灵龟八法对卒中后抑郁患者疗效及生活质量的影响  

Effects of Linggui Bafa on the therapeutic effect and quality of life in patients of post-stroke depression

作　　者：郭瑞友[1] 苏莉[2] 刘立安[2] 王彩霞[1] 

机构地区：[1]青岛大学医学院附属海慈医院神经内科,山东青岛266033 [2]山东中医药大学附属青岛市中医医院针灸科

出　　处：《中国针灸》2009年第10期785-790,共6页Chinese Acupuncture & Moxibustion

基　　金：青岛市科技局计划项目:06-2-2-4-nsh

摘　　要：目的:探讨灵龟八法针刺治疗对卒中后抑郁患者疗效及生活质量的影响。方法:120例患者随机分为观察1组、观察2组和对照组,每组40例。各组患者均接受西医常规治疗和二级预防。观察1组选用灵龟八法于卒中后第3周进行针刺治疗;观察2组于同一时间给予口服舍曲林治疗;对照组不给予针刺及抗抑郁西药治疗,给予早期康复和心理疏导。分别于治疗结束时、治疗结束后6个月随访时评估汉密尔顿抑郁量表(HAMD)评分、卒中量表(NIHSS)评分、功能独立量表(FIM)评分和汉化版SF-36健康调查量表6方面评分。结果:观察1组与对照组治疗后、随访时比较,HAMD评分、FIM认知功能评分及SF-36总体健康评分、生理职能、情感职能、社会功能、活力、精神健康评分均改善明显(P<0.01,P<0.05);治疗后生理功能评分、随访NIHSS评分,观察1组较对照组亦有改善(P<0.05,P<0.01)。观察2组与对照组比较,治疗后FIM认知功能评分及SF-36评分中生理职能、社会功能、精神健康评分,随访时HAMD评分及SF-36总体健康、社会功能、精神健康评分,观察2组改善明显(P<0.01,P<0.05)。观察1组与观察2组治疗后、随访时HAMD评分、FIM认知功能评分及SF-36总体健康评分、情感职能、社会功能、活力、精神健康评分改善明显(P<0.05,P<0.01),随访时NIHSS评分、SF-36生理职能评分观察1组亦较观察2组改善明显(P<0.05)。结论:针刺治疗能够明显改善卒中后抑郁患者的临床症状,提高患者的生存质量;针刺治疗的效果优于西药舍曲林治疗。Objective To probe into effects of Linggui Bafa （method for picking eight points linked with extraordinary meridians according to time） on the therapeutic effect and quality of life in patients of post stroke depression. Methods One hundred and twenty cases were randomly divided into 3 groups, an observation group 1, an observation group 2 and a control group, 40 cases in each group. All patients were given routine clinical treatments and second level medical prevention. Patients in the observation group 1 received Linggui Bafa acupuncture treatment 2 weeks after stroke; at the same time the observation group 2 was treated with oral administration of Sertraline. The control group did not receive any form of either acupuncture or oral medication, but early rehabilitative intervention and psychological treatment were initiated. Curative effects were evaluated with Hamilton Depression Scale （HAMD）, Function Independent Measure （FIM）, National Institutes of Health Stroke Scale （NIHSS） and SF-36 after the treatment and 6 months later, respectively. Results The scores of HAMD, FIM （cognition function） and general health, role-physical, role-emotional, social function, vitality, mental health in SF-36 in the observation group 1 were significantly higher than those in the control group after treatment and 6 months later （P〈0.01, P〈0.05）. The scores of physical function in SF-36 after treatment and NIHSS 6 months later in the observation group 1 were significantly improved than those in the control group （P〈0.01, P〈0.05）. The scores of FIM （cognition function） and role-phy-sical, social function, mental health in SF-36 after treatment and HAMD and general health, social function, mentai health in SF-36 6 months later in the observation group 2 were significantly better than those in the control group （P〈0. 01, P〈0. 05）. The scores of HAMD, FIM （cognition function） and general health, role-emotional, social function, vitality, mental health in SF-36 in the observation gro

关 键 词：灵龟飞腾 中风后遗症 抑郁症 生活质量 

分 类 号：R246.6[医药卫生—针灸推拿学]