摘要
目的探讨电针配合个性化愉悦因子输入对中风后抑郁患者康复效果的影响。方法选择中风后抑郁患者120例，采用随机数字表法将受试者分为两组，观察组60例，给予电针配合个性化愉悦因子输入干预；对照组60例，只给予电针治疗。两组患者的疗程均为3个月。分别于治疗前后比较两组患者抑郁自评量表（SDS）评分；采用sF-36健康状况调查问卷对纳入研究受试者进行干预前后的生存质量调查；肢体功能疗效评定标准评估肢体运动功能；以日常生活能力（ADL）量表评估患者的生活能力；使用简易智能状态检查量表（MMSE）对患者治疗前后的认知功能进行评测。结果治疗后，与对照组比较，观察组SDS评分显著降低（t=3．043，P=0．034）；治疗6个月后，观察组的总体健康评分明显优于对照组（t=3．236，P=0．032）；观察组认知功能评分优于对照组，差异有统计学意义（t=3．133，P=0．036）；观察组治疗后的日常生活能力（ADL）完全独立比例明显优于对照组，两组差异有统计学意义（t=14．252，P=0．000）。结论对中风后抑郁患者实施电针配合个性化愉悦因子输入，可更好地提高患者的日常生活能力、肢体功能、认知功能，对患者抑郁状况及生存质量的改善具有重要的临床意义。
Objective To explore the effect of electroacupuncture combined with personalized pleasure factor on the rehabilitation of patients with poststroke depression. Methods 120 patients with poststroke depression were selected and randomly divided into two groups. 60 patients in the observation group were given eleetroacupuncture plus individualized pleasure factor intervention, while 60 patients in the control group were given electroacupuneture only. The duration of treatment in both two groups was 3 months. The self - rating depression scale（SDS） of the two groups was compared before and after treatment. The quality of life before and after the intervention was assessed by the SF - 36 health questionnaire. The limb function evaluation criteria were used to evaluate the limb motor function. The ability for living was assessed by activity of daily living scale（ADL）. The cognitive function of the patients before and after the treatment was evaluated by the MMSE （ Simple Mental State Examination）. Results After treatment, the SDS score of the observation group was significantly lower than that of the control group （ t = 3. 043, P = O. 034 ）. After 6 months of treatment, the overall health of the observation group was significantly better than that of the control group （ t = 3. 236 ,P =0.032） ,the cognitive function of the observation group was significantly better than that of the control group （t = 3. 133, P = 0. 036）. In the observation group, the fully independent ratio of ADL of the observation group was significantly higher than that of the control group, the difference was statistically significant （t = 14. 252, P = 0. 000）. Conclusion It has great clinical significance to improve the daily living ability,limb function and cognitive function of patients with poststroke depression by electroacupuncture combined with individualized pleasure factor input, and improve the patients＂ depression and quality of life.
出处
《中国基层医药》
CAS
2017年第7期975-979,共5页
Chinese Journal of Primary Medicine and Pharmacy
基金
浙江省温州市科技局项目（2015Y0322）
关键词
抑郁症
电针
个性化愉悦因子
日常生活治动
抑郁状况
Depressive disovder
Electroaeupuncture
Personalized pleasure factor
Activities of daily living
Depression status
