醒脑安神解郁针法治疗脑卒中后抑郁疗效观察

摘要

Objective To observe the clinical efficacy of Xing Nao An Shen Jie Yu needling method (brain-awakening mind-calming and anti-depression needling method) in treating depression after cerebral stroke. Method Totally 120 patients with depression after cerebral stroke were randomized into two groups: the acupuncture group was intervened by An Shen Xing Nao Jie Yu needling method, while the Western medication group was by oral administration of Fluoxetine Hydrochloride capsules. The Hamilton Depression Scale (HAMD), National Institute of Health Stroke Scale (NIHSS), and Barthel Index (BI) were adopted to evaluate the depression degree, neural function deficit, and activities of daily living after 4-week and 8-week treatments. Result The total effective rate was 96.5% in the acupuncture group, versus 83.9% in the Western medication group, and the difference was statistically significant (P<0.05); the acupuncture group was superior to the Western medication group in improving the HAMD, NIHSS, and BI scores (P<0.01), and its therapeutic efficacy present with a feature of time-effect. Conclusion Xing Nao An Shen Jie Yu needling can significantly improve the symptoms of depression after cerebral stroke, promoting the recovery of neural function and enhancing the quality of life.%目的：观察醒脑安神解郁针法治疗脑卒中后抑郁的临床疗效。方法将120例脑卒中后抑郁患者随机分为两组，针刺组给予醒脑安神解郁针法，西药组口服盐酸氟西汀胶囊。治疗4星期末、8星期末应用汉密尔顿抑郁量表(HAMD)、美国国立卫生研究院卒中量表(NIHSS)、日常生活活动能力量表 Barthel 指数对患者的抑郁程度、神经功能缺损程度、生活能力进行评定。结果针刺组总有效率为96.5%，西药组总有效率为83.9%，两组比较差异有统计学意义(P＜0.05)；针刺组在改善患者 HAMD、NIHSS、Barthel 指数评分方面显著优于西药组(P＜0.01)，且疗效呈现出时效性的特点。结论醒脑安神解郁针法可以显著改善脑卒中后抑郁症状，促进患者神经功能康复，提高患者生活质量。