CAJ | 학술논문

[目的]评价针刺治疗卒中后抑郁(Poststroke depression，PSD)的临床疗效。[方法]将150例卒中后抑郁的患者随机分成两组，针刺组接受针灸治疗和常规治疗，常规治疗组仅予常规治疗，治疗周期2个月，随访期3个月。主要疗效指标为汉密尔顿抑郁量表（HAMD），次要指标为美国国立卫生研究院卒中量表(NIHSS)、Barthel量表以及Fugl-Meyer量表。[结果]两组受试者的各项观察指标在治疗前无明显差异（P﹥0.05），满足均衡性。治疗2个月后，针刺组的HAMD量表、Barthel量表以及Fugl-Meyer量表较常规治疗组明显改善（P<0.05）；随访3个月时，各项指标与常规治疗组相比均有明显改善（P<0.05）。[结论]在常规治疗的基础上加用针刺治疗，可以改善PSD患者的抑郁状态，并对PSD患者的运动功能、日常生活能力以及神经功能缺损程度均有不同程度的提高。
[목적]평개침자치료졸중후억욱(Poststroke depression，PSD)적림상료효。[방법]장150례졸중후억욱적환자수궤분성량조，침자조접수침구치료화상규치료，상규치료조부여상규치료，치료주기2개월，수방기3개월。주요료효지표위한밀이돈억욱량표（HAMD），차요지표위미국국립위생연구원졸중량표(NIHSS)、Barthel량표이급Fugl-Meyer량표。[결과]량조수시자적각항관찰지표재치료전무명현차이（P﹥0.05），만족균형성。치료2개월후，침자조적HAMD량표、Barthel량표이급Fugl-Meyer량표교상규치료조명현개선（P<0.05）；수방3개월시，각항지표여상규치료조상비균유명현개선（P<0.05）。[결론]재상규치료적기출상가용침자치료，가이개선PSD환자적억욱상태，병대PSD환자적운동공능、일상생활능력이급신경공능결손정도균유불동정도적제고。
Objective] To estimate the clinical efficacy of acupuncture for poststroke depression(PSD). [Methods] The single-center randomized control ed trial was adopted, 150 cases of PSD were randomized into the acupuncture group(AG) and routine group(RG), al of the patients received western medicine treatment and rehabilitation training, AG was treated with acupuncture, RG was without acupuncture treatment. The trial required 2-month treatment cycle and 3-month fol ow-up visit. The HAMD, NIHSS, Barthel index and Fugl-Meyer were assessed before and after treatment, and during 3 months fol owing up.[Results] The scores of HAMD, Barthel index and Fugl-Meyer Assessment of AG were much better than that of RG after 2 months treatment(P<0.05), al of the four of AG were much better than that of RG after 3 months fol owing up(P<0.05).[Conclusion] Acupuncture is effective for PSD, it can also improve motor function,ADL and neurologic impairment.