[1]梁慧,古联,王晋平.中西医结合治疗脑卒中后抑郁20例临床观察[J].甘肃中医药大学学报,2015,32(02):63-66.
 LIANG Hui,GU Lian,WANG Jinping.Clinical observation on 20 cases of PSD treated with traditional Chinese and western medicine[J].Journal of Gansu University of Chinese Medicine,2015,32(02):63-66.
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中西医结合治疗脑卒中后抑郁20例临床观察()
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《甘肃中医药大学学报》[ISSN:1003-8450/CN:62-1062/R]

卷:
32卷
期数:
2015年02期
页码:
63-66
栏目:
针灸推拿
出版日期:
2015-04-25

文章信息/Info

Title:
Clinical observation on 20 cases of PSD treated with traditional Chinese and western medicine
作者:
梁慧 古联 王晋平
广西中医药大学第一附属医院脑病科, 广西 南宁 530023
Author(s):
LIANG Hui GU Lian WANG Jinping
Encephalopathy Department, the First Affiliated Hospital of Guangxi University of TCM, Nanning 530023, China
关键词:
帕罗西汀针刺手十二井穴脑卒中后抑郁
Keywords:
paroxetineacupuncturetwelve Jing-acupoint of handPSD
分类号:
R246.6
摘要:
目的 观察帕罗西汀联合针刺、手十二井穴刺络放血治疗脑卒中后抑郁(PSD)的临床疗效。方法 将60例PSD患者随机分为中西医结合治疗组(中西组)、针药结合对照组(针药组)和西药对照组(西药组)各20例,西药组给予口服帕罗西汀,针药组给予帕罗西汀+针刺,中西组给予帕罗西汀+针刺+手十二井穴放血,治疗前、后分别进行汉密尔顿抑郁量表(HAMD)、抑郁自评量表(SDS)评分及Barthel指数(BI)评定。结果 治疗4周后,中西组总有效率100%,针药组总有效率80%,西药组总有效率75%,中西组疗效优于其他2组(P<0.05或P<0.01);治疗后,3组的SDS评分与BI均有所改善(P<0.05或P<0.01),与中西组比较,其他2组的SDS评分与BI差异均有统计意义(P<0.01)。结论 中西医结合治疗脑卒中后抑郁疗效显著。
Abstract:
Objective To observe the clinical efficacy of the combining therapy of paroxetine, acupuncture and blood-letting at twelve Jing-acupoint of hand in treating post-stroke depression (PSD). Methods 60 PSD patients were randomized into a combining traditional Chinese and western medicine treatment group (CW group), a combining acupuncture and medicine group (AM group) and a western-medication group (WM group), 20 cases each. WM group was given paroxetine, AM group was given paroxetine and acupuncture, WM group was given paroxetine, acupuncture and blood-letting at twelve Jing-acupoint. They were evaluated by using Hamilton rating scale for depression (HAMD), self-rating depression scale (SDS) and Barthel index (BI) before and after treatment. Results After 4-week treatment, the total effective rates were 100% in CW group while 80% in AM group and 75% in WM group,the total effective rate of CW group was significantly higher than that of AM group (P<0.05) and WM group (P<0.01). After treatment, the improvements of SDS and BI in CW group and AM group were better than that in WM group (P<0.05 or P<0.01). Compared with CW group, the improvements of SDS and BI in the other two groups were statistically significant (P<0.01). Conclusion The treatment combined traditional Chinese and western medicine for PSD has a satisfactory therapeutic effect.

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备注/Memo

备注/Memo:
收稿日期:2014-5-2
基金项目:广西中医药大学第一附属医院青年基金课题(GZYQJ2011020)。
作者简介:梁慧(1982-),女,主治医师,医学硕士,主要从事针灸临床工作。
更新日期/Last Update: 1900-01-01