CAJ | 학술논문

目的：探讨针刺治疗脑卒中后抑郁的临床疗效及对患者神功能康复的影响。方法以我院2013年3月～2014年4月收治的70例脑卒中后抑郁患者为研究对象，随机将其分为两组，对照组患者给予常规西药治疗，观察组患者则行针刺治疗，比较两组临床疗效、不良反应、治疗前后HAMD及NIHSS评分。结果观察组治疗总有效率、不良反应发生率分别为94.28%、0，与对照组的77.14%、11.43%比较差异有统计学意义（P＜0.05）。另外，两组治疗后HAMD评分[（7.57±2.35）VS（11.62±3.73）]分、NIHSS评分[（3.24±0.41）VS（5.62±0.60）]分比较差异有统计学意义（P＜0.05）。结论针刺能明显改善患者抑郁症状，促进患者神经功能康复，不良反应少，安全可靠。
목적：탐토침자치료뇌졸중후억욱적림상료효급대환자신공능강복적영향。방법이아원2013년3월～2014년4월수치적70례뇌졸중후억욱환자위연구대상，수궤장기분위량조，대조조환자급여상규서약치료，관찰조환자칙행침자치료，비교량조림상료효、불량반응、치료전후HAMD급NIHSS평분。결과관찰조치료총유효솔、불량반응발생솔분별위94.28%、0，여대조조적77.14%、11.43%비교차이유통계학의의（P＜0.05）。령외，량조치료후HAMD평분[（7.57±2.35）VS（11.62±3.73）]분、NIHSS평분[（3.24±0.41）VS（5.62±0.60）]분비교차이유통계학의의（P＜0.05）。결론침자능명현개선환자억욱증상，촉진환자신경공능강복，불량반응소，안전가고。
Objective To discuss the effect of acupuncture in the treatment of post-stroke depression (PSD) and intervention on the rehabilitation of neurological function. Methods 70 cases of PSD patients treated in my hospital from March 2013 to April 2014 were randomly divided into two groups. The control group were treated with routine western medicine cure. The test group were treated with acupuncture. Use HAMD and NIHSS for the assessment of clinical efficacy, and observe the adverse reactions of two groups.ResultsThe effective rate of control group was 94.28%, and the effective rate of test group was 77.14%, and there was a significant difference between two groups (P<0.05) .The occurrence rate of adverse effect had a significant difference between test (0) and control(11.43%) group(P<0.05). HAMD showed a significant difference between test (7.57±2.35) and control (11.62±3.73) group (P<0.05), and NIHSS showed a significant difference between test (3.24±0.41) and control (5.62±0.60) group (P<0.05).ConclusionAcupuncture therapy can effectively improve post-stroke depression, promote the recovery of neurological function with less side effect.