针刺研究2018，Vol.43Issue(1)：38-42,5.DOI:10.13702/j.1000-0607.170049
“调神开郁针法”结合心理干预对卒中后轻度抑郁的疗效及量表评分相关性分析
Effect of Tiaoshen Kaiyu Acupuncture (Regulating Vitality and Dredging Stasis) Combined with Psychological Intervention on Patients of Mild Depression After Stroke
摘要
Abstract
Objective To observe the effect of Tiaoshen Kaiyu acupuncture (regulating vitality and dredging stasis)combined with psychological intervention for treating mild depression after stroke.Methods Ninety-four patients were enrolled and were randomly divided into acupuncture (48 cases) and control (46 cases) groups.Patients in the control group were given standard treatment plus psychological intervention,while patients in the acupuncture group were treated with Tiaoshen Kaiyu acupuncture plus standard treatment and psychological intervention.Acupoints of Sishencong(EX-HN 1),Baihui(GV 20),and Yintang (EX-HN 3) were selected in the acupuncture group.Each group received treatment once daily,five times weekly,for a total of 6 weeks.A self-rating depression scale (SDS),Hamilton depression scale (HAMD),simplified Fugl-Meyer motor function assessment (FMA),and modified Barthel index (MBI) were used before and after treatment to evaluate the efficacy.Results After the treatment the four indexes were improved significantly compared with those before treatment in the acupuncture and control groups (P＜0.01).The FMA and MBI scores in the acupuncture group were higher than those in the control group (P＜0.05).The HAMD and SDS scores were significantly lower in the acupuncture group than in the control group (P＜0.01).In both the acupuncture and control groups,the differences before and after treatment of the HAMD and FMA scores (rs =0.332,P＜0.01)and the HAMD and MBI scores (rs =0.356,P ＜ 0.0 1) were positively correlated.Conclusion Tiaoshen Kaiyu acupuncture combined with psychological intervention is more effective than psychological intervention therapy alone.The efficacy is correlated with motor function and mild depression scores of patients after stroke.关键词
卒中后轻度抑郁/心理干预/调神开郁针法Key words
Post-stroke mild depression/Psychological intervention/Tiaoshen Kaiyu acupuncture(regulating vitality and dredging stasis)分类
医药卫生引用本文复制引用
陈顺喜,刘菲菲..“调神开郁针法”结合心理干预对卒中后轻度抑郁的疗效及量表评分相关性分析[J].针刺研究,2018,43(1):38-42,5.基金项目
杭州市科学技术委员会立项项目(No.2015 KJJ 20) （No.2015 KJJ 20）
