针刺膻中穴治疗中风后抑郁临床研究

发布时间：2018-03-01 20:32

本文关键词： 膻中穴针刺中风后抑郁临床疗效　出处：《黑龙江中医药大学》2017年硕士论文　论文类型：学位论文

【摘要】：目的:观察针刺膻中穴治疗中风后抑郁的临床疗效。方法:选取50例中风后抑郁的患者,依随机数字表法随机分成观察组(应用膻中穴组)和对照组(未用膻中穴组),每组25例。对照组采用常规针刺治疗,观察组予以常规针刺基础上加用膻中穴治疗。膻中穴施以捻转提插泻法,两组均每日治疗1次,留针50min,4周为1个疗程,治疗前后分别用HAMD量表和MESSS量表评分,对患者抑郁的严重程度及神经功能缺损的程度进行评估,评定两组疗效。结果:1.治疗后,两组患者HAMD量表和MESSS评分较治疗前均有显著降低(P0.05);2.两组患者治疗前比较HAMD量表评分,P0.05,具有可比性。两组治疗后与治疗前HAMD量表评分的差值比较,P0.05,观察组评分下降幅度大于对照组,差异均有统计学意义;3.两组患者MESSS量表评分比较,治疗前评分比较P0.05,具有可比性。治疗后观察组MESSS评分降低的幅度大于对照组(P0.05),差值有统计学意义;4.两组患者临床疗效比较,观察组愈显率为72.0%(18/25)优于对照组的40.0%(10/25)(P0.05),经统计学检验,差异有显著意义。结论:1.针刺膻中穴能够有效改善中风患者的抑郁症状;2.针刺膻中穴有助于患者神经功能的修复。
[Abstract]:Objective: to observe the clinical effect of acupuncture at Shanzhong point on post-stroke depression. Methods: 50 patients with post-apoplectic depression were selected. According to the random number table method, the rats were randomly divided into two groups: the observation group (using Shanzhong acupoint group) and the control group (the Danzhong point group) with 25 cases in each group. The control group was treated with routine acupuncture, and the control group was treated with routine acupuncture. The observation group was treated by routine acupuncture plus Shanzhong point, twirling, lifting and inserting at Shanzhong point. The two groups were treated once a day, followed by a course of treatment for 50 mins. Before and after treatment, HAMD scale and MESSS scale were used respectively. The severity of depression and the degree of neurological impairment were evaluated to evaluate the efficacy of the two groups. Results: 1. After treatment, The scores of HAMD and MESSS in both groups were significantly lower than those before treatment, and the scores of HAMD before treatment were comparable between the two groups. The difference between the two groups after treatment and before treatment was significant (P 0.05), and the score of observation group was lower than that of control group (P < 0.05). The amplitude is larger than the control group, The differences were statistically significant (P < 0.05). The scores of MESSS scale in the two groups were compared with those in the control group (P 0.05), and the scores before treatment were comparable. After treatment, the decrease of MESSS score in the observation group was greater than that in the control group (P 0.05), and the difference was statistically significant (P 0.05). The clinical efficacy of the two groups was higher than that of the control group (P 0.05). The curative effect rate of the observation group was 72.020 / 25), which was better than that of the control group (40.010 / 25). The difference was statistically significant. Conclusion: acupuncture at Shanzhong point can effectively improve the depressive symptoms of stroke patients 2.Acupuncture at Shanzhong point is helpful to repair the nerve function of the patients.
【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】：R246.6

【参考文献】