国际中医中药杂志
國際中醫中藥雜誌
국제중의중약잡지
International Journal of Traditional Chinese Medicine
2015年
11期
981-983
,共3页
抑郁症%中风后遗症%针刺疗法%康复%调督通脑法
抑鬱癥%中風後遺癥%針刺療法%康複%調督通腦法
억욱증%중풍후유증%침자요법%강복%조독통뇌법
Depression%Acupuncture Therapy%Poststroke Syndrome Rehabilitation%Regulating governor vessel tongnao
目的：评价调督通脑法针刺对中风后抑郁的临床疗效。方法将符合入选标准的90例中风后抑郁患者，按随机数字表法分2组各45例，均给予西医常规基础治疗，并指导患者进行正确的肢体功能康复训练。对照组在此基础上采用传统体针治疗，治疗组在对照组基础上加用调督通脑法针刺治疗，均连续治疗8周。采用汉密尔顿抑郁量表(Hamilton depression scale, HAMD)评估患者抑郁程度；采用中国脑卒中量表(Chinese strokescale, CSS)评估神经功能缺损程度；以 Barthel 指数(barthel index, BI)评估日常生活能力(activity of daily living, ADL)。结果治疗后，治疗组 CSS 评分[(11.38±3.94)分比(15.16±4.52)分，t＝4.229]、HAMD 评分[(6.25±3.76)分比(9.32±5.06)分，t＝3.267]均低于对照组(P＜0.01)， BI 指数评分[(69.22±7.05)分比(55.67±6.21)分，t＝9.675]高于对照组(P＜0.01)。治疗组愈显率为62.2%(28/45)，对照组为33.3%(15/45)，2组比较差异有统计学意义(χ2＝6.413，P＝0.011)。结论调督通脑法针刺可有效防治中风后抑郁，疗效优于其他传统体针疗法。
目的：評價調督通腦法針刺對中風後抑鬱的臨床療效。方法將符閤入選標準的90例中風後抑鬱患者，按隨機數字錶法分2組各45例，均給予西醫常規基礎治療，併指導患者進行正確的肢體功能康複訓練。對照組在此基礎上採用傳統體針治療，治療組在對照組基礎上加用調督通腦法針刺治療，均連續治療8週。採用漢密爾頓抑鬱量錶(Hamilton depression scale, HAMD)評估患者抑鬱程度；採用中國腦卒中量錶(Chinese strokescale, CSS)評估神經功能缺損程度；以 Barthel 指數(barthel index, BI)評估日常生活能力(activity of daily living, ADL)。結果治療後，治療組 CSS 評分[(11.38±3.94)分比(15.16±4.52)分，t＝4.229]、HAMD 評分[(6.25±3.76)分比(9.32±5.06)分，t＝3.267]均低于對照組(P＜0.01)， BI 指數評分[(69.22±7.05)分比(55.67±6.21)分，t＝9.675]高于對照組(P＜0.01)。治療組愈顯率為62.2%(28/45)，對照組為33.3%(15/45)，2組比較差異有統計學意義(χ2＝6.413，P＝0.011)。結論調督通腦法針刺可有效防治中風後抑鬱，療效優于其他傳統體針療法。
목적：평개조독통뇌법침자대중풍후억욱적림상료효。방법장부합입선표준적90례중풍후억욱환자，안수궤수자표법분2조각45례，균급여서의상규기출치료，병지도환자진행정학적지체공능강복훈련。대조조재차기출상채용전통체침치료，치료조재대조조기출상가용조독통뇌법침자치료，균련속치료8주。채용한밀이돈억욱량표(Hamilton depression scale, HAMD)평고환자억욱정도；채용중국뇌졸중량표(Chinese strokescale, CSS)평고신경공능결손정도；이 Barthel 지수(barthel index, BI)평고일상생활능력(activity of daily living, ADL)。결과치료후，치료조 CSS 평분[(11.38±3.94)분비(15.16±4.52)분，t＝4.229]、HAMD 평분[(6.25±3.76)분비(9.32±5.06)분，t＝3.267]균저우대조조(P＜0.01)， BI 지수평분[(69.22±7.05)분비(55.67±6.21)분，t＝9.675]고우대조조(P＜0.01)。치료조유현솔위62.2%(28/45)，대조조위33.3%(15/45)，2조비교차이유통계학의의(χ2＝6.413，P＝0.011)。결론조독통뇌법침자가유효방치중풍후억욱，료효우우기타전통체침요법。
Objective To evaluate the clinical effect of acupuncture in the treatment of depression after stroke. Methods 90 patients with cerebral apoplexy were randomly divided into 2 groups according to the random number table, with 45 cases in each group. Patients in both groups were given routine western medicine treatment, and guided to carry out suitable limb function rehabilitation training. In addition, the control group was given traditional acupuncture treatment, while the treatment group was given the brain acupuncture treatment with tiaodu in addition to the traditional acupuncture treatment. Hamilton depression scale (HAMD) was used to assess the degree of depression, Chinese stroke scale (CSS) was used to evaluate the degree of neurological deficit, and barthel index (BI) was used to evaluate the activity of daily living (ADL). Results After treatment, the treatment group has a lower CSS score than that of the control group (11.38 ± 3.94 vs. 15.16 ± 4.52, t=4.229), and a lower HAMD score than that of the control group (6.25 ± 3.76 vs. 9.32 ± 5.06, t=3.267). Meanwhile, the treatment group has a higher BI score than that of the control group (69.22 ± 7.05 vs. 55.67 ± 6.21; t=9.675, P<0.01). Furthermore, the treatment group has statistically significant higher cure rate than that of the control group (62.2% vs. 33.3%;χ2=6.413, P=0.011). Conclusions Tiaodu brain acupuncture treatment of depression after stroke has obvious clinical curative effect, and is superior to other traditional acupuncture method.
