头针配合耳穴贴压治疗脑卒中后抑郁疗效观察

摘要

目的：观察头针配合耳穴贴压治疗脑卒中后抑郁的临床疗效。方法将125例脑卒中后抑郁患者随机分为A组42例、B组42例和C组41例。A组采用单纯头针治疗,B组采用单纯耳穴贴压治疗,C组采用头针配合耳穴贴压治疗。观察3组治疗前后汉密尔顿抑郁量表(HAMD)评分,并比较3组临床疗效。结果3组治疗2个月后HAMD评分与同组治疗前比较,差异具有统计学意义(P＜0.01)。C组治疗1、2个月后HAMD评分与A组和B组比较,差异均具有统计学意义(P＜0.05)。A组总有效率和愈显率分别为90.5%和33.3%,B组分别为88.1%和35.7%,C组分别为92.7%和56.1%。3组总有效率比较,差异均无统计学意义(P＞0.05)；C组愈显率与A组和B组比较,差异均具有统计学意义(P＜0.05)。结论头针配合耳穴贴压是一种治疗脑卒中后抑郁的有效方法。%Objective To investigate the clinical efficacy of auricular plaster therapy plus scalp acupuncture in treating post-stroke depression.Methods One hundred and twenty-five patients with post-stroke depression were randomly allocated to group A of 42 cases, group B of 42 cases and group C of 41 cases. Group A received scalp acupuncture alone; group B, auricular plaster therapy alone; group C, auricular plaster therapy plus scalp acupuncture. The Hamilton Depression Scale (HAMD) score was recorded in the three groups before and after treatment. The clinical therapeutic effects were compared between the three groups. Results There was a statistically significant pre-/post-treatment difference in the HAMD score in the three groups after two months of treatment (P<0.01). There was a statistically significant difference in the HAMD score between group C and group A or B after one and two months of treatment (P<0.05). The total effective rate and marked efficacy rate were respectively 95.0% and 33.3% in group A, versus 88.1% and 35.7% in group B, and 92.7% and 56.1% in group C, and the marked efficacy rate in group C were significantly different from that in group A and group B (P<0.05). There is not a statistically significant difference in the total effective rate among the three groups (P>0.05).Conclusion Auricular plaster therapy plus scalp acupuncture is an effective way to treat post-stroke depression.