电针治疗中风后抑郁症的临床研究

目的探讨电针治疗中风后抑郁患者抑郁情绪及神经功能缺损程度的疗效。方法选择中风病人90例，均经临床、CT或MRI证实，随机分为电针（简称电针组）30例，氟西汀治疗组（简称西药组）30例。不抗抑郁的基础治疗对照（简称对照组）30冽。三组患者均给予类似的中风治疗，而电针组加用电针，西药组加用氟西汀，对照组加用安慰剂，连续60d。结果电针组、西药组患者的HAMD和MESSS评分下降，Barthel指数评分上升比对照组快（P〈0．05）；电针组、西药组总体疗效优于对照组，电针组、西药组总体疗效相似。结论电针能改善抑郁表现，促进神经功能康复。

Clinical study on electroacupuncture treatment of postapoplectic depression

Projective To investigate the curative effect of electroacupuncture on melancholy and neural deficit in patients with postapoplectic depression.Methods Ninety stroke patients confirmed by clinical physical examination and CT or MRI were selected and randomly allocated to an electroacupuncture group of 30 cases, a Fluoxetine(Western medicine) group of 30 cases and a control(basic treatment without antidepressant) group of 30 cases.All the three groups were given similar treatments for stroke,with electroacupuncture added in the electroacupuncture group,Fluoxetine in the Western medicine group and placebo in the control group,for 60 consecutive days.Results HAMD and MESSS scores decreased in the electroacupuncture and Western medicine groups.Barthel index score increased more quickly in the electroacupuncture and Western medicine groups than in the control group(P<0.05).The total curative effect was better in the electroacupuncture and Western medicine groups than in the control group.The total curative effect in the electroacupuncture group was similar to that in the Western medicine group.Conclusion Electroacupuncture can relieve depression and promote the recovery of neural function.