CAJ | 학술논문

目的：观察耳压配合电针治疗中风后抑郁症的临床疗效。方法选择中风后抑郁症患者60例，随机分为治疗组和对照组。治疗组31例采用耳压配合通督调神法电针，耳穴取神门、心、肝、脾、脑；电针百会、神庭、神门穴为主，配合辨证取穴，如：肝气郁结证取太冲，心脾两虚证取公孙，电针用疏密波，疏波频率5 Hz，密波频率50 Hz，强度为3.7 mA，留针时间30分钟；对照组29例用通督调神法电针，配合辨证取穴。两组均进行针对中风的一般常规治疗；两组患者均在治疗前及治疗6周后各应用HAMD （17项）、中医症候量表、罗纳普郎克睡眠积分表进行评分，以评价疗效。结果治疗6周后，两组HAMD评分、中医证候量表评分、罗纳普郎克睡眠积分表评分差异具有显著性统计学意义（P<0.05）。以HAMD评分标准判定疗效时，治疗组疗效优于对照组。结论耳压配合电针治疗中风后抑郁证，能全面改善患者的抑郁症状，提高患者的睡眠质量，疗效优于电针治疗的对照组。
목적：관찰이압배합전침치료중풍후억욱증적림상료효。방법선택중풍후억욱증환자60례，수궤분위치료조화대조조。치료조31례채용이압배합통독조신법전침，이혈취신문、심、간、비、뇌；전침백회、신정、신문혈위주，배합변증취혈，여：간기욱결증취태충，심비량허증취공손，전침용소밀파，소파빈솔5 Hz，밀파빈솔50 Hz，강도위3.7 mA，류침시간30분종；대조조29례용통독조신법전침，배합변증취혈。량조균진행침대중풍적일반상규치료；량조환자균재치료전급치료6주후각응용HAMD （17항）、중의증후량표、라납보랑극수면적분표진행평분，이평개료효。결과치료6주후，량조HAMD평분、중의증후량표평분、라납보랑극수면적분표평분차이구유현저성통계학의의（P<0.05）。이HAMD평분표준판정료효시，치료조료효우우대조조。결론이압배합전침치료중풍후억욱증，능전면개선환자적억욱증상，제고환자적수면질량，료효우우전침치료적대조조。
Objective To investigate the clinical efficacy of post‐stroke depression after ear acupoint with electroacupuncture therapy. Methods 60 PSD patients were randomly divided into treatment group and control group. In the treatment group, ear acupoint with elec-troacupuncture with dredging governer vessels and regulating mind therapeutic method was applicable to the 31 patients. Shenmen heart liver spleen and brain are selected as ear acupoints. Baihui Shenting and Shenben are selected as the main electroacupuncture points, with modification according to syndrome differentiation. In the control group, 29 patients received basic treatment with basic acupuncture and points and electroacupuncture the same with the treatment group. All patients got basic treatment including anti‐hypertension, anti‐diabet-ics and so on. Patients were evaluated by HAMD, TCM Rating Scale and Rhone‐Poulenc sleep score before treatment, 6 weeks after treat-ment to investigate the clinical efficacy. Results There is significant difference between the two groups in HAMD, TCM Rating Scale, and Rhone‐Poulenc sleep score, which has statistical significance (P<0.05) after treatment. There are more positive effects on PSD patients in the treatment group, according to the control group, either evaluated by HAMD,TCM Rating Scale or Rhone‐Poulenc sleep score, which has statistical significance (P<0.05) ,which is similar with each other (P>0.05) . Conclution Ear acupoit with electroacupuncture has positive effects on post‐stroke depression, and can greatly improve the depressive condition, which has significant difference statically compared with the control group.