俞募配穴治疗肝气郁结型中风后抑郁的临床研究
发布时间：2018-08-28 17:35
【摘要】：目的：通过观察俞募配穴针刺法治疗肝气郁结型中风后抑郁(post-stroke depression, PSD)的临床疗效,研究探讨PSD的有效临床治疗方法。 方法：本研究将60例符合入选标准的患者随机分为治疗组30例和对照组30例。治疗组采用俞募配穴法针刺治疗,对照组为口服西药百忧解,两组均2周1个疗程,治疗4个疗程,疗程结束后观察统计疗效。治疗前后分别进行汉密顿尔抑郁量表(HAMD)评分和中医症候评分,对比治疗前后HAMD抑郁量表评分和中医症候评分变化,将各量表分值分别进行组内与组间比较,并进行相关性分析,所得数据用SPSS17.0软件进行统计学分析。 结果： 1.两组在治疗4周、8周后,HAMD评分较治疗前显著下降,治疗前后比较,均有显著性差异(P0.05)。提示两组治疗均有明显抗抑郁作用。 2.两组在治疗4周、8周后中医证候评分逐渐下降,治疗后与治疗前比较,均具有显著性差异(P0.05)。提示两组对于改善PSD患者的中医症候有较好疗效 3.两组间治疗4周后比较,HAMD评分和中医症候评分无显著性差异(P0.05)。 4.两组间治疗8周后比较,HAMD评分和中医症候评分两组间均有显著性差异(P0.05)提示针刺组对于PSD患者的临床疗效优于对照组。 结论： 俞募配穴针刺法对于PSD患者的临床疗效优于西药百忧解,可明显改善PSD患者的中医症候和抑郁状态,俞募配穴针刺法是治疗PSD的一种有效方法。
[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.
【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】：2013
【分类号】：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.
【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】：2013
【分类号】：R246.6
【参考文献】
相关期刊论文 前10条
1 刘庆宪,王S苟，
本文编号：2210091
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