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调神开窍针刺法治疗缺血性脑卒中后抑郁的疗效:一项随机对照试验

Effect of Tiaoshen Kaiqiao acupuncture in the treatment of ischemic post-stroke depression: a randomized controlled trial.

作者信息

Li Menghan, Zhang Bo, Meng Zhihong, Sha Tao, Han Yuhui, Zhao Hong, Zhang Chunhong

出版信息

J Tradit Chin Med. 2017 Apr;37(2):171-8. doi: 10.1016/s0254-6272(17)30041-9.

Abstract

OBJECTIVE

To observe the effect of Tiaoshen Kaiqiao acupuncture in the treatment of ischemic post-stroke depression.

METHODS

This research was a single-blind, positive-controlled trial done in a single entity. Totally 58 patients with ischemic post-stroke depression were randomly divided into two groups. The acupuncture group was given Tiaoshen Kaiqiao acupuncture therapy and placebo starch tablets treatment, while the control group was treated with fluoxetine tablets and body acupuncture treatment. Evaluated the clinical efficacy of the two groups with Hamilton Depression Scale (HAMD), Anti Depression Drug Side Effects Rating Scale (SERS), Clinical Global Impression Scale (CGI) respectively before treatment, the fourth weekend of treatment, the eighth weekend of treatment, the twelfth weekend of treatment. The adverse reactions in two groups were observed and documented.

RESULTS

The HAMD scale scores of the two groups in different treatment period were significantly decreased compared with that before treatment (P < 0.05); the score reduction of HAMD scale between the two groups had no significant differences (P > 0.05). There was significant difference between the SERS scores of two groups (P < 0.05); the control group had more adverse reactions, and the score would be increased with the extension of treatment time. Effect index (EI) of CGI in the acupuncture group is better than that of control group (P < 0.05).

CONCLUSION

The effects of Tiaoshen Kaiqiao acupuncture and fluoxetine in the treatment of ischemic post-stroke depression were similar, but the former had no obvious adverse reaction and side effects.

摘要

目的

观察调神开窍针刺法治疗缺血性脑卒中后抑郁的疗效。

方法

本研究为单中心单盲阳性对照试验。将58例缺血性脑卒中后抑郁患者随机分为两组。针刺组给予调神开窍针刺疗法及安慰剂淀粉片治疗,对照组给予氟西汀片及体针治疗。分别在治疗前、治疗第4周末、第8周末、第12周末采用汉密尔顿抑郁量表(HAMD)、抗抑郁药副反应量表(SERS)、临床总体印象量表(CGI)评估两组的临床疗效。观察并记录两组的不良反应。

结果

两组在不同治疗时期的HAMD量表评分均较治疗前显著降低(P<0.05);两组HAMD量表评分降低幅度比较差异无统计学意义(P>0.05)。两组SERS评分比较差异有统计学意义(P<0.05);对照组不良反应较多,且评分随治疗时间延长而升高。针刺组CGI有效指数(EI)优于对照组(P<0.05)。

结论

调神开窍针刺法与氟西汀治疗缺血性脑卒中后抑郁的疗效相似,但前者无明显不良反应和副作用。

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