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Effect of acupuncture plus Tai Ji Quan on the recovery of neurological function and depression state in post-stroke depression patients

针刺联合太极拳练习对脑卒中后抑郁患者神经功能恢复及抑郁状态的影响

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Abstract

Objective

To observe the therapeutic efficacy of acupuncture plus Tai Ji Quan (Tai Chi) in recovering the neurological function and treating depression state in post-stroke depression patients, together with a 12-month follow-up.

Methods

A total of 105 eligible post-stroke depression patients were randomized into an acupuncture plus Tai Ji group (53 cases) and a control group (52 cases) based on their visiting sequence. The patients all received routine treatment and rehabilitation training for stroke. In addition, the control group was given oral administration of citalopram hydrobromide tablets, 1 month as a course of treatment, for 3 courses in total. Meanwhile, the acupuncture plus Tai Ji group received acupuncture and practiced Tai Ji Quan, for 1 month and 12 months respectively. Before the intervention, after 1-month intervention and 12 months later, the National Institute of Health stroke scale (NIHSS), Barthel index (BI) and Hamilton depression rating scale (HAMD) were adopted for efficacy evaluation.

Results

Prior to the intervention, there were no significant differences in HAMD, NIHSS and BI scores between the two groups (all P>0.05); after 1-month intervention, there were significant between-group differences in NIHSS, BI and HAMD scores (P<0.05 or P<0.01); the 12-month follow-up revealed significant between-group differences in NIHSS, BI and HAMD scores (all P<0.01). In the treatment of stroke, the total effective rate was 84.4% in the acupuncture plus Tai Ji group, significantly higher than 68.9% in the control group (P<0.05); in the treatment of depression, the total effective rate was 86.7% in the acupuncture plus Tai Ji group, significantly higher than 77.8% in the control group (P<0.05).

Conclusion

Acupuncture plus Tai Ji Quan can produce a significant efficacy in improving the limb motor function and depression in post-stroke depression patients.

摘要

目的

观察针刺联合太极拳练习对脑卒中后抑郁患者的神经功能恢复及抑郁状态的疗效及12月后随访。

方法

将105名符合纳入标准的脑卒中后抑郁患者按就诊顺序随机分为针刺加太极组(53例)和对照组(52例)。 所有患者均进行脑卒中的常规治疗及康复锻炼, 对照组口服氢溴酸西酞普兰片片, 1个月为1疗程, 共治疗3疗程。 针刺加太极组接受针刺加太极拳练习治疗, 连续针刺治疗1个月, 太极拳练习12个月。 在治疗前、 治疗1月及12个月后随访时采用美国国立卫生研究院卒中量表(NIHSS)、 Barthel指数(BI)和汉密尔顿抑郁量表(HAMA)进行疗效评定。

结果

治疗前, 两组HAMD、 NIHSS和BI评分差异均无统计学意义(均P>0.05); 治疗1月后, 两组NIHSS、 BI和HAMD评 分差异均有统计学意义(P<0.05或P<0.01); 治疗结束12月后随访时两组NIHSS、 BI和HAMD评分均有统计学差异 (均P<0.01), 脑卒中临床疗效方面针刺加太极组组总有效率为84.4%, 高于对照组的68.9% (P<0.05); 抑郁疗效方面针刺加太极组总有效率为86.7%, 高于对照组的77.8% (P<0.05)。

结论

针刺联合太极拳练习对脑卒中后抑郁患者肢体功能恢复及抑郁症状的疗效显著。

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Acknowledgments

This work was supported by Wang Jing-jing’s Inheritance Studio of National Famous Traditional Chinese Medicine Experts (王净净全国名老中医药专家传承工作室); Graduate Student Research Innovation Project of Hunan Province ( 湖南省研究生科研创新项目, No. CX2016B354); Open Fund for National Key Discipline of Diagnostics of Traditional Chinese Medicine (中医诊断学国家重点学科开放基金资助项目, No. 2015ZYZD27).

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Authors and Affiliations

  1. Hunan University of Chinese Medicine, Changsha, 410007, China

    Lin Zhang  (张林), Shu-lin Quan  (全淑林), Jing-jing Wang  (王净净) & Yan Zhong  (钟艳)

  2. School of Medicine, Southeast University, Nanjing, 210009, China

    Jing Zhao  (赵静)

  3. Second Affiliated Hospital of Hunan University of Chinese Medicine, Changsha, 410005, China

    Ye-hui Liu  (刘叶辉) & Xue-hui Shi  (石学慧)

  4. Brain Hospital of Hunan Province, Changsha, 410007, China

    Zhen-guang Li  (李振光)

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  1. Lin Zhang  (张林)
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Correspondence to Jing-jing Wang  (王净净).

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Zhang, L., Zhao, J., Quan, Sl. et al. Effect of acupuncture plus Tai Ji Quan on the recovery of neurological function and depression state in post-stroke depression patients. J. Acupunct. Tuina. Sci. 16, 96–103 (2018). https://doi.org/10.1007/s11726-018-1031-5

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  • DOI: https://doi.org/10.1007/s11726-018-1031-5

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