针刺配合康复训练治疗卒中后抑郁的临床研究  

Clinical Study on Acupuncture plus Rehabilitation Training for Post-stroke Depression

作　　者：占道伟[1] 罗开涛[1] 茅利玉[1] 高峰[1] 钱立锋[1] 沈来华[1] 方剑乔[2] 

机构地区：[1]浙江中医药大学附属嘉兴中医院,嘉兴314001 [2]浙江中医药大学,杭州310053

出　　处：《上海针灸杂志》2016年第7期792-795,共4页Shanghai Journal of Acupuncture and Moxibustion

基　　金：浙江省中医药防治重大疾病攻关计划项目(2011ZGG003);浙江省中医药管理局适宜技术培育项目(2012ZS011)

摘　　要：目的观察针刺配合康复训练治疗卒中后抑郁的临床疗效。方法将41例卒中后抑郁患者随机分为治疗组22例和对照组19例。两组均采用内科基础治疗,治疗组在此基础上采用针刺配合康复训练治疗,对照组采用单纯康复训练治疗。观察并比较两组治疗前后汉密尔顿抑郁量表(HDRS)和美国国立卫生研究院卒中量表(NIHSS)评分的变化情况。结果两组治疗4、8星期后HDRS评分和NIHSS评分与同组治疗前比较,差异均具有统计学意义(P<0.05,P<0.01)。治疗组治疗4、8星期后HDRS评分和NIHSS评分与对照组比较,差异具有统计学意义(P<0.05,P<0.01)。结论针刺配合康复训练是一种治疗卒中后抑郁的有效方法。Objective To observe the clinical efficacy of acupuncture plus rehabilitation training in treating post-stroke depression. Method Forty-one patients with post-stroke depression were randomized into a treatment group of 22 cases and a control group of 19 cases. In addition to the basic internal medicine treatment, the treatment group received acupuncture plus rehabilitation training, while the control group was intervened by rehabilitation training alone. The Hamilton Depression Scale（HAMD） and National Institutes of Health Stroke Scale（NIHSS） were observed and compared before and after treatment. Result The HAMD and NIHSS scores in the two groups were significantly changed respectively after 4-week and 8-week treatment（P〈0.05,P〈0.01）. Respectively after 4-week and 8-week treatment, the HAMD and NIHSS scores in the treatment group were significantly different from that in the control group（P〈0.05,P〈0.01）. Conclusion Acupuncture plus rehabilitation training is an effective approach in treating post-stroke depression.

关 键 词：针刺疗法 抑郁 康复训练 头针 电针 中风并发症 针药并用 

分 类 号：R246.6[医药卫生—针灸推拿学]