazhui, Sishen Cong, Star and Dove tail once a day, 30 minutes and 10 times a day as a course of treatment for two consecutive courses of treatment. Both groups were evaluated with Hamilton Depression scale (Hamilton Dpression, HAMD) and activity of Daily living scale (Activity of Daily Living Scale, ADL) before treatment and 20 days after treatment. The data were analyzed by SPSS18.0 software. The result is 1: 1. The scores of HAMD scale were significantly different before and after treatment in hyperbaric oxygen combined with acupuncture group (P0.01), which suggested that hyperbaric oxygen combined with acupuncture had a better effect on improving depression symptoms of post-stroke depression patients (P0.01). The scores of ADL scale in hyperbaric oxygen combined with acupuncture group were significantly different before and after treatment (P0.01), which suggested that acupuncture had a better effect on improving ADL of patients with post-stroke depression (P0.01). Hyperbaric oxygen combined with acupuncture group and the control group, there was a difference between the two groups (P0.05), indicating that the hyperbaric oxygen combined with acupuncture group can achieve a better effect. Conclusion 1. Hyperbaric oxygen combined with acupuncture can improve the depression after stroke, improve the depression state of patients and improve the ability of daily living (ADL). Hyperbaric oxygen combined with acupuncture is worth popularizing in the treatment of post-stroke depression.
【学位授予单位】：南京中医药大学
【学位级别】：硕士
【学位授予年份】：2014
【分类号】：R743.3;R749.4

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