五行针刺法治疗卒中后抑郁症的临床疗效观察

发布时间：2018-03-30 08:32

本文选题：卒中后抑郁症　切入点：五行针刺　出处：《广西中医药大学》2016年硕士论文

【摘要】：目的:通过观察五行人体质针刺疗法治疗卒中后抑郁症的临床疗效,初步为卒中后抑郁症的治疗提供一个安全有效的治疗技术。方法:将150例卒中后抑郁患者随机分为五行组、针刺对照组、西药对照组各50例,三组均给予脑卒中常规治疗,西药对照组口服盐酸帕罗西汀,针刺对照组在西药对照组基础上予常规针刺治疗,五行组在西药对照组基础上采用五行针刺法治疗,三组均治疗4周。采用汉密尔顿抑郁量表(HAMD)、神经功能缺损量表评估三组疗效的差别。结果:1、三组治疗前后的HAMD评分、神经功能缺损评分分别进行比较,差异均有统计学差异(P0.05)。2、治疗1周后,三组的HAMD评分、神经功能评分进行组间比较,差异均无统计学意义(P0.05)。3、治疗4周后,三组HAMD评分、神经功能评分进行组间比较,差异均有统计学意义(P0.05)。4、3个月后随访,三组HAMD评分、神经功能评分进行组间比较,差异均有统计学意义(P0.05)。5、三组治疗后抑郁减分率和神经功能减分率的总有效率分别为五行组87.75%、79.59%,针刺对照组83.33%、70.83%,西药对照组68.09%、65.96%,三组抑郁减分率和神经功能减分率分别比较,差异均有统计学意义(P0.05)。6、五行组、常规针刺组未发现不良反应,西药组出现6例胃肠道不良反应。结论:五行针刺治疗PSD临床疗效显著,且未发现不良反应,值得推广应用。
[Abstract]:Objective: to provide a safe and effective treatment technique for post-stroke depression by observing the clinical effect of five-pedestrian physical acupuncture therapy on post-stroke depression. Methods: 150 patients with post-stroke depression were randomly divided into five groups. Acupuncture control group (50 cases) and western medicine control group (50 cases) were treated with routine treatment of stroke. The western medicine control group took paroxetine hydrochloride orally, and the acupuncture control group received routine acupuncture treatment on the basis of western medicine control group. The five elements group was treated with five elements acupuncture method on the basis of western medicine control group, and all of the three groups were treated for 4 weeks. The difference of curative effect between the three groups was evaluated by Hamilton Depression scale (Hamd) and nerve function deficit scale. Results the HAMD scores of the three groups before and after treatment were evaluated. After 1 week of treatment, the HAMD score and the neurological function score of the three groups were compared. There was no significant difference between the three groups (P0.05. 3). After 4 weeks of treatment, the HAMD scores of the three groups were not statistically significant. The neurological function scores were compared among the groups, the differences were statistically significant (P 0.05). 4. After 3 months follow-up, the HAMD scores and neurological function scores of the three groups were compared among the groups. The total effective rates of depression reduction rate and neural function reduction rate in the three groups after treatment were 87.75 and 79.59, respectively; the acupuncture control group was 83.33 and 70.833; the western medicine control group was 68.09; the depression score reduction rate and the nerve function reduction rate were respectively compared among the three groups. The differences were statistically significant (P 0.05). 6. There were no adverse reactions in the five elements group and six cases in the western medicine group. Conclusion: the clinical curative effect of five elements acupuncture on PSD is remarkable, and no side effects are found, so it is worth popularizing and applying.
【学位授予单位】：广西中医药大学
【学位级别】：硕士
【学位授予年份】：2016
【分类号】：R246.6

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