Objective:To determine whether patients with acupuncture can reduce the incidence of post-stroke depression.Methods:60 patients were randomly divided into acupuncture group (30 cases) and control group (30 cases).Acupuncture group:Dazhui (GV40),Benshen (GB15),Baihui (GV20),Xuanzhong (GB39),Shenmen (Ht7),daily1 time,each time 30 min,treatment of 4 weeks;The control group was given blank control without any intervention.Using HAMD (baseline,4 weeks,8 weeks after),Results:There was no significant difference between the two groups before treatment.The variation of the HAMD scores in the two groups after 4 weeks,8 weeks was statistically significant.Conclusion:Early acupuncture can prevent the occurrence of post-stroke depression.%目的:探讨针刺早期干预脑卒中患者是否能够降低脑卒中后抑郁的发病.方法:将60例患者随机分为针刺组(30例)与对照组(30例).针刺组选穴大椎、本神(双侧)、百会、悬钟(双侧)、神门(双侧)每日针刺1次,每次30 min,共治疗4周;对照组给予空白对照,无任何干预措施.2组患者在治疗期间皆不使用抗抑郁药物,并在基线期、4周后、8周后使用HAMD进行评分.结果:2组受试者HAMD量表评分在治疗前比较差异无统计学意义,治疗4周后2组受试者HAMD量表评分变化值比较差异有统计学意义,8周后2组受试者HAMD量表评分变化值比较差异有统计学意义.结论:脑卒中患者早期行醒脑开窍针刺可有效预防脑卒中后抑郁的发生.
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