针刺联合康复训练治疗脑卒中后抑郁临床观察  

Clinical Observation of Acupuncture plus Rehabilitation Training for Post-stroke Depression

作　　者：夏隽晖 许翠娥[2] 夏文广 郑婵娟 

机构地区：[1]湖北省中西医结合医院,武汉430015 [2]湖北省荆州市江陵县人民医院,荆州434100

出　　处：《上海针灸杂志》2015年第8期724-727,共4页Shanghai Journal of Acupuncture and Moxibustion

摘　　要：目的观察针刺联合康复训练对脑卒中后抑郁患者功能恢复的影响。方法将98例脑卒中后抑郁患者随机分为两组,每组患者均按常规处理及抗抑郁药物治疗。对照组予假针刺+氟西汀片口服+综合康复治疗;观察组予针刺+氟西汀片口服+综合康复治疗。在治疗前及治疗8星期后采用Hamilton抑郁量表(HAMD)、Fugl-Meyer量表(FMA)及改良Barthel(MBI)指数对患者的抑郁程度、运动功能及ADL能力进行评定,随访3个月,对其各项指标及生存质量进行评定。结果治疗前,两组患者HAMD、FMA及MBI评分比较差异无统计学意义(P>0.05)。治疗8星期后,两组患者HAMD、FMA及MBI评分均较治疗前有所改善(P<0.01,P<0.05)。观察组治疗后HAMD评分、FMA评分及MBI评分与对照组比较差异有统计学意义(P<0.01,P<0.05)。观察组总有效率为90.0%,对照组总有效率79.2%,两组比较差异有统计学意义(P<0.05)。随访3个月时,观察组各项指标与对照组比较差异有统计学意义(P<0.05,P<0.01)。结论针刺联合康复训练治疗有助于脑卒中后抑郁患者抑郁状态、运动功能、认知功能的改善及生活质量的提高,是一种值得推广的治疗方案。Objective To observe the effect of acupuncture plus rehabilitation training on the function recovery of patients with post-stroke depression. Method Ninety-eight patients with post-stroke depression were randomized into two groups to receive conventional management and anti-depressants. The control group was intervened by sham-acupuncture plus Fluoxetine tablets and comprehensive rehabilitation training, while the observation group was by acupuncture plus Fluoxetine tablets and comprehensive rehabilitation training. Prior to the intervention and after 8-week treatments, the depression state, motor function and activities of daily life（ADL） were evaluated by using Hamilton Depression Scale（HAMD）, Fugl-Meyer Assessment（FMA） and Modified Barthel Index（MBI）. The indexes and quality of life were also determined during the 3-month follow-up study. Result Before intervention, there were no significant differences in comparing HAMD, FMA and MBI scores（P〉0.05）. After 8-week treatment, the HAMD, FMA and MBI scores were significantly improved in both groups（P〈0.01,P〈0.05）. After treatment, the HAMD, FMA, and MBI scores in the observation group were significantly different from that in the control group（P〈0.01,P〈0.05）. The total effective rate was 90.0% in the observation group versus 79.2% in the control group, and the difference was statistically significant（P〈0.05）. The 3-month follow-up study showed significant differences in comparing the indexes between the two groups（P〈0.05, P〈0.01）. Conclusion Acupuncture plus rehabilitation training benefits the improvement of depression state, motor function, cognitive function and quality of life in patients with post-stroke depression, and is worth promotion.

关 键 词：中风并发症 抑郁症 针刺 康复训练 针药并用 

分 类 号：R246.6[医药卫生—针灸推拿学]