电针治疗中风后抑郁症的疗效观察

关键词：中风  抑郁症  电针

Keywords:stroke  depression  electric acupuncture

摘要：

      目的：探讨电针对中风后抑郁症的治疗作用。方法：将80例中风后抑郁症患者随机分为对照组（40例）和治疗组（40例），对照组口服氟西汀（百忧解），治疗组在此基础上加电针治疗。分别在治疗前后用汉密尔顿抑郁量表（HAMD）和Barthel指数（BI）对两组患者进行评定，观察治疗前后变化。结果：治疗2个疗程后，两组抑郁症患者HAMD评分都较治疗前降低，但治疗组降低更明显，与对照组比较差异具有显著性意义（P<0.05）；治疗组患者的BI评分提高也较对照组明显（P<0.05），说明治疗组效果优于对照组。结论：电针治疗可以促进中风后抑郁症状的改善，更好地提高中风患者的日常生活活动能力，改善患者的生存质量。

Abstract:

      Objective: To observe the clinical therapeutic effects of electric acupuncture on post stroke depression (PSD). Method: Eighty cases with PSD were randomly divided into control group (40 cases) and treatment group (40 cases). Control group took Fluoxetine(Prozac) 20mg/d, treatment group received electric acupuncture additionally. All patients were evaluated by Hamilton Depression Scale (HAMD) and Barthel Index (BI) respectively before and after treatment. Result: After 2 periods of treatment, the HAMD scores decreased in both groups, but treatment group with lower scores showed significantly difference compared with control group（P<0.05）; in treatment group BI scores improved significantly than control group（P<0.05）. Conclusion: Electric acupuncture treatment could improve PSD symptoms and improve the capacity of activities of daily living and quality of life in PSD patients.