中风后抑郁的发病机理进展及针刺机理研究

Research on the Pathogenesis of Post-Stroke Depression and Acupuncture Mechanism

摘要: 中风后抑郁是较为常见的一种脑卒中并发症，属于继发性抑郁，目前越来越受到人们关注，脑卒中近年来随着生活水平的提高及生活节奏的加快，其发病趋势逐年上升，脑卒中成为我国成年人致死和致残的首位原因，与脑卒中后不伴有抑郁患者相比，卒中后抑郁患者的1年脑卒中复发风险增加49%。对于病机的探讨及治疗手段及方式方法不断丰富，通过近十年相关文献的研究发现中风后抑郁与多重发病机制有关，治疗手段有药物、康复、心理、中医中药、针灸治疗等，其中针刺主要通过以行调气血，化痰解郁，醒脑开窍为主要针刺方法治疗中风后抑郁效果明确有效，进而阐述其发病机理为气血阻滞，痰蒙脑窍而为发病。

Abstract: Post-stroke depression is a common complication of stroke and secondary depression. With the improvement of living standard and the quickening pace of life, the incidence of stroke is increasing year by year. Stroke has become the leading cause of death and disability in Chinese adults. Patients with poststroke depression had a 49% increased risk of recurrent stroke at 1 year, which is compared with patients without post-stroke depression. The study of pathogenesis and treatment methods has been enriched. Studies in recent ten years have found that post-stroke depression is related to multiple pathogenesis. Its treatment methods include drugs, rehabilitation, psychology, traditional Chinese medicine, acupuncture and moxibustion, etc. Among them, acupuncture mainly adopts the methods of regulating qi and blood, resolving phlegm and relieving depression, and awakening the brain and opening the obstruction. The therapeutic effect of depression after stroke is clear and effective.