目的 观察调神开郁针法配合心理干预治疗卒中后轻度抑郁的临床疗效.方法 将符合诊断标准的100例卒中后轻度抑郁患者随机分为对照组和观察组各50例,两组均给予基础治疗,对照组予单纯心理干预方案,观察组予调神开郁针法配合心理干预方案.两组治疗每日1次,每星期5次,共治疗30 d.治疗前后分别进行抑郁自评量表(SDS)和汉密尔顿抑郁量表(HAMD)评分.结果 两组治疗后HAMD评分较治疗前均有改善,差异具有统计学意义(P<0.01);治疗后观察组与对照组比较差异具有统计学意义(P<0.01).两组治疗后SDS评分较治疗前均有改善,差异具有统计学意义(P<0.01);治疗后观察组与对照组比较差异具有统计学意义(P<0.01).结论 调神开郁针法配合心理干预治疗方案较单纯心理干预更能有效改善卒中后轻度抑郁.%Objective To observe the clinical efficacy of Tiao Shen Kai Yu (regulating mind and anti-depression) needling plus mental intervention in treating mild post-stroke depression. Method A total of 100 eligible subjects with mild post-stroke depression were randomized into a control group and an observation group, 50 cases in each group. The two groups were both intervened by basic treatment, while the control group was additionally given mental intervention and the observation group was given Tiao Shen Kai Yu needling plus mental intervention. The two groups were treated once a day, 5 times a week, for 30 d in total. The Self-rating Depression Scale (SDS) and Hamilton Depression Scale (HAMD) were observed before and after the treatment. Result The HAMD scores were both significantly improved in the two groups after the treatment (P<0.01), and the between-group difference was statistically significant (P<0.01). The SDS scores were significantly improved after the treatment in both groups (P<0.01), and the between-group difference was statistically significant (P<0.01). Conclusion Tiao Shen Kai Yu needling plus mental intervention can more effectively improve mild post-stroke depression than single mental intervention.
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