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目的观察针药并用治疗脑卒中后抑郁的临床疗效。方法将60例患者随机分为治疗组和对照组各30例。治疗组采用针灸结合逍遥散加减治疗,以氟西汀为对照组,观察2组治疗前后汉密尔顿抑郁量表(HAMD)评分变化。结果治疗4周后,两组患者HAMD评分均降低,治疗前后对比,差异显著(P<0.05),治疗后疗效均有提高;治疗后组间比较,治疗组优于对照组,差异显著(P<0.05)。结论两组治疗方法治疗脑卒中后抑郁均有效,但治疗组优于对照组,不良反应少,值得临床推广应用。
Objective To observe the clinical efficacy of acupuncture and medicine in the treatment of post-stroke depression. Methods 60 patients were randomly divided into treatment group and control group of 30 cases. The treatment group was treated with Xiaoyaosan acupuncture and moxibustion combined with fluoxetine as control group, and the change of Hamilton Depression Rating Scale (HAMD) score was observed before and after treatment. Results After 4 weeks of treatment, the HAMD scores of both groups were decreased, the difference was significant (P <0.05) before and after treatment, and the curative effect was improved after treatment. The treatment group was better than the control group after treatment <0.05). Conclusion Both groups are effective in treating post-stroke depression, but the treatment group is better than the control group with less adverse reactions, which is worthy of clinical application.