CAJ | 학술논문

目的：观察不同频率电针治疗脑卒中后抑郁的临床疗效。方法将100例脑卒中后抑郁患者随机分为治疗1组、治疗2组、治疗3组和对照组,每组25例。治疗组均采用电针治疗,其中治疗1组采用2 Hz,治疗2组采用50 Hz,治疗3组采用100 Hz。对照组采用口服盐酸舍曲林片治疗。观察各组治疗前后功能独立性评定量表(FIM)评分和汉密尔顿抑郁量表(HAMD)评分,比较各组临床疗效。结果4组患者治疗后FIM 评分和HAMD评分与同组治疗前比较,差异均具有统计学意义(P＜0.05)。治疗1组治疗后FIM 评分和HAMD评分与治疗2组、治疗3组比较,差异均具有统计学意义(P＜0.05)。治疗1组治疗后FIM 评分与对照组比较,差异具有统计学意义(P＜0.05)。治疗1组总有效率为96.0%,治疗2组为92.0%,治疗3组为92.0%,对照组为84.0%。治疗1组总有效率与对照组比较,差异具有统计学意义(P＜0.05)。结论2 Hz、50 Hz及100 Hz电针均能改善卒中后抑郁患者的日常生活活动能力及抑郁程度,以2 Hz电针疗效最佳。
목적：관찰불동빈솔전침치료뇌졸중후억욱적림상료효。방법장100례뇌졸중후억욱환자수궤분위치료1조、치료2조、치료3조화대조조,매조25례。치료조균채용전침치료,기중치료1조채용2 Hz,치료2조채용50 Hz,치료3조채용100 Hz。대조조채용구복염산사곡림편치료。관찰각조치료전후공능독립성평정량표(FIM)평분화한밀이돈억욱량표(HAMD)평분,비교각조림상료효。결과4조환자치료후FIM 평분화HAMD평분여동조치료전비교,차이균구유통계학의의(P＜0.05)。치료1조치료후FIM 평분화HAMD평분여치료2조、치료3조비교,차이균구유통계학의의(P＜0.05)。치료1조치료후FIM 평분여대조조비교,차이구유통계학의의(P＜0.05)。치료1조총유효솔위96.0%,치료2조위92.0%,치료3조위92.0%,대조조위84.0%。치료1조총유효솔여대조조비교,차이구유통계학의의(P＜0.05)。결론2 Hz、50 Hz급100 Hz전침균능개선졸중후억욱환자적일상생활활동능력급억욱정도,이2 Hz전침료효최가。
Objective To observe the clinical efficacy of electroacupuncture at different frequencies in treating post-stroke depression. Methods A hundred patients with post-stroke depression were randomized into treatment group 1, treatment group 2, treatment group 3, and a control group, 25 in each group. The treatment groups were intervened by electroacupuncture, while 2 Hz was adopted in treatment group 1, 50 Hz in treatment group 2, and 100 Hz in treatment group 3. The control group was intervened by oral administration of Sertraline Hydrochloride tablets. The Function Independent Measure (FIM) and Hamilton Depression (HAMD) scale were adopted for observation before and after intervention, and the clinical efficacies were compared. Results The FIM and HAMD scores were significantly changed after intervention in the four groups (P<0.05). After treatment, the FIM and HAMD scores in treatment group 1 were significantly different from that in treatment group 2 and 3 (P<0.05). The FIM score in treatment group 1 was significantly different from that in the control group (P<0.05). The total effective rate was 96.0%in treatment group 1, versus 92.0%in treatment group 2, 82.0%in treatment group 3, and 84.0%in the control group. The total effective rate in treatment group 1 was significantly different from that in the control group (P<0.05). Conclusions Electroacupuncture at 2 Hz, 50 Hz, and 100 Hz all can improve the activities of daily living and depression degree in patients with post-stroke depression, while 2 Hz ranks the top in comparing the therapeutic efficacy.