眼针结合心理干预疗法治疗中风后抑郁的临床观察

发布时间：2018-10-22 20:45

【摘要】：目的：观察眼针结合心理干预疗法治疗中风后抑郁的临床疗效。材料与方法：将符合纳入标准的60例中风后抑郁患者按照随机原则分为两组,对照组30例,予脑卒中常规基础治疗,并应用路优泰联合心理干预疗法治疗,每次60分钟,每周2次,4周为1个疗程。试验组30例,在对照组的基础上加用眼针疗法,选取肝穴、心穴、脾穴,每次针刺后留针30分钟,每天针刺1次,4周为1疗程。两组患者均在治疗前以及治疗后,采用汉密顿抑郁量表(HAMD)17项版、抑郁自评量表(SDS)、中医症状量化表对患者抑郁状态进行评分及比较。结果：1.两组患者在治疗后(HAMD)评分、(SDS)评分、中医症状量化表评分均较治疗前降低,差异具有统计学意义(P0.05),提示两种治疗方案对中风后抑郁均有效。2.治疗后试验组(HAMD)评分、(SDS)评分、中医症状量化表评分降低程度明显大于对照组,差异具有统计学意义(P0.05)。提示眼针结合心理干预疗法治疗中风后抑郁疗效优于单纯心理干预疗法。3.试验组总有效率为90%,对照组总有效率为63.33%,两组间总有效率差异具有统计学意义(P0.05),试验组疗效优于对照组。结论：眼针结合心理干预疗法治疗中风后抑郁临床疗效肯定,且比单独应用心理干预疗法更好,值得进一步研究及推广。
[Abstract]:Objective: to observe the clinical effect of eye acupuncture combined with psychological intervention therapy on post-stroke depression. Materials and methods: sixty patients with post-stroke depression were randomly divided into two groups: control group (n = 30) received routine basic treatment of stroke, and was treated with Luyou Tai combined with psychological intervention therapy for 60 minutes each time. Two times a week, 4 weeks as a course of treatment. The experimental group (30 cases) was treated with eye acupuncture on the basis of the control group. The liver points, heart points and spleen points were selected. The acupuncture was kept for 30 minutes after each acupuncture, once a day for 4 weeks as a course of treatment. Before and after treatment, the patients in both groups were evaluated and compared with the 17 items of Hamilton Depression scale (HAMD) and the Chinese Medicine symptom scale (SDS),) of Self-rating Depression scale (SDS),). The result is 1: 1. Two groups of patients in the treatment of (HAMD) scores, (SDS) scores, TCM symptoms of quantitative table scores were lower than before treatment, the difference was statistically significant (P0.05), suggesting that the two treatment schemes are effective for post-stroke depression. 2. After treatment, the (HAMD) score of the experimental group, (SDS) score, TCM symptoms of quantitative table scores significantly lower than the control group, the difference was statistically significant (P0.05). The results suggest that eye acupuncture combined with psychological intervention therapy is better than simple psychological intervention therapy in the treatment of post-apoplectic depression. The total effective rate of the test group was 90 and the total effective rate of the control group was 63.33. The difference between the two groups was statistically significant (P0.05). The effect of the test group was better than that of the control group. Conclusion: the therapeutic effect of eye acupuncture combined with psychological intervention therapy on post-apoplectic depression is definite and better than that of psychological intervention therapy alone. It is worth 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】：2017
【分类号】：R246.6

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