我们的网站为什么显示成这样?

可能因为您的浏览器不支持样式,您可以更新您的浏览器到最新版本,以获取对此功能的支持,访问下面的网站,获取关于浏览器的信息:

|本期目录/Table of Contents|

耳穴电针治疗对脑小血管病伴抑郁患者的疗效评价(PDF)

《云南中医学院学报》[ISSN:1000-2723/CN:53-1048/R]

期数:
2017年03期
页码:
69-72
栏目:
针灸研究
出版日期:
2017-07-17

文章信息/Info

Title:
The Curative Effect of Auricular Electroacupuncture Treatment in Patients with Cerebral Small Vascular Disease Associated with Depression
作者:
张京兰王非△杨晶潘微
武汉市中医医院,湖北 武汉 430014
Author(s):
ZHANG JinglanWANG FeiYANG JingPAN Wei
Wuhan Hospital of Traditional Chinese Medicine, Wuhan 430014, China
关键词:
脑小血管病 抑郁 耳穴治疗 电针
Keywords:
cerebral small vascular disease depression auricular electroacupuncture treatment electric acupuncture
分类号:
R246.6
DOI:
10.19288/j.cnki.issn.1000-2723.2017.03.017
文献标识码:
A
摘要:
目的 评价耳穴电针疗法在改善脑小血管病伴抑郁患者的躯体症状及认知功能方面的疗效。方法 选取确诊67例脑小血管病伴抑郁的患者,按照就诊顺序采用随机数字表分为两组,治疗组31例在常规治疗的基础上,给予针刺耳穴神门、脑干、心、肝、肾,并在神门、心两穴加用脉冲电流刺激,频率定为1Hz;对照组32例在常规治疗的基础上,给予盐酸氟西汀胶囊口服,每次20mg,每日1次;两组均以8周为1疗程,均治疗1疗程。分别于入组时及治疗2,4,8周后进行汉密顿抑郁量表(HAMD)、自评抑郁量表(SDS)的评分。结果 两组的总体疗效相当,治疗后HAMD评分、SDS评分均有改善,无统计学意义(P>0.05),但治疗组起效更快,在治疗2周时即可出现HAMD评分、SDS评分下降,与对照组相比,P<0.05,有统计学意义,且治疗组远期疗效(8周后)更佳,与对照组相比,P<0.05,有统计学意义。结论 耳穴电针疗法较单用抗抑郁药物起效更快,能更显著改善脑小血管病伴抑郁患者的躯体症状及认知功能,远期疗效更佳,因此该方法是一种操作简便、起效更快、更为安全、使患者获益更多的新型治疗方法,值得推广应用。
Abstract:
Objective To evaluate the effect of electroacupuncture on microvascular disease in patients with small vascular disease in improving somatic symptoms and cognitive function. Methods 67 cases of patients who were diagnosed with the disease were randomly divided into two groups. There were 31 cases in the treatment group, on the basis of conventional treatment, acupuncture points in the ear, add pulse current to stimulate, the frequency was 1 Hz;There were 32 cases in the control group, on the basis of conventional treatment, gives the capsule of fluoxetine hydrochloride, 20mg, Qd;Both groups were given a course of eight weeks, all treatment for one course of treatment. Curative effect evaluation of HAMD, SDS, and the rating of the TCM syndrome scale were before the treatment begins and performed after 2, 4, 8 weeks. Results The overall effectiveness of the two groups was comparable and improved after treatment. It’s not statistically significant(P>0.05). But the treatment group worked faster, the scale scores declined during treatment for two weeks, the long-term effects (8 weeks later)were better, P<0.05, statistically significant. Conclusion Ear cupping therapy than use antidepressants work faster, can significantly improve the brain more small vascular disease patients with depression with somatic symptoms and cognitive function, the long-term curative effect is better. So the method is a new type of treatment that is easy to operate, faster, safer and more beneficial to patients, it is worth spreading the application.

参考文献/References

[1] Wardlaw JM,Smith C,Dichgans M. Mechanisms of sporadic cerebral small vessel disease:insights from neuroimaging[J]. Lancet Neurol,2013,12(5):483-497.
[2] 脑小血管病诊治专家共识组. 脑小血管病诊治专家共识[J]. 中国临床医生,2014,42(1):84-87.
[3] 翟志永,高岩,韩冬,等. 小血管病变所致急性腔隙性脑梗死与尿微量白蛋白的相关性研究[J]. 中国脑血管病杂志,2014,11(9):480-484.
[4] 董哲,张建军. 脑小血管病神经影像与临床[J]. 中华保健医学杂志,2015,17(2):163-165.
[5] 明宝红,郭阳. 卒中后抑郁与脑小血管病关系的研究进展[J]. 中国卒中杂志,2015,10(4):359-363.
[6] 张京兰,王非. 电针耳穴治疗中风后抑郁症34例[J]. 中国外治杂志,2013,22(1):46-47.
[7] 姜云武,汤晓云. 耳穴主治概要[J]. 云南中医学院学报,2001,24(3):40-41.
[8] 万启华,黄芸. 耳穴贴压疗法治疗慢性胃炎26例[J]. 陕西中医,1990(1):32.
[9] 刘智艳,姚小红. 耳针疗法作用机理研究进展[J]. 针灸临床杂志,2005,21(4):62-63.
[10] 陈峰,戴晴,杨易平,等. 耳穴神门对脑动脉硬化症患者椎-基底动脉血流的即时作用观察[J]. 中国针灸,1997(12):717-718.
[11] 邢锦秀,刘春霞. 关于耳穴的理论研究[J]. 吉林中医药,1996(6):39-40.
[12] Zhao P,Cheng J. Effects of electroacupuncture on extracellular contents of amino acid neurotransmitters in rat striatum following transient focal cerebral ischemia[J]. Acupunct Electrother Res,1997,22(2):119-126.
[13] 张雪朝,肖茂磊,孙国杰. 耳针改善血管性痴呆大鼠记忆障碍及其与bcl-2表达的关系[J]. 针刺研究,2001,26(2):106-110.
[14] 陈俊玲,吴晗芳,邵一萍,等. 耳穴埋豆联合中药改善脑卒中后抑郁患者失眠的疗效观察[J]. 辽宁中医杂志,2015,42(5):1025-1027.
[15] 王非,杨晶,肖文华,等. 电针耳穴结合中药治疗中风后抑郁症各证型临床观察[J]. 中国中医急症,2016,25(3):528-530.
[16] 张天芳,尤艳利,周爽. 微针疗法在中风后抑郁症中的临床应用[J]. 云南中医学院学报,2015,38(2):97-100.

备注/Memo

备注/Memo:
* 基金项目: 武汉市卫生和计划生育委员会2014年度医疗卫生科研项目(WZ14A01)
收稿日期: 2017 - 05- 12
作者简介: 张京兰(1981-),女,湖北武汉人,硕士,主治医师,研究方向:中医脑病学。
△通信作者:王非,E-mail:28684075@qq.com
更新日期/Last Update: 2017-06-20