火针头穴及背俞穴治疗中风后抑郁肝气郁结型的疗效观察
发布时间：2018-07-31 06:41
【摘要】：目的:观察火针针刺头穴及背俞穴治疗中风后肝气郁结型抑郁的临床疗效,为我们临床治疗中风后抑郁提供了更为宽广的思路和更加有效的治疗方法。方法:将临床中遇到60例中风后抑郁(肝气郁结型)的患者随机分为A、B两组,每组30例,标记A组为治疗组(火针组),B组为对照组(毫针组)。在临床实验期间,两组患者均在进行脑血管基础疾病治疗的同时加以火针或毫针治疗中风后抑郁。治疗组(火针组)取头穴(神庭、百会、左右双神聪穴、双安眠穴)及背俞穴(双侧心俞、肝俞、脾俞),采用中细(0.5mm×45mm)火针(一般为钨锰合金制成)在酒精灯上烧至红透,定准穴位,快速刺入后立即出针。隔日1次,1周3次,治疗满1周为1个疗程,共治疗3个疗程,每个疗程结束后休息2d。对照组(毫针组)采用常规针刺,选穴依据新世纪(第二版)《针灸治疗学》中"郁病"的治疗,取神庭、百会、神门、内关、合谷、太冲、心俞、肝俞、行间。采用毫针(0.35mmm×40mm)进行针刺,心俞、肝俞采用平刺,行泻法提插捻转,得气后留针30MIN,每日1次,1周治疗满5次为1个疗程,共3个疗程,每个疗程结束后休息2d。治疗开始前和结束时分别对两组患者抑郁状况进行评析。采用汉密尔顿抑郁量表(HAMD)24项版本[1]、抑郁自评量表(SDS)[2]中医证候抑郁量表[3]进行抑郁状况评析,应用统计学软件SPSS19进行所得数据的统计学分析。结果:治疗组(火针组)与对照组(毫针组)治疗前后抑郁程度比较均有显著差异(P＜0.05);三个疗程后,火针组治疗PSD总有效率为93.33%,而毫针组总有效率为76.67%,差异有统计学意义(P＜0.05),火针组治疗中风后抑郁的临床疗效优于毫针组。结论:1、治疗组(火针组)与对照组(毫针组)治疗中风后抑郁肝气郁结型均有疗效,改善了患者抑郁程度。2、头穴及背俞穴火针针刺的方法治疗中风后抑郁肝气郁结型的临床疗效更为显著,也为基础疾病的治疗扫除障碍。
[Abstract]:Objective: to observe the clinical effect of acupoints needling with fire needle and point back-shu on depression of liver qi depression after apoplexy, and to provide us with more broad thinking and more effective treatment method for post-stroke depression. Methods: sixty patients with post-apoplectic depression (liver-qi depression) were randomly divided into two groups: group A (n = 30) and group A (n = 30). During the clinical trial, both groups were treated with fire needle or filiform needle to treat post-stroke depression. In the treatment group (fire acupuncture group), scalp points (Shenting, Baihui, left and right Shencong points, Shuanganmiao points) and backshu points (bilateral Xinshu, Ganshu, Pishu) were taken, and 0.5mm 脳 45mm fire needles (usually made of tungsten and manganese alloy) were used to burn to the red on the wine lamp. Fix the acupoint and give out the needle immediately after the quick puncture. Every other day, 3 times a week, 1 week as a course of treatment, a total of 3 courses of treatment, each course of rest 2 days after the end of the course. The control group (filiform acupuncture group) was treated with routine acupuncture, and acupoints were selected according to the treatment of "depression" in the new century (the second edition) of "acupuncture and moxibustion therapy", which included Shenting, Baihui, Shenmen, Neiguan, Hegu, Taichong, Xinshu, Ganshu, and interline. 0.35mmm 脳 40mm was used for acupuncture, Xinshu and Ganshu were treated with flat needling, the method of purgation and twirling was carried out, and the needle was kept for 30MINM after getting Qi, and 5 times a day for one course of treatment for 3 courses of treatment, with a rest for 2 days after each course of treatment. The depression status of the two groups was evaluated before and at the end of treatment. Hamilton Depression scale (HAMD) was used in 24 items [1], Self-Rating Depression scale (SDS) in TCM Syndrome Depression scale [3] was used to evaluate the depression status, and statistical software SPSS19 was used to analyze the data. Results: there were significant differences in depression between the treatment group (fire acupuncture group) and the control group (millimeter needle group) before and after treatment (P < 0.05). The total effective rate of PSD in the fire acupuncture group was 93.33 and the total effective rate in the filiform needle group was 76.67 (P < 0. 05). The clinical efficacy of the fire acupuncture group was better than that of the filiform needle group in the treatment of post-stroke depression (P < 0. 05). ConclusionThe treatment group (fire acupuncture group) and the control group (Milliform acupuncture group) are effective in the treatment of depression and stagnation of liver-qi after apoplexy. Improved the depressive degree of 0.2, head point and back Shu point fire acupuncture treatment of depression after stroke, the clinical efficacy of liver Qi stagnation more significant, but also for the treatment of basic diseases to remove obstacles.
【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
[Abstract]:Objective: to observe the clinical effect of acupoints needling with fire needle and point back-shu on depression of liver qi depression after apoplexy, and to provide us with more broad thinking and more effective treatment method for post-stroke depression. Methods: sixty patients with post-apoplectic depression (liver-qi depression) were randomly divided into two groups: group A (n = 30) and group A (n = 30). During the clinical trial, both groups were treated with fire needle or filiform needle to treat post-stroke depression. In the treatment group (fire acupuncture group), scalp points (Shenting, Baihui, left and right Shencong points, Shuanganmiao points) and backshu points (bilateral Xinshu, Ganshu, Pishu) were taken, and 0.5mm 脳 45mm fire needles (usually made of tungsten and manganese alloy) were used to burn to the red on the wine lamp. Fix the acupoint and give out the needle immediately after the quick puncture. Every other day, 3 times a week, 1 week as a course of treatment, a total of 3 courses of treatment, each course of rest 2 days after the end of the course. The control group (filiform acupuncture group) was treated with routine acupuncture, and acupoints were selected according to the treatment of "depression" in the new century (the second edition) of "acupuncture and moxibustion therapy", which included Shenting, Baihui, Shenmen, Neiguan, Hegu, Taichong, Xinshu, Ganshu, and interline. 0.35mmm 脳 40mm was used for acupuncture, Xinshu and Ganshu were treated with flat needling, the method of purgation and twirling was carried out, and the needle was kept for 30MINM after getting Qi, and 5 times a day for one course of treatment for 3 courses of treatment, with a rest for 2 days after each course of treatment. The depression status of the two groups was evaluated before and at the end of treatment. Hamilton Depression scale (HAMD) was used in 24 items [1], Self-Rating Depression scale (SDS) in TCM Syndrome Depression scale [3] was used to evaluate the depression status, and statistical software SPSS19 was used to analyze the data. Results: there were significant differences in depression between the treatment group (fire acupuncture group) and the control group (millimeter needle group) before and after treatment (P < 0.05). The total effective rate of PSD in the fire acupuncture group was 93.33 and the total effective rate in the filiform needle group was 76.67 (P < 0. 05). The clinical efficacy of the fire acupuncture group was better than that of the filiform needle group in the treatment of post-stroke depression (P < 0. 05). ConclusionThe treatment group (fire acupuncture group) and the control group (Milliform acupuncture group) are effective in the treatment of depression and stagnation of liver-qi after apoplexy. Improved the depressive degree of 0.2, head point and back Shu point fire acupuncture treatment of depression after stroke, the clinical efficacy of liver Qi stagnation more significant, but also for the treatment of basic diseases to remove obstacles.
【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】
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1 杨继鹏;赵红;刘t熡，
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