张礼娟　武婷　姚丽娟

[摘要] 目的 探討情志护理结合穴位按摩在颈椎病后抑郁患者中的临床效果。 方法 选择2015年1月～2017年3月在我院诊断治疗的颈椎病后抑郁患者120例为研究对象，患者随机分为对照组、情志护理组及联合组，每组40例。对照组给予常规护理，情志护理组在常规护理基础上给予情志护理，联合组在常规护理及情志护理基础上给予穴位按摩。比较三组干预前后HAMD评分以及CASCS评分。 结果 情志护理组与联合组干预后CASCS总分以及各维度得分显著高于对照组，差异有统计学意义（P<0.05）；联合组干预后CASCS总分以及各维度得分显著高于情志护理组，差异有统计学意义（P<0.05）。干预后，情志护理组与联合组HAMD评分以及各维度得分均显著低于对照组，差异有统计学意义（P<0.05）；干预后，联合组HAMD评分以及各维度得分均显著低于情志护理组，差异有统计学意义（P<0.05）。 结论 情志护理结合穴位按摩能够显著改善颈椎病后抑郁患者的病情。

[关键词] 情志护理；穴位按摩；颈椎病；抑郁

[中图分类号] R473 [文献标识码] B [文章编号] 1673-9701（2018）01-0148-04

Application effect of emotional nursing combined with acupoint massage for patients with depressed after cervical spondylopathy

ZHANG Lijuan1 WU Ting1 YAO Lijuan2

1.Department of Neurology， Huzhou Traditional Chinese Medicine Hospital in Zhejiang Province， Huzhou 313000， China； 2.Department of Orthopaedics and Traumatolgy， Huzhou Traditional Chinese Medicine Hospital in Zhejiang Province， Huzhou 313000， China

[Abstract] Objective To discuss application effect of emotional nursing combined with acupoint massage for patients with depressed after cervical spondylopathy. Methods 120 cases with depressed after cervical spondylopathy from Jan 2015 to Mar 2017 were selected as subjects. All cases were randomly divided into the control group， the emotional nursing group and the combination group， each of 40 cases. The control group received conventional nursing， the emotional nursing group received emotional nursing based on conventional nursing， and the combination group received emotional nursing combined with acupoint massage. HAMD and CASCS scores of three groups before and after intervention were compared. Results After intervention， CASCS aggregate scores and each dimension scores of the emotional nursing group and the combination group were higher than those of the control group（P<0.05）； After intervention， CASCS aggregate score and each dimension score of the combination group were higher than those of the emotional nursing group（P<0.05）. After intervention， HAMD aggregate scores and each dimension scores of the emotional nursing group and the combination group were lower than those of the control group（P<0.05）； After intervention， HAMD aggregate score and each dimension score of the combination group were lower than those of the emotional nursing group（P<0.05）. Conclusion Emotional nursing combined with acupoint massage for patients with depressed after cervical spondylopathy can improve the patients' condition.

[Key words] Emotional nursing； Acupoint massage； Cervical spondylosis； Depression

颈椎病是一种颈椎综合征，中老年人群为高发人群。随着工作生活方式的变化，颈椎病有年轻化的趋势，发病率也呈上升趋势。颈椎病患者发生抑郁与颈椎病导致大脑供血不足等有关[1]。颈椎病后抑郁的发生率并不高，一旦发生，则影响患者的生活及工作，也影响疾病的治疗依从性。颈椎病在中医属于“颈肩痛”、“项痹”范畴，颈椎病后抑郁患者病情迁延反复，气机不畅，情绪低落，进而发生抑郁[2，3]。情志理论属中医心理学范畴，以发泄疏导等方法调节脏腑气血阴阳，以达到治疗效果。穴位按摩是重要的中医治疗方法，通过刺激穴位，达到调和气血、平衡阴阳的效果。本文将情志护理与穴位按摩用于颈椎病后抑郁，取得了较好的效果。现将结果报道如下。

1 资料与方法

1.1 一般资料

选择2015年1月～2017年3月在我院诊断治疗的颈椎病后抑郁患者120例为研究对象。……