首页|"通督治郁"针刺法对卒中后抑郁患者汉密尔顿抑郁量表各项评分的影响

"通督治郁"针刺法对卒中后抑郁患者汉密尔顿抑郁量表各项评分的影响

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  • 国家科技期刊平台
  • NETL
  • NSTL
  • 万方数据
目的 探讨"通督治郁"针刺法治疗卒中后抑郁(PSD)患者的临床疗效以及对患者17项版汉密尔顿抑郁量表(HAMD-17)中各因子和项目评分的影响.方法 回顾性收集2022年1月—2023年1月安徽中医药大学第二附属医院脑病六科住院或门诊诊断为PSD患者的资料,应用"通督治郁"针刺法进行治疗,比较治疗前后患者HAMD-17总分及项目评分、因子评分变化情况.结果 本研究共纳入122例患者,治疗后疗效确切,无不良反应发生.治疗后,患者兴趣与工作、胃肠道症状、性症状和体质量减轻与治疗前比较,差异无统计学意义(P＞0.05),其他HAMD-17项目评分与治疗前比较,差异有统计学意义(P＜0.05).治疗后,除因子2(体质量因子)外,患者HAMD-17各因子评分均较治疗前降低,差异有统计学意义(P＜0.05).结论 "通督治郁"针刺法可明显改善PSD患者焦虑/躯体化症候群、睡眠障碍症候群、认知障碍症候群和阻滞症候群症状,是一种安全、有效的治疗方法.
The effects of"Tongdu Zhiyu"acupuncture on the scores of the Hamilton Depression Scale in patients with post-stroke depression
Objective To investigate the clinical effect of"Tongdu Zhiyu"acupuncture therapy in patients with post-stroke depression(PSD)and its impact on scores of various factors and items of 17-item Hamilton Depression Rating Scale(HAMD-17).Methods The data of PSD hospitalized pa-tients or treated in outpatient department in the Sixth Department of Brain Disease of the Second Affili-ated Hospital of Anhui University of Traditional Chinese Medicine.The patients were treated with"Tongdu Zhiyu"acupuncture therapy,and the changes in total score,item scores,and factor scores of HAMD-17 before and after treatment were compared.Results A total of 122 patients were included in this study.The treatment was effective with no adverse reactions.After treatment,there were no significant differences in the scores of interest and work,gastrointestinal symptoms,sexual symptoms,and weight loss compared with those before treatment(P＞0.05).However,there were significant differences in the scores of other items in HAMD-17 compared with those before treatment(P＜0.05).After treatment,except for factor 2(weight factor),the scores of all other factors in HAMD-17 were lower than those before treatment(P＜0.05).Conclusion"Tongdu Zhiyu"acupuncture therapy can significantly improve the symptoms of anxiety and somatization,sleep disorder,cognitive impair-ment,and retardation in PSD patients,which is a safe and effective treatment method.

"Tongdu Zhiyu"acupuncture therapypost-stroke depression17-item Hamil-ton Depression Rating Scale

季武、王震、胡忠萍、伍思嘉

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安徽中医药大学研究生院,安徽合肥,230012

安徽中医药大学第二附属医院脑病六科,安徽合肥,230061

"通督治郁" 针刺疗法 卒中后抑郁 17项版汉密尔顿抑郁量表

长三角名中医工作室项目安徽省重点研发计划安徽省高等学校省级质量工程基金安徽省高等学校科研项目自然科学类项目安徽省115产业创新团队针药结合防治脑病产业创新团队项目(第十三批)

皖中医药发展秘[2023]16号1704a08021692021jyxm08262023AH050769皖人才办[2020]4号

2024

10.7619/jcmp.20234238

实用临床医药杂志
扬州大学,中国高校科技期刊研究会

实用临床医药杂志

CSTPCD
影响因子：1.543
ISSN：1672-2353
年,卷(期)：2024.28(8)