电针颞三针为主对脑卒中后抑郁患者日常生活活动能力及生存质量的影响

目的:观察电针颞三针为主及12服西药对脑卒中后抑郁患者日常生活活动能力及生存质量的作用差异,探讨治疗脑卒中后抑郁的更佳治疗方案.方法:将60例轻至中度卒中后抑郁患者随机分为综合治疗组和药物组,每组30例.综合治疗组电针颞三针为主并口服盐酸氟西汀胶囊,药物组仅口服盐酸氟西汀胶囊,治疗4周后比较两组患者治疗前后功能独立性评定(FIM)量表及世界卫生组织生存质量测定量表简表(WHOQOL-BREF)评定结果.结果:两组FIM评分与治疗前相比,差异均有统计学意义(均P<0.01).而综合治疗组(74.97±9.52)比药物组(66.70±9.23)改善更明显(P<0.01).两组患者治疗前后的WHOQOL.BREF各指标得分差异均有统计学意义(P<0.05,P<0.01),而综合治疗组比药物组改善更明显(P<0.05,P<0.01).结论:电针颞三针为主配合口服氟西汀胶囊能显著提高脑卒中后抑郁患者的日常生活活动能力及生存质量.

Abstract：

Objective To explore the better treatment of post-stroke depression. Methods Sixty cases of post-stroke depression ranged from mild to middle degree were randomly divided into comprehensive therapy group and medication group, 30 cases in each group. In comprehensive therapy group, electroacupuncture at temple-three-needle was mainly applied and Fluoxetine Hydrochloride capsule was taken by oral administration; in medication group, Fluoxetine Hydrochloride capsule was applied by oral administration. Functional Independent Measure (FIM) Scale and WHOQOL-BREF evaluation results before and after treatment were compared after 4 weeks treatment. Results Comparing with the FIM scores before treatment, the differences in the two groups were significant (both P<0.01), and the improvement in comprehensive therapy group (74.97+9.52) was superior to that in medication group (66.70+9.23) (P<0.01). Significant differences were presented statistically in comparison of index scores of WHOQOL-BREF before and after treatment in two groups (P<0.05, P<0.01), and it in comprehensive therapy group was superior to that in medication group (P<0.05, P<0.01). Conclusion Activities of daily life and quality of life of post-stroke depression can be significantly improved by electroacupuncture at temple-three-needle and oral administration of Fluoxetine Hydrochloride capsule.

Effects on activities of daily life and quality of life of post-stroke depression treated with electroacupuncture at temple-three-needle