[1]王文通,王恩忠,乔宇,等.调神通窍针刺治疗卒中后抑郁临床疗效观察[J].西部中医药,2024,37(08):137-140.[doi:10.12174/j.issn.2096-9600.2024.08.31]
　WANG Wentong,WANG Enzhong,QIAO Yu,et al.Observation on Clinical Effects of Treating Post-stroke Depression with Adjusting-spirit Unblocking-orifices Acupuncture[J].Western Journal of Traditional Chinese Medicine,2024,37(08):137-140.[doi:10.12174/j.issn.2096-9600.2024.08.31]
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调神通窍针刺治疗卒中后抑郁临床疗效观察
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《西部中医药》[ISSN:2096-9600/CN:62-1204/R]

卷:
37
期数:
2024年08期
页码:
137-140
栏目:
特色医疗
出版日期:
2024-08-15

文章信息/Info

Title:
Observation on Clinical Effects of Treating Post-stroke Depression with Adjusting-spirit Unblocking-orifices Acupuncture
作者:
王文通1, 王恩忠3, 乔宇1, 殷颖2, 陈聪1, 张永臣1, 卢岩1
1.山东中医药大学针灸推拿学院，山东 济南 250014
2.山东省中医院，山东 济南 250014
3.山东省齐州监狱，山东 济南 251400
Author(s):
WANG Wentong1, WANG Enzhong3, QIAO Yu1, YIN Ying2, CHEN Cong1, ZHANG Yongchen1, LU Yan1
1.Acupuncture and Massage School, Shandong University of Traditional Chinese Medicine, Jinan 250014, China
2.Affiliated Hospital to Shandong University of Traditional Chinese Medicine, Jinan 250014, China
3.Shandong Provincial Qizhou Prison, Jin
关键词:
卒中后抑郁; 调神通窍针刺; 脑血流速度; 脑储备能力
Keywords:
post-stroke depression; adjusting-spirit unblocking-orifices acupuncture; cerebral blood flow velocity; brain reserve capacity
分类号:
R246.6
DOI:
10.12174/j.issn.2096-9600.2024.08.31
文献标志码:
B
摘要:
目的观察调神通窍针刺治疗卒中后抑郁（post-stroke depression，PSD）的临床疗效。 方法将60例PSD患者按照随机数字表方法分为常规针刺组和调神针刺组各30例。两组均予脑卒中常规诊疗方案治疗，在此基础上，常规针刺组取百会穴、印堂穴、太冲穴等腧穴行常规针刺治疗；调神针刺组取百会穴、神庭穴、前顶穴等腧穴行调神针刺治疗，两组均每日治疗1次，每周治疗6天，连续治疗4周。治疗后观察两组临床疗效及汉密尔顿抑郁量表（Hamilton depression scale，HAMD）评分、双侧大脑中动脉（middle cerebral artery，MCA）平均血流速度和脑储备能力评分的变化。 结果治疗后两组临床疗效比较，差异无统计学意义（P＞0.05）；治疗后两组HAMD评分和脑储备能力评分均较治疗前降低（P＜0.05），双侧MCA平均血流速度较治疗前增快（P＜0.05），且调神针刺组HAMD评分、脑储备能力评分低于常规针刺组（P＜0.05），MCA平均血流速度大于常规针刺组。 结论调神通窍针刺可明显改善PSD患者的抑郁状态及脑血流速度，提高脑储备能力。
Abstract:
ObjectiveTo observe curative effects of adjusting-spirit unblocking-orifices acupuncture in the treatment of post-stroke depression (PSD). MethodsSixty PSD patients were allocated to conventional needling group and adjusting-spirit unblocking-orifices acupuncture group according to random number table method with 30 cases in each. Both groups accepted routine diagnosis and treatment plan of stroke, based on this, conventional needling group chose Baihui (DU20), Yintang (EX-HN3), Taichong (LR3) and others to perform conventional needling; adjusting-spirit unblocking-orifices acupuncture group selected Baihui, Shenting (DU24) and Qianding (DU21) to adjust the spirit and unblock the orifices, both groups were treated once each day, six days each week, for four weeks consecutively. To observe clinical effects, the scores of HAMD, mean flow velocity of MCA, and brain reserve capacity between both groups after the treatment. ResultsThe difference had no statistical meaning in clinical effects between both groups after the treatment (P>0.05); after the treatment, the scores of HAMD and brain reserve capacity were lowered in both groups (P<0.05), mean flow velocity of bilateral MCA increased faster than before treatment (P<0.05), the scores of HAMD and brain reserve capacity of adjusting-spirit unblocking-orifices acupuncture group were lower than these of conventional needling group (P<0.05), mean flow velocity of MCA was larger than that of conventional needling group. ConclusionAdjusting-spirit unblocking-orifices acupuncture could obviously improve depression, cerebral blood flow velocity and brain reserve capacity in PSD patients,

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备注/Memo

备注/Memo:
王文通（1994—），女，在读硕士研究生。研究方向：针灸作用机理研究。国家自然科学基金面上项目（81373723，81102652）；山东省自然基金面上项目（ZR2020MH364，ZR2019MH079）；山东省重点研发计划项目（2015GSF119019）。
更新日期/Last Update: 2024-08-15