针灸临床杂志
針灸臨床雜誌
침구림상잡지
Journal of Clinical Acupuncture and Moxibustion
2015年
9期
43-45
,共3页
王勇军%陈素莲%王春芳%孙长城%陈金%杜金刚%王静%赵建国
王勇軍%陳素蓮%王春芳%孫長城%陳金%杜金剛%王靜%趙建國
왕용군%진소련%왕춘방%손장성%진금%두금강%왕정%조건국
脑卒中后抑郁%事件相关电位( P300 )%汉密尔顿抑郁量表%经皮穴位低频电刺激%康复宣教
腦卒中後抑鬱%事件相關電位( P300 )%漢密爾頓抑鬱量錶%經皮穴位低頻電刺激%康複宣教
뇌졸중후억욱%사건상관전위( P300 )%한밀이돈억욱량표%경피혈위저빈전자격%강복선교
Post stroke depression%Event related potential ( P300 )%Hamilton depression scale%Transcutane-ous low-frequency electrical stimulation%Rehabilitation education
目的：探讨经皮低频穴位电刺激对脑卒中后抑郁事件相关电位（ P300）的影响。方法：选取脑卒中后抑郁患者40例，随机分为治疗组20例，经皮低频穴位电刺激治疗；对照组20例，只进行康复宣教。治疗组和对照组均进行康复宣教，每周3次，共2周；治疗前、后分别用汉密尔顿抑郁量表（ Hamilton， HAMD）、P300来观察组内、组间差异。结果：治疗组与对照组治疗后均较治疗前组内及组间HAMD评分明显降低，P300潜伏期（缩短）、波幅（增大）差异均具显著性意义（ P＜0．05），且治疗组改善幅度较对照组明显。结论：低频穴位电刺激、康复宣教两种方法对脑卒中后抑郁都有改善，低频穴位电刺激结合康复宣教疗效更好，P300评定相对更客观。但样本量小，疗效和机制需要进一步研究。
目的：探討經皮低頻穴位電刺激對腦卒中後抑鬱事件相關電位（ P300）的影響。方法：選取腦卒中後抑鬱患者40例，隨機分為治療組20例，經皮低頻穴位電刺激治療；對照組20例，隻進行康複宣教。治療組和對照組均進行康複宣教，每週3次，共2週；治療前、後分彆用漢密爾頓抑鬱量錶（ Hamilton， HAMD）、P300來觀察組內、組間差異。結果：治療組與對照組治療後均較治療前組內及組間HAMD評分明顯降低，P300潛伏期（縮短）、波幅（增大）差異均具顯著性意義（ P＜0．05），且治療組改善幅度較對照組明顯。結論：低頻穴位電刺激、康複宣教兩種方法對腦卒中後抑鬱都有改善，低頻穴位電刺激結閤康複宣教療效更好，P300評定相對更客觀。但樣本量小，療效和機製需要進一步研究。
목적：탐토경피저빈혈위전자격대뇌졸중후억욱사건상관전위（ P300）적영향。방법：선취뇌졸중후억욱환자40례，수궤분위치료조20례，경피저빈혈위전자격치료；대조조20례，지진행강복선교。치료조화대조조균진행강복선교，매주3차，공2주；치료전、후분별용한밀이돈억욱량표（ Hamilton， HAMD）、P300래관찰조내、조간차이。결과：치료조여대조조치료후균교치료전조내급조간HAMD평분명현강저，P300잠복기（축단）、파폭（증대）차이균구현저성의의（ P＜0．05），차치료조개선폭도교대조조명현。결론：저빈혈위전자격、강복선교량충방법대뇌졸중후억욱도유개선，저빈혈위전자격결합강복선교료효경호，P300평정상대경객관。단양본량소，료효화궤제수요진일보연구。
Objective:To study the effects of percutaneous low -frequency electrical acupoint stimulation on depression after stroke event related potential ( P300 ) .Methods:40 cases of patients with depression after stroke were selected and randomly divided into a treatment group of 20 cases with low frequency electrical acu-point stimulation and a control group of 20 cases with only rehabilitation education.The low-frequency electri-cal acupoint stimulation group and the control group were given rehabilitation education, three times a week, a total of 2 weeks;before and after using Hamilton Depression Scale ( Hamilton, HAMD) , P300 was used to ob-serve the differences within and between groups.Results:After the treatment in low -frequency acupuncture group and the control group HAMD scores were significantly decreased, and the latency of P300 amplitude (shortening) differences was significant (P<0.05);the treatment group was superior to the control group. Conclusion:Low frequency electric stimulation of acupuncture points and rehabilitation education for post stroke depression have effectiveness, and the low-frequency electrical acupoint stimulation combined with rehabilita-tion education is better;but because of the small sample size, further studies are needed.
