摘要
目的:研究头部电针透穴疗法治疗脑卒中后抑郁症(PSD)的临床疗效及作用机理。方法:108例PSD患者随机分为电针透穴组(38例)、非透穴组(36例)和西药组(34例)。电针透穴组选用悬颅透悬厘、脑户透强间、头临泣透阳白等穴;非透穴组选用百会、印堂、四神聪等穴;西药组采用氟西汀口服。治疗28天后,分别对3组疗效、治疗前后HAMD抑郁量表评分、SDS自评量表评分和血浆中5-羟色胺(5-HT)含量进行对比观察。结果:电针透穴组有效率为86.84%,明显优于非透穴组的63.89%和西药组的67.65%(P<0.01,P<0.05)。电针透穴组能明显提高血浆中5-HT含量,与非透穴组相比差异有非常显著性意义(P<0.01),与西药组相比差异有显著性意义(P<0.05)。结论:头部电针透穴疗法能明显提高病人血浆中5-HT含量,治疗PSD的疗效明显优于非透穴组和西药组。
Objective To observe clinical therapeutic effect of head point-through-point electroacupuncture （EA） on poststroke depression （PSD） and to study the mechanism. Methods One hundred and eight cases of PSD were randomly divided into a point-through-point EA group （ n = 38）, a non point-through-point group （ n = 36） and a western medicine group （n =34）. After treatment of 28 days, their therapeutic effects, scores of HAMD depression scale and SDS self-rating scale, and plasma 5-HT contents were compared before and after treatment among the 3 groups. Results The effective rate of 86.84% in the point-through-point EA group was better than 68. 89Y0 in the non point-through-point group and 67. 65% in the western medicine group （P〈0. 05 or P〈0. 01）. Plasma 5-HT content in the point-through-point EA group increased significantly, with a very significant difference as compared with that of the non point-through-point group （P〈0. 01）. Conelasion Head point-through-point therapy can obviously increase plast 5-HT content of the patient with PSD, so as to cure poststroke depression, with a better therapeutic effect than other two groups.
出处
《中国针灸》
CAS
CSCD
北大核心
2007年第4期241-244,共4页
Chinese Acupuncture & Moxibustion
基金
黑龙江省中医管理局科研项目:ZH04Z61
关键词
头针
电针
透针
中风后遗症/针灸疗法
抑郁症/针灸疗法
Scalp Acupuncture
Electroacupuncture
Point-through-point Method
Poststroke Syndrome/am ther
Depression/am ther
作者简介
董建萍（1963-），女，主任医师。研究方向：针灸治疗神经系统疾病及风湿性疾病。e-mail：Dongjianpinglst@126．com
