摘要
目的探讨灵龟八法配合认知行为治疗对脑卒中后抑郁患者的效果。方法选择120例卒中后抑郁患者,随机分为灵龟认知组、灵龟针刺组和西药对照组,各40例,3组患者均接受西医常规治疗。灵龟认知组选用灵龟八法配合认知行为治疗;灵龟针刺组给予灵龟八法针刺治疗;西药对照组于同一时间给予口服舍曲林治疗;共12周。分别于治疗前、治疗后对HAMD、NIHSS和BI指数进行评估。结果三组治疗前HAMD评分、BI指数、NIHSS评分比较,差异无统计学意义(P>0.05),治疗后评分与同组治疗前比较,HAMD差异显著(P<0.01),BI指数均明显提高(P<0.01),NIHSS指数改变明显(P<0.01);组间比较,治疗后灵龟认知组、灵龟针刺组HAMD评分、NIHSS评分较西药组差异显著,均具有统计学意义(P<0.01);灵龟认知组和灵龟针刺组HAMD评分、NIHSS评分比较(P<0.05),差异均有统计学意义;灵龟认知组、灵龟针刺组BI指数较西药组(P<0.05),差异有统计学意义;灵龟认知组、灵龟针刺组BI指数比较(P>0.05),差异无统计学意义。抑郁疗效比较:灵龟认知组和灵龟针刺组与西药对照组比较,分别P<0.01,P<0.05,差异有统计学意义。结论灵龟八法配合认知行为治疗能够明显改善脑卒中后抑郁状态及日常生活活动能力,并有助于患者神经功能的康复。
Objective To explore the effect of eight methods of intelligent turtle combined with cognitive behavior therapy on patients with post-stroke depression.Methods 120 patients with post-stroke depression were randomly divided into the tortoise cognitive group,the acupuncture group of Tortoise and the western medicine control group,with 40 cases in each group.The three groups were treated with western medicine routine treatment.The tortoise cognitive group selected the eight methods of intelligent turtle cooperate with the cognitive behavior therapy,and the tortoise acupuncture group was treated with eight methods of intelligent turtle of acupuncture,and the western medicine control group was given sertraline for 12 weeks at the same time.The indexes of HAMD,NIHSS and BI were evaluated before and after treatment.Results There was no significant difference in HAMD score,BI index and NIHSS score before treatment in the three groups(P>0.05).Comparing with the same group before treatment,the difference of HAMD was significant(P<0.01),BI index increased significantly(P<0.01),and the NIHSS index was significantly changed(P<0.01).The HAMD score and NIHSS score in the group and the acupuncture group were significantly different than those in the western medicine group(P<0.01),and the difference was statistically significant in the HAMD score and the NIHSS score(P<0.05)in the cognitive group of the tortoise and the needling group of the tortoise turtle(P<0.05),and the difference between the cognitive group and the BI index of the acupuncture group of the tortoise and the acupuncture group of the tortoise was more than that of the western medicine group(P<0.05).There was no significant difference in the index between the turtle group and the tortoise turtle group(P>0.05).Comparison of curative effect:the comparison between Ling turtle cognition group and Ling turtle acupuncture group was compared with western medicine control group,P<0.01 and P<0.05 respectively,and the difference was statistically significant.Conclusion The e
作者
王莉红
田伟
牛华
毛大鹏
WANG Lihong;TIAN Wei;NIU Hua;MAO Dapeng(Department of Traditional Chinese Medicine,Puhuangyu Community Health Service Center of Fengtai District,Beijing 100075,China)
出处
《中国中医药现代远程教育》
2018年第22期92-95,共4页
Chinese Medicine Modern Distance Education of China
基金
北京市丰台区卫生计生系统科研项目【No.2015-73】
北京市中医药科技发展资金项目【No.JJ2015-36】
北京市中医药薪火传承"3+3"工程基层老中医传承毛大鹏工作室传承项目
关键词
抑郁
灵龟八法
认知行为疗法
脑卒中
中风
depression
eight methods of intelligent turtle
cognitive behavior therapy
cerebral apoplexy
stroke
