卒中后抑郁发生率及针灸治疗

目的：了解卒中后抑郁（PSD）的发生率及针灸治疗抑郁症的疗效。方法：采用Hamilton抑郁量表对560例患者进行评分调查，通过方差分析、X^2检验，比较PSD与非PSD患者性别、年龄、卒中性质、抑郁发生与卒中部位的关系；再将PSD患者随机分组给予百忧解和针灸治疗（穴取四神聪、安眠、内关、神门、足三里、三阴交、太冲、照海、申脉）。结果：PSD总发生率43．9％，其发生与病变部位、年龄、性别、卒中性质无关（P〉0．05）；针灸与百忧解两组治疗前后汉密尔顿抑郁量表评分差异有极显著性意义（P〈0．0001），两组有效率比较差异无显著性意义（P〉0．05）。结论：PSD发生率高，影响神经功能恢复，应及早治疗；针灸治疗本病与百忧解疗效相当。

Incidence rate and acupuncture-moxibustion treatment of post-stroke depression

OBJECTIVE: To understand the incidence of post-stroke depression (PSD) and the therapeutic effect of acupuncture-moxibustion. METHODS: Five hundred and sixty cases were rating with Hamilton depression scale, and lesion parts, gender, age and property of stroke between the PSD and non-PSD were compared by analysis of variance, chi2 test, and then the patients of PSD were randomly divided into two groups and treated respectively with Prozac-20 and acup-moxibustion at Sishencong (EX-HN 1), Anmian, Neiguan (PC 6), Shenmen (HT 7), Zusanli (ST 36), Sanyinjiao (SP 6), Taichong (LR 3), Zhaohai (KI 6), Shenmai (BL 62). RESULTS: The total incidence rate of PSD was 43.9%, with no relation to the lesion parts, gender, age and property of stroke (P > 0.05), and there were very significant differences in HAMD scores before and after treatment in the two groups (P < 0.0001), with no significant difference in the effective rate between the two groups (P > 0.05). CONCLUSION: PSD has a high incidence and influences the recovery of nervous function, and it should be treated at early stage. Acup-moxibustion and Prozac-20 have similar therapeutic effect.