热敏灸治疗脑卒中后抑郁症的临床研究

目的：观察热敏灸与药物治疗脑卒中后抑郁症的临床疗效差异。方法：将60例脑卒中后抑郁症患者随机分为观察组（30例）和对照组（30例）。两组均进行中风后的常规治疗和针刺康复治疗,同时观察组采用热敏灸治疗,寻找热敏点进行热敏灸,每日1次,每周5次;药物组口服盐酸氟西汀（百优解）每次20 mg,每日1次。两组均治疗2、4周后评定疗效,以汉密尔顿抑郁量表评分的减分率评定疗效。结果：治疗后,两组临床愈显率、总有效率差异有统计学意义（P〈0.05）;治疗后两组HAMD、MESSS评分的减分率比治疗前显著降低,差异均有统计学意义（P﹤0.01）,说明抑郁症状均有明显改善。两组治疗后差值比较,4周后差异有统计学意义（P﹤0.05）,说明观察组对患者抑郁症状的改善和神经功能的康复优于对照组。结论：热敏灸治疗脑卒中后抑郁症,可有效改善抑郁、焦虑不宁、早醒、悲观失望等临床症状,同时能明显提高患者的神经功能康复水平。

The Efficacy of Remin Moxibustion on Post Stroke Depression

Objective:To explore the difference of Remin moxibustion and the drug treatment for post stroke depression. Methods:Patients were randomly allocated to observation and control groups,30 cases each.The observation group was treated by Remin moxibustion and the control group by drug Fluoxetine(Prozac).Both groups were evaluated after the treatment efficacy of 2,4 weeks.The clinical therapeutic effect and changs were assessed inHamilton Depression Rating Scale score reduction rate. Results:After treatment,ther...