摘要
目的
观察针药结合治疗脑卒中后抑郁症的临床疗效。
方法
将60 例符合纳入标准的脑卒中后抑郁症患者随机分为治疗组和对照组, 每组30 例。 治疗组采用电针配合药物治疗, 对照组采用单纯药物治疗。 两组患者在治疗前后分别进行功能独立性评定(Function Independent Measure, FIM)量表及世界卫生组织生存质量测定简表(The World Health Organization Quality of Life-BREF, WHOQOL-BREF)评定。
结果
两组患者FIM评分与治疗前相比, 差异均有统计学意义(P<0.01); 而治疗组比对照组提高更显著,差异有统计学意义(P<0.01)。 两组患者治疗前后WHOQOL-BREF各指标得分差异均有统计学意义(P<0.01,P<0.05); 而治疗组比对照组提高更明显, 差异有统计学意义(P<0.01, P<0.05)。
结论
电针颞三针为主治疗能提高脑卒中后抑郁症患者的日常生活活动能力及生存质量。
Abstract
Objective
To observe the clinical efficacy of acupuncture combined with medication for treatment of post-stroke depression (PSD).
Methods
A total of 60 patients with PSD in conformity with the inclusion criteria were randomly allocated into a treatment group and a control group, with 30 in each. Those in the treatment group were treated with electroacupuncture combined with medication, and those in the control group were treated with medication alone. Before and after treatment, the patients of the two groups were evaluated by means of function independent measure (FIM) and the World Health Organization quality of life-BREF (WHOQOL-BREF).
Results
After the treatments, the changes of FIM scores have statistical significant in both of the two groups (P<0.01); and the improvement in the treatment group was more remarkable than that in the control group (P<0.01). The differences in the scores in various indexes of WHOQOL-BREF in the patients of the two groups before and after treatments were both statistically significant (P<0.01, P<0.05). And the change in the treatment group was more remarkable than that in the control group (P<0.01, P<0.05).
Conclusion
Electroacupuncture on Niesanzhen (three points on the bitemporal) as major treatment can improve activities of daily living and quality of life for patients with PSD.
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Peng, Hy., He, Xj. & Zhao, Mh. Clinical observation on combined acupuncture and medicine in treating post-stroke depression. J. Acupunct. Tuina. Sci. 10, 18–21 (2012). https://doi.org/10.1007/s11726-012-0562-4
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DOI: https://doi.org/10.1007/s11726-012-0562-4