眼针结合疏肝解郁颗粒治疗中风后抑郁的临床观察

发布时间：2018-05-03 22:12

  本文选题：中风后抑郁 + 眼针　； 参考：《辽宁中医药大学》2016年硕士论文

【摘要】：目的:观察眼针结合疏肝解郁颗粒治疗中风后抑郁患者的临床疗效。材料与方法:选取2014年10月—2015年12月期间在辽宁中医药大学附属医院康复中心脑病康复二科治疗的符合中风后抑郁诊断标准的住院患者。按随机数字表法1:1的比例将患者分为两组:治疗组30例(眼针加中药)与对照组30例(仅用中药)。治疗原则为疏肝解郁,理气畅中。治疗组取穴眼针分区之上焦穴、下焦穴、肝穴、心穴治疗,每次留针30分钟,每天针刺1次,共治疗4周。方药:疏肝解郁颗粒,1次1袋,1日两次,每7天为1个疗程,共4个疗程。治疗期间注意清淡饮食。对照组仅用疏肝解郁颗粒治疗,方法同治疗组。治疗四个疗程,两组患者均在治疗前及治疗4周后应用汉密尔顿抑郁量表(HAMD)17项版、抑郁自评量表(SDS)、中医症候疗效定量表进行评分及疗效评价。结果:1.两组患者在治疗前后汉密尔顿抑郁量表(HAMD)17项版、抑郁自评量表(SDS)评分、中医症候疗效定量表评分比较均存在显著差异(P0.05),提示两种治疗方法对中风后抑郁的治疗均有效。2.治疗4周后治疗组与对照组(HAMD)评分、(SDS)评分、中医症候疗效定量表评分比较存在显著差异(P0.05)。提示眼针加中药组比单纯中药组更有效。结论:眼针配合疏肝解郁颗粒治疗中风后抑郁临床疗效满意,且比单独服用疏肝解郁颗粒效果更好,值得进一步研究及推广。
[Abstract]:Objective: to observe the clinical effect of eye acupuncture combined with Shugan Jieyu granule on post-stroke depression. Materials and methods: the inpatients who met the criteria of diagnosis of post-stroke depression were selected from October 2014 to December 2015 in the second Department of Encephalopathy Rehabilitation of affiliated Hospital of Liaoning University of traditional Chinese Medicine. The patients were divided into two groups: treatment group (30 cases) and control group (30 cases). The principle of treatment is to soothe the liver and relieve depression, and to regulate qi. In the treatment group, the acupoints were taken from the above Jiao point, the lower Jiao point, the liver point and the heart point. The acupuncture was kept for 30 minutes every time, and acupuncture was given once a day for 4 weeks. Prescription: Shugan Jieyu granule once a bag, twice a day, every 7 days as a course of treatment, a total of 4 courses. Pay attention to a light diet during treatment. The control group was treated with Shugan Jieyu granule only, the same method was used in the treatment group. After four courses of treatment, both groups were treated with Hamilton Depression scale (Hamd) 17 items, Self-Rating Depression scale (SDS) and TCM symptom Quantification Table (TCM QT) before and after 4 weeks of treatment. The result is 1: 1. Before and after treatment, there were significant differences between the two groups in the scores of Hamilton Depression scale (Hamd) 17 items, Self-Rating Depression scale (SDS) score, and the scores of TCM symptom scale (P 0.05), indicating that the two methods were effective in treating post-stroke depression. After 4 weeks of treatment, there were significant differences in the scores of HAMDS and SDSs between the treatment group and the control group. The results suggest that the eye acupuncture plus Chinese medicine group is more effective than the traditional Chinese medicine group alone. Conclusion: eye acupuncture combined with Shugan Jieyu granule is more effective than Shugan Jieyu granule in the treatment of post-stroke depression, which is worthy of further study and popularization.
【学位授予单位】：辽宁中医药大学
【学位级别】：硕士
【学位授予年份】：2016
【分类号】：R277.7
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本文编号：1840301