【摘要】 目的:观察电针颞三针为主治疗脑卒中后抑郁症(PSD)的疗效。方法:将60例确诊为轻～中度PSD患者随机分为2组各30例,综合干预组以电针颞三针为主配合口服氟西汀胶囊治疗;单纯药物组口服氟西汀胶囊治疗。观察2组治疗前后汉密尔顿抑郁量表(HRSD)、Zung自评抑郁量表(SDS)、功能独立性评定(FIM)量表评分变化。结果:治疗后2组HRSD评分均有明显下降,与治疗前比较,综合干预组2周后差异即有显著性意义(P<0.05);单纯药物组3周后差异开始有显著性意义(P<0.05)。治疗2周后,2组HRSD评分比较,差异有显著性意义(P<0.05)。提示综合干预组降低HRSD评分效果明显优于单纯药物组。治疗后2组SDS评分均明显下降,与治疗前比较,综合干预组2周后差异即有显著性意义(P<0.05);单纯药物组3周后差异开始有显著性意义(P<0.05)。治疗2周后,2组SDS评分比较,差异有显著性意义(P<0.05)。提示综合干预组减低SDS评分效果明显优于单纯药物组。治疗4周后2组FIM评分均有较大的提高,与治疗前比较,差异均有非常显著性意义(P<0.01);综合干预组提高更显著,与单纯药物组比较,差异有非常显著性意义(P<0.01)。提示综合干预组提高FIM评分效果明显优于单纯药物组。结论:电针颞三针为主配合口服氟西汀胶囊能有效减轻PSD患者的抑郁程度,提高日常生活活动能力。更多还原

【Abstract】 Objective:To observe the therapeutic effect of electroacupuncture on temporal three - needle acupoints for post - stroke depression(PSD).Methods:Sixty mild - and middle-degree PSD patients were randomized into 2 groups:group A received electroacupuncture on temporal three - needle acupoints and oral use of fluoxetine hydrochloride capsules,and group B received oral use of fluoxetine hydrochloride capsules.The scores of Hamilton Rating Scale for Depression (HRSD),Self-Rating Depression Scale(SDS),and functional independence measure(FIM) were evaluated in both group before and after treatment.Results:After treatment,HRSD and SDS scores were decreased in both group,and the difference being significant in group A after treatment for 2 weeks and in group B after treatment for 3 weeks(P<0.05).The differences of HRSD and SDS scores were significant between the two groups after treatment for 2 weeks(P<0.05).After treatment for 4 weeks,FIM score was increased in both groups(P<0.01 compared that before treatment),and the increase was obvious in group A(P<0.01).Conclusion:Electroacupuncture on temporal three - needle acupoints combining with oral use of fluoxetine hydrochloride capsules can relieve the depression in post - stroke depression patients,and improve their activities of daily life.更多还原