CAJ | 학술논문

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.
목적 탐토침구여계단성건강교육대뇌졸중후억욱환자공능강복적영향.방법 85례뇌졸중후억욱환자분위치료조44례화대조조41례,2조균급여신경내과영양신경상규치료,치료조재차기출상급여침구여계단성건강교육,분별우치료전후대2조진행Barthel지수(BI),FuglMeyer (FMA)운동량표,Zung억욱량표(SDS)화한밀이돈억욱량표(HAMD)검측.결과 치료8주후,량조SDS、HAMD평분[분별위(46.97±12.17)분、(26.04±5.37)분],여치료전[분별위(56.07±5.51)분、(32.74±5.17)분]비교감분명현:치료조BI、FMA평분[분별위(67.13±15.53)분、(64.41±20.03)분]교대조조명현상승(P균＜0.01).억욱상태비교,치료조SDS、HAMD총유효솔(77.8％、78.6％)분별고우대조조(56.6％、52.4％).결론 침구여계단성건강교육치료뇌졸중후억욱증유명현림상료효,가제고뇌졸중환자적운동공능화일상생활능력.
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.