發(fā)布時(shí)間：2018-03-01 20:32

  本文關(guān)鍵詞： 膻中穴 針刺 中風(fēng)后抑郁 臨床療效　出處：《黑龍江中醫(yī)藥大學(xué)》2017年碩士論文　論文類(lèi)型：學(xué)位論文

【摘要】：目的:觀察針刺膻中穴治療中風(fēng)后抑郁的臨床療效。方法:選取50例中風(fēng)后抑郁的患者,依隨機(jī)數(shù)字表法隨機(jī)分成觀察組(應(yīng)用膻中穴組)和對(duì)照組(未用膻中穴組),每組25例。對(duì)照組采用常規(guī)針刺治療,觀察組予以常規(guī)針刺基礎(chǔ)上加用膻中穴治療。膻中穴施以捻轉(zhuǎn)提插瀉法,兩組均每日治療1次,留針50min,4周為1個(gè)療程,治療前后分別用HAMD量表和MESSS量表評(píng)分,對(duì)患者抑郁的嚴(yán)重程度及神經(jīng)功能缺損的程度進(jìn)行評(píng)估,評(píng)定兩組療效。結(jié)果:1.治療后,兩組患者HAMD量表和MESSS評(píng)分較治療前均有顯著降低(P0.05);2.兩組患者治療前比較HAMD量表評(píng)分,P0.05,具有可比性。兩組治療后與治療前HAMD量表評(píng)分的差值比較,P0.05,觀察組評(píng)分下降幅度大于對(duì)照組,差異均有統(tǒng)計(jì)學(xué)意義;3.兩組患者M(jìn)ESSS量表評(píng)分比較,治療前評(píng)分比較P0.05,具有可比性。治療后觀察組MESSS評(píng)分降低的幅度大于對(duì)照組(P0.05),差值有統(tǒng)計(jì)學(xué)意義;4.兩組患者臨床療效比較,觀察組愈顯率為72.0%(18/25)優(yōu)于對(duì)照組的40.0%(10/25)(P0.05),經(jīng)統(tǒng)計(jì)學(xué)檢驗(yàn),差異有顯著意義。結(jié)論:1.針刺膻中穴能夠有效改善中風(fēng)患者的抑郁癥狀;2.針刺膻中穴有助于患者神經(jīng)功能的修復(fù)。
[Abstract]:Objective: to observe the clinical effect of acupuncture at Shanzhong point on post-stroke depression. Methods: 50 patients with post-apoplectic depression were selected. According to the random number table method, the rats were randomly divided into two groups: the observation group (using Shanzhong acupoint group) and the control group (the Danzhong point group) with 25 cases in each group. The control group was treated with routine acupuncture, and the control group was treated with routine acupuncture. The observation group was treated by routine acupuncture plus Shanzhong point, twirling, lifting and inserting at Shanzhong point. The two groups were treated once a day, followed by a course of treatment for 50 mins. Before and after treatment, HAMD scale and MESSS scale were used respectively. The severity of depression and the degree of neurological impairment were evaluated to evaluate the efficacy of the two groups. Results: 1. After treatment, The scores of HAMD and MESSS in both groups were significantly lower than those before treatment, and the scores of HAMD before treatment were comparable between the two groups. The difference between the two groups after treatment and before treatment was significant (P 0.05), and the score of observation group was lower than that of control group (P < 0.05). The amplitude is larger than the control group, The differences were statistically significant (P < 0.05). The scores of MESSS scale in the two groups were compared with those in the control group (P 0.05), and the scores before treatment were comparable. After treatment, the decrease of MESSS score in the observation group was greater than that in the control group (P 0.05), and the difference was statistically significant (P 0.05). The clinical efficacy of the two groups was higher than that of the control group (P 0.05). The curative effect rate of the observation group was 72.020 / 25), which was better than that of the control group (40.010 / 25). The difference was statistically significant. Conclusion: acupuncture at Shanzhong point can effectively improve the depressive symptoms of stroke patients 2.Acupuncture at Shanzhong point is helpful to repair the nerve function of the patients.
【學(xué)位授予單位】：黑龍江中醫(yī)藥大學(xué)
【學(xué)位級(jí)別】：碩士
【學(xué)位授予年份】：2017
【分類(lèi)號(hào)】：R246.6

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