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杭州市中医院针灸科
纸质出版日期:2018
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陈顺喜, 刘菲菲. “调神开郁针法”结合心理干预对卒中后轻度抑郁的疗效及量表评分相关性分析[J]. 针刺研究, 2018,43(1):38-42.
CHEN Shun-xi, LIU Fei-fei. Effect of Tiaoshen Kaiyu Acupuncture (Regulating Vitality and Dredging Stasis) Combined with Psychological Intervention on Patients of Mild Depression After Stroke[J]. Acupuncture research, 2018, 43(1): 38-42.
陈顺喜, 刘菲菲. “调神开郁针法”结合心理干预对卒中后轻度抑郁的疗效及量表评分相关性分析[J]. 针刺研究, 2018,43(1):38-42. DOI: 10.13702/j.1000-0607.170049.
CHEN Shun-xi, LIU Fei-fei. Effect of Tiaoshen Kaiyu Acupuncture (Regulating Vitality and Dredging Stasis) Combined with Psychological Intervention on Patients of Mild Depression After Stroke[J]. Acupuncture research, 2018, 43(1): 38-42. DOI: 10.13702/j.1000-0607.170049.
目的:观察"调神开郁针法"结合心理干预对卒中后轻度抑郁的疗效
并对各量表评分进行相关性分析。方法:将94例卒中后轻度抑郁患者随机分为试验组48例及对照组46例
对照组予基础治疗配合心理干预治疗
试验组予基础治疗配合"调神开郁针法"及心理干预治疗。"调神开郁针法"针刺四神聪、百会、印堂等穴位。两组患者每日治疗1次
每周5次
共治疗6周。治疗前后分别评定汉密尔顿抑郁量表(HAMD)、SDS量表、简式Fugl-Meyer运动功能及改良Barthel指数
并将HAMD评分分别与简式FuglMeyer运动功能及改良Barthel指数评分进行相关性分析。结果:(1)与治疗前比较
试验组和对照组HAMD与SDS量表评分均降低(P<0.01)
简式Fugl-Meyer运动功能评分与改良Barthel指数均升高(P<0.01)。试验组HAMD与SDS量表评分显著低于对照组(P<0.01)
简式Fugl-Meyer运动功能评分与改良Barthel指数高于对照组(P<0.05)。(2)相关性分析表明
对照组、试验组患者治疗前后的HAMD评分差值与简式Fugl-Meyer运动功能评分差值之间(rs=0.332
P<0.01)及HAMD评分差值与改良Barthel指数差值之间(rs=0.356
P<0.01)均存在正相关关系。结论:(1)"调神开郁针法"结合心理干预对卒中后轻度抑郁的疗效优于单纯心理干预治疗
并能提高患者运动功能及生活质量;(2)卒中后轻度抑郁的疗效优劣与功能之间存在正相关关系。
Objective To observe the effect of Tiaoshen Kaiyu acupuncture(regulating vitality and dredging stasis)combined with psychological intervention for treating mild depression after stroke.Methods Ninety-four patients were enrolled and were randomly divided into acupuncture(48 cases)and control(46 cases)groups.Patients in the control group were given standard treatment plus psychological intervention
while patients in the acupuncture group were treated with Tiaoshen Kaiyu acupuncture plus standard treatment and psychological intervention.Acupoints of Sishencong(EX-HN 1)
Baihui(GV 20)
and Yintang(EX-HN 3)were selected in the acupuncture group.Each group received treatment once daily
five times weekly
for a total of 6 weeks.A self-rating depression scale(SDS)
Hamilton depression scale(HAMD)
simplified Fugl-Meyer motor function assessment(FMA)
and modified Barthel index(MBI)were used before and after treatment to evaluate the efficacy.Results After the treatment the four indexes were improved significantly compared with those before treatment in the acupuncture and control groups(P<0.01).The FMA and MBI scores in the acupuncture group were higher than those in the control group(P<0.05).The HAMD and SDS scores were significantly lower in the acupuncture group than in the control group(P<0.01).In both the acupuncture and control groups
the differences before and after treatment of the HAMD and FMA scores(rs=0.332
P<0.01)and the HAMD and MBI scores(rs=0.356
P<0.01)were positively correlated.Conclusion Tiaoshen Kaiyu acupuncture combined with psychological intervention is more effective than psychological intervention therapy alone.The efficacy is correlated with motor function and mild depression scores of patients after stroke.
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