摘要
目的:观察"五音调神"法治疗中风后抑郁的临床疗效。方法:将90例山东中医药大学第二附属医院康复医学科收治的中风后抑郁患者按照随机数字表法分为针刺组、音乐组和联合组,每组各30例。3组均给予脑血管病的常规药物治疗(包括降压、降脂、抗血小板聚集等口服药物)及常规康复治疗,在此基础上针刺组配合针刺头部穴位(百会、印堂、神庭)治疗,音乐组配合五行音乐角调治疗,联合组配合针刺头部穴位(百会、印堂、神庭),同时予以五行音乐角调治疗。上述治疗均每次30 min,每天1次,每周5次,共治疗4周。分别于治疗前、治疗4周后采用汉密尔顿抑郁量表(HAMD)17项观察患者抑郁状态,运用匹兹堡睡眠质量指数(PSQI)观察患者睡眠情况,采用Barthel指数(BI)观察患者日常生活能力的改变;根据治疗前后HAMD-17减分率评价患者的临床疗效。结果:3组治疗前HAMD-17、PSQI和BI评分比较,差异均无统计学意义(P>0.05);治疗4周后,3组HAMD-17、PSQI评分较治疗前明显降低,BI评分较治疗前明显升高,差异有统计学意义(P<0.05);联合组总有效率(96.7%)分别高于针刺组(83.3%)和音乐组(80.0%),差异均有统计学意义(P<0.05)。结论:"五音调神"法能有效改善中风后抑郁患者的抑郁状态,改善其睡眠质量,提高其日常生活能力,值得临床推广。
Objective: To observe the effects of "Five-elements Regulating Mental Activities" method on patients with post stroke depression. Methods: A total of 90 patients with post stroke depression treated in the department of rehabilitation medicine of the Second Affiliated Hospital of Shandong University of Traditional Chinese Medicine were randomly assigned to acupuncture group, music group and combined group by random number table method, with 30 cases in each group. The above three groups were given secondary prevention of cerebrovascular disease, including oral medication such as blood pressure reduction, lipid-lowering, anti-platelet aggregation and conventional rehabilitation treatment. On this basis, the acupuncture group was treated with acupuncturing head points(Baihui, Yintang, Shenting), the music group received Jiao Tune of Five-Element Music treatment, and the combined group was treated with acupuncturing head points and Jiao Tune of Five-Element Music treatment for four weeks, 30 minutes each time, once a day.Before and after the treatment, the Hamilton Depression Scale(HAMD) was used to observe the depression status of patients in the three groups, the Pittsburgh sleep quality index(PSQI) was used to observe the sleep status of patients in the three groups, and the Barthel index(BI) was used to observe the changes in daily living ability of patients in the three groups. Results: There were no significant differences in HAMD-17 score, BI score and PSQI score among the three groups before the treatment(P>0.05). After four weeks of treatment, the HAMD-17 score, BI score and PSQI score in the three groups were significantly decreased, the BI score was significantly increased compared with that before the treatment(P<0.05). The total effective rate of combined group(96.7%) was higher respectively than that of acupuncture group(83.3%) and music group(80.0%), and the difference was significantly(P<0.05). Conclusion: "Five-elements Regulating Mental Activities" method can effectively improve the depression statu
作者
王宁
刘建忠
丁懿
刘研
赵邓
刘丽
王健
李建飞
李丽
WANG Ning;LIU Jianzhong;DINGYi;LIU Yan;ZHAO Deng;LIU Li;WANG Jian;LI Jianfei;LI Li(College of Rehabilitation Medicine,Shandong University of Traditional Chinese Medicine,Jinan Shandong 250355,China;The Second Affiliated Hospital,Fujian University of Traditional Chinese Medicine,Fuzhou,Fujian 350003,China;The Second Affiliated Hospital of Shandong University of Traditional Chinese Medicine,Jinan,Shandong 250001,China)
出处
《康复学报》
CSCD
2019年第6期44-48,共5页
Rehabilitation Medicine
基金
国家重点研发计划项目(2018YFC1706000)
中央引导地方科技发展专项项目(2018L3009)
关键词
中风后抑郁
针刺
百会
印堂
神庭
五行音乐
角调
post stroke depression
acupuncture
Baihui
Yintang
Shenting
five elements music
Jiao Tune
