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目的探讨针刺联合百忧解在脑梗死伴抑郁治疗中的临床价值。方法将我院2013年1月至2014年10月期间收治的152例脑梗死伴抑郁患者平均分成两组,对照组予以百忧解治疗,观察组予以针刺联合百忧解治疗。采用汉密尔顿抑郁量表(HAMD-17)评估患者的抑郁程度,采用美国国立卫生研究院卒中量表(NIHSS)评估患者的神经功能,采用Barthel指数评估患者的日常生活能力。结果治疗后,观察组患者的HAMD评分明显低于对照组,抑郁总有效率明显高于对照组,神经功能缺损评分、Barthel指数评分均明显优于对照组(P<0.01)。结论针刺联合百忧解能有效改善脑梗死患者的抑郁情绪,抑制神经功能缺损,提高患者的日常生活能力。
Objective To investigate the clinical value of acupuncture combined with Prozac in cerebral infarction with depression. Methods A total of 152 patients with cerebral infarction and depression who were treated in our hospital from January 2013 to October 2014 were divided into two groups. The control group was treated with Prozac and the observation group was treated with acupuncture combined with Prozac. Patients were assessed for depression using the Hamilton Depression Rating Scale (HAMD-17), neurological function assessed using the National Institutes of Health Stroke Scale (NIHSS), and Barthel index used to assess daily living ability. Results After treatment, the HAMD score of the observation group was significantly lower than that of the control group, and the total effective rate of depression was significantly higher than that of the control group. Neurological deficit score and Barthel index score were significantly better than the control group (P <0.01). Conclusions Combination of acupuncture and Prozac can effectively alleviate the depression, reduce the neurological deficits and improve the daily living ability of patients with cerebral infarction.