针灸推拿医学（英文版）2025，Vol.23Issue(5)：403-408,6.DOI:10.1007/s11726-025-1526-9
浅刺百会对脑卒中后抑郁患者神经功能及脑血流动力学的影响
Effects of shallow needling at Baihui(GV20)on neurological function and cerebral hemodynamics in patients with poststroke depression
摘要
Abstract
Objective:To observe the effects of shallow needling at Baihui(GV20)on neurological function and cerebral hemodynamics in patients with poststroke depression(PSD). Methods:A total of 90 PSD patients were divided into a Western medication group and a shallow needling group using the random number table,with 45 cases in each group.The Western medication group was treated with oral paroxetine tablets.The shallow needling group was treated with shallow needling at Baihui(GV20).The treatment course for both groups was 4 weeks.After treatment,the clinical efficacy was compared between the two groups.The scores of Hamilton depression scale-24(HAMD-24)and National Institutes of Health stroke scale(NIHSS),the cerebral hemodynamic changes,and the adverse reactions were observed. Results:After treatment,the total effective rate was 88.9%in the Western medication group and 84.4%in the shallow needling group;the difference between the two groups was not statistically significant(P>0.05).After treatment,the scores of HAMD-24 and NIHSS in both groups decreased(P<0.05).The difference in the HAMD-24 score between the two groups was not statistically significant(P>0.05).The NIHSS score in the shallow needling group was lower than that in the Western medication group,and the difference between the two groups was statistically significant(P<0.05).After treatment,there were no significant differences in the blood flow resistance index of the left middle cerebral artery(LMCA),right middle cerebral artery(RMCA),and basilar artery(BA)in the Western medication group compared to those before treatment.The blood flow resistance index of LMCA,RMCA,and BA in the shallow needling group was lower than that before treatment(P<0.05),and was significantly lower compared to the Western medication group(P<0.05).The incidence of adverse reactions in the shallow needling group was significantly lower than that in the Western medication group(P<0.05). Conclusion:The curative effect of shallow needling at Baihui(GV20)in the treatment of PSD is equivalent to that of oral paroxetine tablets.However,shallow needling at Baihui(GV20)is more effective in improving neurological function and cerebral perfusion,and the incidence of adverse reactions is lower.关键词
针刺疗法/穴,百会/浅刺法/中风后遗症/抑郁/脑血管循环Key words
Acupuncture Therapy/Point,Baihui(GV20)/Shallow Needling/Poststroke Syndrome/Depression/Cerebrovascular Circulation分类
医药卫生引用本文复制引用
周君臣,廖家权,向祥清..浅刺百会对脑卒中后抑郁患者神经功能及脑血流动力学的影响[J].针灸推拿医学（英文版）,2025,23(5):403-408,6.基金项目
This study was supported by the Traditional Chinese Medicine Research Project of Hubei Provincial Administration of Traditional Chinese Medicine(湖北省中医药管理局中医药科研项目,No.ZY2023F123). （湖北省中医药管理局中医药科研项目,No.ZY2023F123）
