Clinical Observation on Acupuncture Treatment of 150 Cases of Post-stroke Depression According to Syndrom Differentiation

WU Jia-ping

doi:10.13702/j.1000-0607.2010.04.014

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Clinical Observation on Acupuncture Treatment of 150 Cases of Post-stroke Depression According to Syndrom Differentiation

更新时间：2023-08-11

- Clinical Observation on Acupuncture Treatment of 150 Cases of Post-stroke Depression According to Syndrom Differentiation
- Acupuncture Research Vol. 35, Issue 4, Pages: 303-306(2010)
- 作者机构：
  
  房山区中医医院针灸推拿科
- 作者简介：
- 基金信息：
- DOI：10.13702/j.1000-0607.2010.04.014
  CLC：
- Published：2010
- 稿件说明：
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WU Jia-ping. Clinical Observation on Acupuncture Treatment of 150 Cases of Post-stroke Depression According to Syndrom Differentiation[J]. Acupuncture research, 2010, 35(4): 303-306.
DOI：

WU Jia-ping. Clinical Observation on Acupuncture Treatment of 150 Cases of Post-stroke Depression According to Syndrom Differentiation[J]. Acupuncture research, 2010, 35(4): 303-306. DOI： 10.13702/j.1000-0607.2010.04.014.

摘要

目的:观察针刺辨证治疗中风后抑郁症的临床疗效。方法:300例中风后抑郁症患者随机分为针刺组150例(以"四神针"为主穴

配合中医证候分型取穴

每日1次)及氟西汀组150例(口服氟西汀每日20mg)

两组疗程均为2个月。分别在治疗前后用汉密尔顿抑郁量表(HAMD)对两组患者进行评定

统计两组疗效

并对疗效与证型的关系进行分析。结果:治疗后

两组的HAMD评分均较治疗前明显下降(P<0.05);针刺组HAMD的评分优于氟西汀组(P<0.05)。针刺组总有效率为89.3%(134/150)

氟西汀组总有效率为76.0%(114/150)

两组比较差异有统计学意义(P<0.05)。针刺组各证型的疗效也均优于氟西汀组(均P<0.05)。结论:针刺辨证治疗中风后抑郁症疗效较好。

Abstract

Objective To observe the clinical therapeutic effect of acupuncture in the treatment of post-stroke depression (PSD) in the light of syndrome differentiation. Methods A total of 300 PSD patients were randomized into acupuncture group and medication group

with 150 cases in each group.For patients of acupuncture group

Sishencong (EX-HN 1)

Baihui (GV 20)

Shenting (GV 24)

etc.were punctured combined with other acupoints according to different syndromes

once daily for 2 months.For patients of medication group

fluoxetine (20 mg/d) was administered orally

continuously for 2 months.Hamilton's depression scale (HAMD) was used to evaluate changes of PSD patients' state after the treatment. Results After the treatment

the scores of HAMD in both groups decreased significantly ( P<0.05 )

and that of acupuncture group was remarkably lower than that of medication group ( P<0.05 ). Of the two 150 PSD patients in medication and acupuncture groups

35 (23.3%) and 16 (10.7%) cases were cured

82(54.7%) and 41(27.3%)had a marked improvement

17(11.3%) and 57(38.0%) had an improvement

and 16(10.7%) and 36(24.0%) were ineffective

with the total effective rates being 89.3% and 76.0% respectively.Chi-square test showed that the therapeutic effect of acupuncture was significantly superior to that of medication group ( P<0.05 ). Conclusion Acupuncture is effective in improving post-stroke depression in PSD patients.

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