摘要
目的观察头针结合耳穴贴压疗法对脑卒中后抑郁症患者血清5-羟色胺(5-HT)含量的影响及临床疗效。方法选择符合入选标准的60例脑卒中后抑郁症患者,随机分成耳压组、头针+耳压组和对照组3组,3组患者除了脑卒中常规治疗外,耳压组接受耳穴贴压治疗,头针+耳压组接受头针结合耳穴按贴压治疗,对照组口服帕罗西汀治疗。3组患者于治疗前和治疗后2周、4周、8周进行观察,测量各组血清5-HT含量的变化,并采用汉密尔顿(HAMD)抑郁量表进行评定。结果 3组患者治疗后血清5-HT含量及HAMD评分组内比较均有明显差异,组间比较头针+耳压组治疗组明显优于其他2组。结论头针结合耳穴贴压是临床治疗脑卒中后抑郁症的一种有效方法,值得推广。
OBJECTIVE To observe the clinical efficacy of scalp acupuncture with ear-point pressure for the post-stroke depression patients and the influence on serum 5-HT levels.METHODS 60 patients were randomly divided into three groups：the ear-point pressure group,the scalp acupuncture with ear-point pressure group and the control group.Besides the normal treatment,the ear-point pressure group received auricular acupoints pressing treatment,the scalp acupuncture with ear-point pressure group received the combined treatment of scalp acupuncture and auricular acupoints pressing and the control group was treated with Paroxetine.The effects were observed after two weeks,four weeks and eight weeks＇ treatment respectively and the changes of Serum 5-hydroxytryptamine（5-HT）content were recorded.Hamilton depression rating scale（HAMD）was used during the observation.RESULTS There was significant difference in the Serum 5-hydroxytryptamine（5-HT）content and HAMD score in different groups.The treatment effects of the scalp acupuncture with ear-point pressure group were the best.CONCLUSION Scalp acupuncture with ear-point pressure is effective in treating post-stroke depression.
出处
《南京中医药大学学报》
CAS
CSCD
北大核心
2014年第4期323-325,共3页
Journal of Nanjing University of Traditional Chinese Medicine
基金
江苏省连云港市科技局项目(2011SH1124)
