《中国康复理论与实践》

《中国康复理论与实践》 ›› 2007, Vol. 13 ›› Issue (10): 965-966.

• 中医康复 • 上一篇    下一篇

针刺四神聪四关穴对脑卒中后抑郁患者P300的影响

马彦红1; 郝晋东2; 王梅康2   

  1. 1.中国人民解放军第305医院理疗科,北京市 100017;2.北京武警总医院中西医康复理疗科,北京市 100049
  • 收稿日期:2007-03-16 出版日期:2007-10-01 发布日期:2007-10-01

Effects of Acupuncture at Ex-HN1 and Siguan Points on P300 in Post-stroke Patients Following Depression

MA Yan-hong, HAO Jin-dong, WANG Mei-kang   

  1. The Department of Physiotherapy, the305th Hospital of PLA, Beijing 100017, China
  • Received:2007-03-16 Published:2007-10-01 Online:2007-10-01

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摘要： 目的观察脑卒中后抑郁患者针刺治疗前后P300电位的变化。方法将94例脑卒中患者根据汉密尔顿抑郁量表(HRS-D)评分分为抑郁组(63例)和非抑郁组(31例),抑郁组患者应用双四穴组针刺治疗;于HRS-D测评分组后,以及抑郁组患者针刺治疗1个疗程后,对两组患者进行P300电位测定。结果治疗前,与非抑郁组患者比较,抑郁组患者P300电位中的P3波潜伏期延长,波幅降低;经针刺治疗后,抑郁组患者的P3波潜伏期明显缩短(P<0.01),波幅增高(P<0.05)。结论P300电位测定有助于早期发现脑卒中后抑郁患者的认知障碍,及时进行针刺治疗可减轻或消除患者的抑郁情绪。

关键词: 脑卒中后抑郁, P300电位, 针刺治疗

Abstract: Objective To observe the change of P300(EP) evoked potentials in pre-and-post acupuncture on post-stroke patientsv following depression.Methods According to Hamiltion Rating Scale for Depression(HRS-D),ninty post-stroke patients were divided into two groups: the depression group(n=63) received acupuncture at Ex-HN1 and Siguan Points and the non-depression group(n=31).After assessed and grouped by HRS-D,and one acupuncture therapeutic course for the depression group,two groups' subjects were tested with P300 potentials.Results Before treatment,the latency of P3 of P300 potentials was longer and the amplitude of P3 was lower in the patients of the depression group compared with the cases in the non-depression group;after the acupuncture treatment,the latency of P3 decreased significantly(P<0.01),and the amplitude of P3 increased significantly(P<0.05) in the patients of the depression group.Conclusion P300 potentials test can help find cognitive dysfunction in post-stroke patients following depression at early stage,and acupuncture treatment in time can lessen or eliminate depression motion of post-stroke patients.

Key words: post-stroke depression, P300 potentials, acupuncture therapy