CAJ | 학술논문

目的：观察头体针配合心理干预治疗中风后抑郁症的效果。方法将78例中风后抑郁症患者分为治疗组(40例)与对照组(38例),两组患者根据病情均给予常规的神经科治疗,治疗组加用头体针配合心理干预,对照组给予盐酸氟西汀(百忧解)口服治疗。每日1次,4星期为1个疗程,两组均治疗2个疗程。分别于治疗前、第1疗程后、治疗后用汉密顿抑郁量表(HAMD)评分及临床神经功能缺损评分(NISS)评定两组患者的疗效。结果治疗后两组患者HAMD和NISS评分均明显低于治疗前,且治疗组优于对照组,差异均有统计学意义(P＜0.05)。治疗组抑郁总有效率和神经功能恢复总有效率均明显高于对照组(P＜0.05)。结论头体针结合心理干预治疗中风后抑郁症有良好的抗抑郁和促进神经功能恢复作用。
목적：관찰두체침배합심리간예치료중풍후억욱증적효과。방법장78례중풍후억욱증환자분위치료조(40례)여대조조(38례),량조환자근거병정균급여상규적신경과치료,치료조가용두체침배합심리간예,대조조급여염산불서정(백우해)구복치료。매일1차,4성기위1개료정,량조균치료2개료정。분별우치료전、제1료정후、치료후용한밀돈억욱량표(HAMD)평분급림상신경공능결손평분(NISS)평정량조환자적료효。결과치료후량조환자HAMD화NISS평분균명현저우치료전,차치료조우우대조조,차이균유통계학의의(P＜0.05)。치료조억욱총유효솔화신경공능회복총유효솔균명현고우대조조(P＜0.05)。결론두체침결합심리간예치료중풍후억욱증유량호적항억욱화촉진신경공능회복작용。
Objective To observe the effect of scalp-body acupuncture plus psychological intervention in treating post-stroke depression.Method Seventy-eight patients with post-stroke depression were divided into a treatment group (40 cases) and a control group (38 cases). In addition to ordinary neurological treatments, the treatment group also received scalp-body acupuncture plus psychological intervention while the control group also received Fluoxetine hydrochloride (Prozac). The interventions were given once a day, 4 weeks as a treatment course, for 2 courses in total. Hamilton Rating Scale for Depression (HAMD) and neurological impairment severity scale (NISS) were observed before intervention, after 1 treatment course and at the end of the intervention.Result After intervention, the HAMD and NISS scores dropped significantly in both groups, and the treatment group was markedly better than the control group (P<0.05). The total effective rates of anti-depression and recovery of neurological function in the treatment group were significantly higher than those in the control group (P<0.05).Conclusion Scalp-body acupuncture plus psychological intervention can produce a content efficacy in improving depression and recovering neurological function.