CAJ | 학술논문

目的：观察电针治疗老年性脑卒中后抑郁的临床疗效。方法将80例患者随机分为药物组40例，电针组40例。电针组采取电针疗法，穴取百会、印堂、四神聪、太冲等，药物组口服百忧解治疗，治疗6周后，对两组治疗前后HAMD抑郁量表评分和HAMD量表评分减分率疗效进行比较。结果药物组和电针组HAMD量表评分减分率有效率分别为92.5%和95.0%，两组疗效相当；两组治疗后HAMD评分较治疗前明显下降(均P＜0.001)。结论电针是治疗老年性脑卒中后抑郁的一种有效的方法。
목적：관찰전침치료노년성뇌졸중후억욱적림상료효。방법장80례환자수궤분위약물조40례，전침조40례。전침조채취전침요법，혈취백회、인당、사신총、태충등，약물조구복백우해치료，치료6주후，대량조치료전후HAMD억욱량표평분화HAMD량표평분감분솔료효진행비교。결과약물조화전침조HAMD량표평분감분솔유효솔분별위92.5%화95.0%，량조료효상당；량조치료후HAMD평분교치료전명현하강(균P＜0.001)。결론전침시치료노년성뇌졸중후억욱적일충유효적방법。
Objective To observe the clinical curative effect of electroacupuncture in the treatm ent ofelderly post-stroke depression .Methods 80 patients w ere random ly divided into tw o groups:m edication group and elec-troacupuncture group w ith 40 cases in each group .T he electroacupuncture group adopted the therapy of electroacupunc-ture atthe acupuncture pointofBaihui(GV20),Yintang(EX-HN3),Sishencong(EX-HNI),and Taichong(LIV3).W hile the m edication group w ere given Fluoxetine only.The treatm ent lasted for 6 w eeks.The curative effects betw een the tw o groups w ere com pared in term s of H am ilton D epression Scale (HAMD )and deduction rate of HAMD before and after the treatm ent.Results A fter the treatm ent,the total effective rate on deduction of HAMD w as 95 .0% in the electroacupuncture group and 92 .5% in m edication group ,indicating equivalent curative effects betw een tw o groups.A f-ter the treatm ent,HAMD scores in both groups w ere reduced rem arkably as com pared w ith those before the treatm ent (P<0 .001 ).Conclusion E lectroacupuncture therapy is a kind of effective m ethod in the treatm ent of elderly post-stroke depression .