头体针配合心理干预治疗中风后抑郁症临床观察.pdfVIP

·706· Shanghai J Acu-mox, Aug 2014, Vol 33, No 8 文章编号:1005-0957(2014)08-0706-04 ·临床研究· 头体针配合心理干预治疗中风后抑郁症临床观察 杨来福,和青松,王文彪,李彤,郭学军,闫海清,张平,马以勇 (新乡医学院第一附属医院,卫辉 453100) 【摘要】 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。 【关键词】 中风;抑郁症;头针;针刺;心理疗法;针药并用 【中图分类号】 R246.6 【文献标志码】 A DOI:10.13460/j.issn.1005-0957.2014.08.0706 Clinical Observation of Scalp and Body Acupuncture plus Psychological Intervention for Post-stroke Depression YANG Lai-fu , HE Qing-song, WANG Wen-biao, LI Tong, GUO Xue-jun , YAN Hai-qing, ZHANG Ping, MA Yi-yong . The First Affiliated Hospital of Xinxiang Medical University,Weihui 453100,China [Abstract] 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