针刺联合心理干预治疗脑卒中后抑郁45例疗效观察

目的观察针刺联合心理干预治疗脑卒中后抑郁的临床疗效。方法将90例脑卒中后抑郁患者随机分为治疗组和对照组,各45例。治疗组运用针刺联合心理干预方法,对照组运用口服盐酸氟西汀胶囊。治疗6周后采用汉密尔顿抑郁量表(HAMD)、中国卒中量表(CSS)评价两组临床疗效。结果治疗组痊愈22例,显效13例,有效8例,无效2例,总有效率为95.56%,对照组痊愈17例,显效7例,有效12例,无效9例,总有效率为80.00%,两组比较差异有统计学意义(P<0.05);治疗组在改善患者HAMD与CSS评分方面均显著优于对照组(均P<0.01)。结论针刺联合心理干预治疗脑卒中后抑郁疗效确切,安全可靠,具有临床应用优势。

Efficacy Observation of 45 Cases of Post - Stroke Depression Treated with Acupuncture and Psychological Intervention

Objective To observe the clinical efficacy on post-stroke depression treated with acu- puncture and psychological intervention. Methods Ninety cases of post - stroke depression were randomized into a treatment group and a control group,45 cases in each one. In the treatment group,the combined therapy of acupuncture and psychological intervention was used. In the control group, Fluoxetine Hydrochloride Cap-sules were prescribed for oral administration. HAMD and CSS were adopted to assess the clinical efficacy of the two groups in 6 weeks of treatment. Results In the treatment group,22 cases were cured, 13 cases re-markably effective,8 cases effective and 2 cases failed; the total effective rate was 95.56%. In the control group, 17 cases were cured,7 cases remarkably effective, 12 cases effective and 9 cases failed;the total effec-tive rate was 80.00%. The differences were significant in comparison of the two groups（P 〈0.05 ）. The im-provement of HAMD and CSS scores for the patients in the treatment group were superior significantly to that in the control group（ all P 〈 0.01 ）. Conclusion The combined therapy of acupuncture and psychological in-tervention achieves the definite, safe and reliable efficacy on post - stroke depression. It is advantageous in clinical practice.