Liu Su-kun, Zhao Xiu-min, Xi Zhi-mei
The First Central Hospital of Baoding City, Hebei 071000, China.
Zhongguo Zhen Jiu. 2006 Jul;26(7):472-4.
To understand the incidence of post-stroke depression (PSD) and the therapeutic effect of acupuncture-moxibustion.
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).
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).
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.
了解脑卒中后抑郁（PSD）的发生率及针灸治疗效果。
采用汉密尔顿抑郁量表对560例患者进行评定，通过方差分析、χ²检验比较PSD组与非PSD组的病变部位、性别、年龄及脑卒中性质，将PSD患者随机分为两组，分别给予百忧解-20及针刺四神聪（EX-HN 1）、安眠、内关（PC 6）、神门（HT 7）、足三里（ST 36）、三阴交（SP 6）、太冲（LR 3）、照海（KI 6）、申脉（BL 62）进行治疗。
PSD总发生率为43.9%，与病变部位、性别、年龄及脑卒中性质无关（P＞0.05），两组治疗前后HAMD评分差异有极显著性（P＜0.0001），两组有效率差异无显著性（P＞0.05）。
PSD发生率高，影响神经功能恢复，应早期治疗。针灸与百忧解-20治疗效果相似。
