针刺与阶段性健康教育对脑卒中后抑郁患者功能康复的影响  

The influence of acupuncture and stage health education on the functional rehabilitation of stroke patients with depression

作　　者：王东雁[1] 苗琴[1] 周文江[1] 何风玲[1] 丁俊 陶玉东 

机构地区：[1]甘肃省酒泉市人民医院中医科,735000 [2]甘肃省酒泉市疾控中心地方病科 [3]酒泉市中医院针灸科

出　　处：《国际中医中药杂志》2013年第10期879-882,共4页International Journal of Traditional Chinese Medicine

摘　　要：目的 探讨针灸与阶段性健康教育对脑卒中后抑郁患者功能康复的影响.方法 85例脑卒中后抑郁患者分为治疗组44例和对照组41例,2组均给予神经内科营养神经常规治疗,治疗组在此基础上给予针灸与阶段性健康教育,分别于治疗前后对2组进行Barthel指数（BI）,FuglMeyer （FMA）运动量表,Zung抑郁量表（SDS）和汉密尔顿抑郁量表（HAMD）检测.结果 治疗8周后,两组SDS、HAMD评分[分别为（46.97±12.17）分、（26.04±5.37）分],与治疗前[分别为（56.07±5.51）分、（32.74±5.17）分]比较减分明显：治疗组BI、FMA评分[分别为（67.13±15.53）分、（64.41±20.03）分]较对照组明显上升（P均＜0.01）.抑郁状态比较,治疗组SDS、HAMD总有效率（77.8％、78.6％）分别高于对照组（56.6％、52.4％）.结论 针灸与阶段性健康教育治疗脑卒中后抑郁症有明显临床疗效,可提高脑卒中患者的运动功能和日常生活能力.Objective To investigate the influence of acupuncture and stage health education on the function rehabilitation of stroke patients with depression.Methods 85 patients with poststroke depression were divided into a treatment group （44） and a control group （41）.All the cases were treated with routine neurological therapy.Based upon it,the treatment group was given acupuncture and stage health education.Barthel （BI） index and movement scale Fugl Meyer （FMA）,depression scale Zung （SDS） and Hamilton Depression Scale （HAMD）were observed in the two groups before and after the treatment.Results After eight weeks treatment,the scores of SDS and HAMD in the two groups were （46.97±12.17）,（26.04±5.37）,compared with the pretreatment scores（56.07± 5.51）,（32.74± 5.17）,they were significantly reduced.The scores ofBI,FMB were（67.13 ±15.53）,（64.41 ±20.03） which were significantly increased （average P〈0.01）,this increase was more significant in the treatment group （P〈0.05） Post-stroke depression comparison：the total effect of SDS and HAMD in the treatment group was （77.88%,78.6%）,which was more superior to the control group （56.6%,52.4%）.Conclusion The acupuncture and stage health education has a significant clinical treatment effect on the patients suffered from post-stroke depression and also can enhance their body movement function as well as the daily ability.

关 键 词：脑卒中后抑郁症 针灸 阶段性健康教育 功能康复 

分 类 号：R248[医药卫生—中医临床基础]