摘要
[目的]观察百会穴针刺加穴位注射治疗脑梗死后抑郁症(PCID)的临床疗效。[方法]住院PCID病人260例,随机分为3组,第一组为阿米替林组(80例),在脑梗死基础治疗的基础上加服阿米替林25-50mgBid-Tid;第二组为针刺组(80例),在基础治疗的基础上行百会穴针刺治疗;第三组为针刺加穴注组(100例),在基础治疗的基础上,行百会穴针刺加灯盏花注射液穴位注射治疗。观察三组病人治疗前、治疗后4周、8周HAMD、SDS、MeSSS、MMSE、Barthel指数(BI)评分的变化,评定百会穴针刺加穴位注射治疗PCID的疗效。[结果]三组病人治疗后HAMD、SDS、MeSSS、MMSE、Barthel指数(BI)评分均有明显的改善(P<0.05,P<0.01),其中,针刺组与阿米替林组对观察量表的评分改善作用相似(P>0.05),针刺加穴注组则明显优于针刺组和阿米替林(P<0.05)。[结论]百会穴针刺加灯盏细辛穴位注射对PCID的抑郁症状有明显的改善作用,值得临床推广应用。
[Objective]To observe the clinical effect of the treatment with Acupuncture Baihui and Acupoint Injection of Baihui with the injection of Herba Erigerontis on the post cerebral infarction depression(PCID).[Methods] 260 PCID patients were randomly divided into 3 groups.The first group was the amitriptyline group (80 cases),the treatment with the basis of service on the cerebral infarction and plus oral amitriptyline.The second group was acupuncture group (80 cases),treated with the basis of service on the cerebral infarction and plus acupuncture Baihui treatment.The third group was acupuncture and acupoint injection group (100 cases),the treatment with the basis of service on the cerebral infarction and plus acupuncture and acupoint injection of Baihui with the injection of Herba Erigerontis.Observe the changes of HAMD,SDS,MeSSS,MMSE,Barthel Index (BI) score of 3 groups before and after treatment for 4 w,8 w,and assess the efficacy of the treatment.[Results] After treatment,HAMD,SDS,MeSSS,MMSE,Barthel Index (BI) score were significantly improved in 3 groups,among them,the acupuncture group and amitriptyline group were improved similar on the observation score,acupuncture and acupoint injection group was significantly better than acupuncture group and amitriptyline.[Conclusion] Initial examinations show that it can significantly relieve the symptoms of PCID depression by Baihui,and worthy of clinical application.
出处
《浙江中医药大学学报》
CAS
2010年第3期400-401,404,共3页
Journal of Zhejiang Chinese Medical University
关键词
脑梗死
抑郁症
穴位疗法
百会穴
cerebral infarction
depression
acupoint therapy
Baihui
