针刺治疗卒中后抑郁症的临床研究进展

Review on Treating Post-Stroke Depression with Acupuncture

摘要: 卒中后抑郁是一种继发性抑郁，是指脑血管疾病发生后出现的以情绪低落、活动机能减退、思维功能迟缓为主要特征的一类情感障碍性疾病，是卒中常见的并发症之一，属于中医“郁证”范畴。目前临床对于卒中后遗症的治疗已经日益完善，但多数集中于运动等基本功能损害，而忽视了卒中患者的心理障碍。由于缺乏关注，现今对于卒中后抑郁症的治疗基本以治疗原发性抑郁症为指导，大多以西药治疗为主。而针灸疗法干预卒中后抑郁具有疗效确切、副作用少、便于操作的特点，弥补了西药治疗的不足。本研究将通过整理近十年来对PSD的研究，初步明确其发病机制，分析总结针刺治疗PSD的发展概况，以期能在临床上取得更好的效果。

Abstract: Post-stroke depression is a secondary depression, which refers to a kind of affective disorders after cerebrovascular disease to depression with the main feature of depression, hypofunction of activity, and slow thinking, and it is one of the common complications of stroke and belongs to “Melancholia” in the category of tradition Chinese medicine. Currently, the clinical treatments of stroke sequelae have improved well, but mostly are concentrated on the basic functions of sports and other damages, while ignoring the psychological barrier of stroke patients. Due to lack of attention, nowadays, the treatments of post-stroke depression substantially take treating primary depression as a guide, and most of them are based on western medicine. Actually, acupuncture therapy has curative effects with less side effects and it is easy to operate, which can make up for the shortages of western medicine. This study will initially clarify the pathogenesis of the PSD, analyze and summarize the development of acupuncture therapy on PSD by sorting the studies of the PSD over the past decade in order that it can achieve better results in clinical practices.