额区丛刺法配合音乐康复疗法对中风后抑郁的临床研究

发布时间：2018-06-14 15:35

本文选题：中风后抑郁 + 额区丛刺法　；参考：《黑龙江中医药大学》2017年硕士论文

【摘要】：目的:本研究旨在观察额区丛刺结合音乐疗法治疗中风后抑郁的临床疗效,为中风后抑郁患者提供更有效的治疗方法。方法:将符合纳入标准的中风后抑郁患者62例,采用随机分组的方法,分为对照组、治疗组,对照组在进行基础治疗治疗基础上,给予西药舍曲林50mg/d,晨服。治疗组在对照组基础上,采用额区丛刺法配合音乐康复疗法。每天治疗1次,每周连续治疗6天,休息1天,持续治疗8周,采用汉密尔顿抑郁量表(HAMD)及中医症候抑郁量表进行疗效分析。结果:1.两组患者治疗前与治疗后HAMD评分与中医症候评分的组内比较(P0.01),差异具有统计学意义,说明两组治疗方法均能改善患者的中风后抑郁的程度和症状;2.两组患者HAMD评分和中医症候评分的组间比较(P0.05),差异具有统计学意义,说明治疗组与对照组在治疗中风后抑郁程度和症状方面有明显差异,且治疗组优于对照组;3.两组患者治疗后抑郁程度与中医症候疗效的组间对比(P0.05),差异具有统计学意义,说明治疗组与对照组对中风后抑郁有明确疗效,且治疗组疗效优于对照组;结论:额区丛刺法与音乐康复疗法,配合口服西药舍曲林,能改善中风后肝气郁结型抑郁患者的抑郁程度和症状,且疗效明显优于单纯口服西药舍曲林。
[Abstract]:Objective: to observe the clinical effect of frontal area cluster acupuncture combined with music therapy on post-stroke depression and to provide a more effective treatment for post-stroke depression. Methods: 62 patients with post-stroke depression were randomly divided into control group, treatment group and control group. On the basis of basic treatment, western medicine sertraline 50 mg / d was given in the morning. On the basis of the control group, the treatment group was treated with frontal plexus acupuncture combined with music rehabilitation therapy. The therapeutic effect was analyzed by Hamilton Depression scale (Hamd) and TCM symptom Depression scale (TCM). The result is 1: 1. The difference of Hamd score and TCM symptom score between the two groups before and after treatment was statistically significant, indicating that both treatment methods can improve the degree and symptoms of post-stroke depression. 2. The difference of Hamd score and TCM symptom score between the two groups was statistically significant, which indicated that there was significant difference between the treatment group and the control group in the degree and symptoms of depression after stroke, and the treatment group was better than the control group. There was significant difference in the degree of depression after treatment and the curative effect of TCM symptoms between the two groups. The difference was statistically significant, which indicated that the treatment group and the control group had definite curative effect on post-stroke depression, and the curative effect of the treatment group was better than that of the control group. Conclusion: frontal-area cluster pricking and musical rehabilitation combined with oral sertraline can improve the depressive degree and symptoms of depression patients with depression of liver-qi depression after stroke, and the curative effect is obviously better than that of sertraline alone.
【学位授予单位】：黑龙江中医药大学
【学位级别】：硕士
【学位授予年份】：2017
【分类号】：R743.3

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