[1]姚丽君,冯裕星,范文辉,等.针刺对脑卒中后首发焦虑障碍与下肢活动功能的影响[J].医学信息,2020,33(12):76-79.[doi:10.3969/j.issn.1006-1959.2020.12.022]
　YAO Li-jun,FENG Yu-xing,FAN Wen-hui,et al.Effect of Acupuncture on first-onset Anxiety Disorder and Lower Limb Activity After Stroke[J].Medical Information,2020,33(12):76-79.[doi:10.3969/j.issn.1006-1959.2020.12.022]
点击复制

针刺对脑卒中后首发焦虑障碍与下肢活动功能的影响()
分享到：

医学信息[ISSN:1006-1959/CN:61-1278/R]

卷:
33卷
期数:
2020年12期
页码:
76-79
栏目:
论著
出版日期:
2020-06-15

文章信息/Info

Title:
Effect of Acupuncture on first-onset Anxiety Disorder and Lower Limb Activity After Stroke
文章编号:
1006-1959（2020）12-0076-04
作者:
姚丽君; 冯裕星; 范文辉; 等
（重庆市第九人民医院康复疼痛科，重庆 400700）
Author(s):
YAO Li-jun; FENG Yu-xing; FAN Wen-hui; et al
(Department of Rehabilitation Pain,Chongqing Ninth People’s Hospital,Chongqing 400700,China)
关键词:
脑卒中; 焦虑障碍; 下肢运动功能; 针刺; 运动疗法
Keywords:
Stroke; Anxiety disorder; Lower limb motor function; Acupuncture; Exercise therapy
分类号:
R743.3
DOI:
10.3969/j.issn.1006-1959.2020.12.022
文献标志码:
A
摘要:
目的 观察联合针刺干预脑卒中后首发焦虑情绪与下肢活动功能的影响。方法 采集2018年3月~2019年10月在我院康复科及神内科住院且被诊断为脑卒中后首发焦虑障碍患者60例，随机分为观察组和药物组，每组30例。在常规对症治疗与运动疗法的基础上，观察组联合针刺干预，药物组口服草酸艾司西酞普兰片治疗，比较两组治疗前和治疗后6周以汉密尔顿焦虑量表（HAMA）、Zung’s焦虑自评量表（SAS）、Fugl-Meyer运动功能评定量表（FMA）、功能性步行能力量表（FAC）、Berg平衡量表（BBS）评分及Barthel指数（BI指数）、不良反应情况。结果 治疗前两组HAMA、SAS、FMA、FAC、BBS评分及BI指数比较，差异无统计学意义（P＞0.05）。治疗后6周，两组HAMA、SAS评分较治疗前降低，差异有统计学意义（P＜0.05），但组间比较差异无统计学意义（P＞0.05）；两组FMA、FAC、BBS评分及BI指数均较治疗前增加，且观察组高于药物组，差异有统计学意义（P＜0.05）。观察组不良反应率低于药物组，差异有统计学意义（P＜0.05）。结论 联合针刺对脑卒中后首发焦虑障碍患者具有较好的改善作用，有助于提高患者下肢活动功能和日常生活功能，且不良反应少，安全性高。
Abstract:
Objective To observe the effect of combined acupuncture intervention on the first anxiety and lower limb activity after stroke.Methods From March 2018 to October 2019, 60 patients who were hospitalized in the Department of Rehabilitation and the Department of Internal Medicine of our hospital and were diagnosed with first-onset anxiety disorder after stroke were randomly divided into observation group and drug group, 30 cases in each group. On the basis of conventional symptomatic treatment and exercise therapy, the observation group was combined with acupuncture intervention, and the drug group was treated with escitalopram oxalate tablets. The two groups were compared with the Hamilton Anxiety Scale (HAMA) and Zung’s before treatment and 6 weeks after treatment. Self-rating anxiety scale (SAS), Fugl-Meyer motor function rating scale (FMA), functional walking ability scale (FAC), Berg balance scale (BBS) score and Barthel index (BI index), adverse reaction.Results There was no significant difference in the scores of HAMA, SAS, FMA, FAC, BBS and BI index between the two groups before treatment (P>0.05). At 6 weeks after treatment, the HAMA and SAS scores of the two groups were lower than before treatment,the difference was statistically significant (P<0.05), but the difference between the groups was not statistically significant (P>0.05); FMA, FAC, BBS scores of the two groups and BI index increased compared with before treatment, and the observation group was higher than the drug group, the difference was statistically significant(P<0.05). The adverse reaction rate of the observation group was lower than that of the drug group,the difference was statistically significant (P<0.05).Conclusion Combined acupuncture has a good improvement effect on patients with first-onset anxiety disorder after stroke, which is helpful to improve patients’ lower extremity motor function and daily life function, with fewer adverse reactions and high safety.

参考文献/References:

[1]Perez-Pinar M,Ayerbe L,Gonzalez E,et al.Anxiety disordersand risk of stroke:a systematic review and meta-analysis[J].Eur Psychiatry,2017(41):102-108.[2]秦菁菁,王海荣,赵红.卒中后情感障碍的中医诊疗新进展[J].中国中医急症,2016,25(11):2018-2111.[3]饶明俐.中国脑血管病防治指南(试行版)[M].北京:人民卫生出版社,2007.[4]陈方彦.CCMD-3中国精神障碍分类与诊断标准[M].济南:山东科学技术出版社,2001.[5]石学敏.针灸学[M].北京:中国中医药出版社,2002:34-101.[6]Bech P,Kastrip M,Rafelsen OJ.Mini-compengium of rating scales for states of anxiety despression mania schizophrenia with corresponding DSM-Ⅲ syndromes[J].Acta Psychiatr scand Suppl,1986(326):137.[7]Zung WW.A rating instrument for anxiety disorders[J].Psychosomatics,1971(12):371-379.[8]于兑生,惲晓平.运动疗法与作业疗法[M].北京:华夏出版社,2002:183.[9]周维金,孙启良.瘫痪康复评定手册[M].北京:人民卫生出版社,2006:46-50.[10]Hesse S,Konrad M,Uhlenbrock D.Treadmill walking with partial body weight support versus floor walking in hemiparetic subjects[J].Archives of Physical Medicine and Rehabilitation,1999,80(4):421-427.[11]瓮长水,王军,王刚,等.Berg平衡量表在脑卒中患者中的构想效度[J].中国康复医学杂志,2007,22(11):974-977.[12]张明园.精神科评定量表手册[M].第2版.长沙:湖南科学技术出版礼,2003:134-138,166-168. [13]Duman RS,Aghajanian GK,Sanacora G,et al.Synaptic plasticity and depression:new insights from stress and rapid-acting antidepressants[J].Nat Med,2016,22(3):238-249.[14]刘裔荣,王桂玲,周小平,等.以五脏为中心论述针刺治疗中风的临床应用[J].北京中医药,2017,36(7):627-628.[15]程艳婷,张天生,冀来喜,等.磁圆梅针学术源流探析与规范化操作[J].中国针灸,2014,34(7):705-707.[16]王浩,谷世喆,运用“七神针”治疗抑郁症临床观察[J].上海中医药杂志,2014,33(6):501-502.[17]翟浩瀚,王玉龙,王玉珍,等.平衡仪反馈训练法和Bobath平衡训练法对偏瘫患者平衡和功能性行走能力的影响[J].中国康复医学杂志,2015,20(10):753-755.[18]李海峰,徐远红,工俊华,等.早期踝及足趾背屈训练对脑卒中偏瘫患者异常步态的影响[J].中国康复医学杂志,2011,26(1):16-17.[19]毛雪莲,秦思,金荣疆,等.电针对脑卒中肢体痉挛大鼠γ-氨基丁酸代谢酶的影响[J].中国康复医学杂志,2018,33(1):23-28.

相似文献/References:

[1]尹美丽.早期康复护理对脑卒中临床疗效及偏瘫肢体功能的影响分析[J].医学信息,2018,31(05):167.[doi:10.3969/j.issn.1006-1959.2018.05.061]
　YIN Mei-li.Effect of Early Rehabilitation Nursing on Clinical Effect of Stroke and Limb Function of Hemiplegia[J].Medical Information,2018,31(12):167.[doi:10.3969/j.issn.1006-1959.2018.05.061]
[2]杨立丹,吴 敬,王学军.调神益髓针刺法结合康复训练治疗脑卒中后 平衡功能障碍的临床分析[J].医学信息,2018,31(07):143.[doi:10.3969/j.issn.1006-1959.2018.07.049]
　YANG Li-dan,WU Jing,WANG Xue-jun.Clinical Analysis of Treatment of Balance Dysfunction after Stroke by Acupuncture of Regulating Spirit and Supplementing Pulp Combined with Rehabilitation Training[J].Medical Information,2018,31(12):143.[doi:10.3969/j.issn.1006-1959.2018.07.049]
[3]王晓强,张艳军,贾 琎,等.早期康复介入与脑卒中合并代谢综合征患者并发症的关系[J].医学信息,2018,31(08):96.[doi:10.3969/j.issn.1006-1959.2018.08.030]
　WANG Xiao-qiang,ZHANG Yan-jun,JIA Jin,et al.Relationship between Early Rehabilitation Intervention and Complications in Stroke Patients with Metabolic Syndrome[J].Medical Information,2018,31(12):96.[doi:10.3969/j.issn.1006-1959.2018.08.030]
[4]侯艳雁,王 杰,邓丛磊.重复经颅磁刺激联合步态适应性训练对脑卒中患者运动康复及生活质量的影响[J].医学信息,2022,35(09):157.[doi:10.3969/j.issn.1006-1959.2022.09.040]
　HOU Yan-yan,WANG Jie,DENG Cong-lei.Effects of Repetitive Transcranial Magnetic Stimulation Combined with Gait Adaptive Training on Motor Rehabilitation and Quality of Life in Patients with Stroke[J].Medical Information,2022,35(12):157.[doi:10.3969/j.issn.1006-1959.2022.09.040]
[5]李娅娜,曹 岚,徐 影,等.四肢联动联合虚拟现实训练对脑卒中恢复期患者 下肢功能与平衡功能的影响[J].医学信息,2018,31(14):107.[doi:10.3969/j.issn.1006-1959.2018.14.031]
　LI Ya-na,CAO Lan,XU Ying,et al.Effects of Limb Linkage and Virtual Reality Training on Lower Limb Function and Balance Function in Stroke Patients during Convalescence[J].Medical Information,2018,31(12):107.[doi:10.3969/j.issn.1006-1959.2018.14.031]
[6]邵俊丽.静息心率与脑卒中关系的研究[J].医学信息,2018,31(16):16.[doi:10.3969/j.issn.1006-1959.2018.16.006]
　SHAO Jun-li.Research on Relationship between Resting Heart Rate and Stroke[J].Medical Information,2018,31(12):16.[doi:10.3969/j.issn.1006-1959.2018.16.006]
[7]张怀祥,段晓宇.脑梗死后认知障碍的病理学机制、相关危险因素及治疗[J].医学信息,2018,31(16):21.[doi:10.3969/j.issn.1006-1959.2018.16.007]
　ZHANG Huai-xiang,DUAN Xiao-yu.Pathological Mechanism,Related Risk Factors and Treatment of Cognitive Impairment after Cerebral Infarction[J].Medical Information,2018,31(12):21.[doi:10.3969/j.issn.1006-1959.2018.16.007]
[8]平兴团,赵富强,杨 飞,等.家庭康复管理对卒中患者运动功能恢复的远期影响[J].医学信息,2018,31(16):66.[doi:10.3969/j.issn.1006-1959.2018.16.018]
　PING Xing-tuan,ZHAO Fu-qiang,YANG Fei,et al.Long-term Effects of Family Rehabilitation Management on Recovery of Motor Function in Stroke Patients[J].Medical Information,2018,31(12):66.[doi:10.3969/j.issn.1006-1959.2018.16.018]
[9]刘 萍,傅继红.30°斜坡式自动充气枕在鼻饲脑卒中 患者体位管理的可行性研究[J].医学信息,2018,31(17):170.[doi:10.3969/j.issn.1006-1959.2018.17.054]
　LIU Ping,FU Ji-hong.Feasibility Study on the Position Management of 30°Slope Automatic Inflatable Pillow in Patients with Nasal Feeding Stroke[J].Medical Information,2018,31(12):170.[doi:10.3969/j.issn.1006-1959.2018.17.054]
[10]赵富强,平兴团,杨 飞,等.重心重塑训练对Pusher综合征的疗效观察[J].医学信息,2018,31(20):94.[doi:10.3969/j.issn.1006-1959.2018.20.027]
　ZHAO Fu-qiang,PING Xing-tuan,YANG Fei,et al.Therapeutic Effect of Center of Gravity Remodeling Training on Pusher Syndrome[J].Medical Information,2018,31(12):94.[doi:10.3969/j.issn.1006-1959.2018.20.027]

更新日期/Last Update: 1900-01-01