论文部分内容阅读
目的探讨针灸与阶段性健康教育对脑卒中后抑郁症(PSD)患者功能康复的影响。方法将2012年1月至2013年3月85例PSD患者分为治疗组44例和对照组41例,两组均给予神经内科营养神经常规治疗,治疗组在此基础上给予针灸与阶段性健康教育,分别于治疗前后对两组进行Barthel指数(BI),Fugl-Meyer(FMA)运动量表,Znng抑郁量表(SDS)和汉密尔顿抑郁量表(HAMD)检测。结果治疗8周后两组SDS、HAMD评分与治疗前比较明显降低,BI、FMA评分明显上升(P均<0.05),抑郁状态比较治疗组SDS及HAMD总有效率明显高于对照组(79.5%vs56.1%,81.8%vs58.5%,P<0.05)。结论针灸与阶段性健康教育治疗脑卒中抑郁症有明显临床疗效,能有效提高脑卒中患者的运动功能和日常生活能力。
Objective To investigate the effects of acupuncture and phacoemulsification on functional rehabilitation of patients with post-stroke depression (PSD). Methods From January 2012 to March 2013, 85 patients with PSD were divided into treatment group (44 cases) and control group (41 cases). Both groups were given neurological routine neurotrophic therapy. The treatment group was given acupuncture and phacoemulsification Education, Barthel index (BI), Fugl-Meyer (FMA) physical activity scale, Znng depression scale (SDS) and Hamilton depression scale (HAMD) were measured before and after treatment. Results After 8 weeks of treatment, the scores of SDS and HAMD in both groups decreased significantly compared with before treatment, while the scores of BI and FMA increased significantly (all P <0.05). The total effective rate of SDS and HAMD in depression group was significantly higher than that in control group (79.5% vs56.1%, 81.8% vs58.5%, P <0.05). Conclusion Acupuncture and stage health education have obvious clinical curative effect in the treatment of stroke depression, which can effectively improve the motor function and daily living ability of patients with stroke.