Effects of traditional Chinese medicine acupuncture combined with Otago exercise on psychological disorders and quality of life in stroke patients
Objective To observe the effects of traditional Chinese medicine(TCM)acupuncture combined with Otago exercise on psychological disorders and quality of life in stroke patients.Methods This study was a randomized controlled trial.A total of 130 stroke patients with severe psychological disorders admitted to the Department of Neurology of Baoji Central Hospital from January 2020 to May 2023 were selected as the study objects.The patients were divided into a combined treatment group(65 cases)and a control group(65 cases)using the random number table method.In the control group,there were 33 males and 32 females,aged(65.47±8.61)years,and the course of disease was(16.89±3.62)months.In the combined treatment group,there were 34 males and 31 females,aged(66.52±7.99)years,and the course of disease was(15.91±4.23)months.The control group received conventional basic neuropharmacological treatment,and the combined treatment group received TCM acupuncture combined with Otago exercise on the basis of the control group.Both groups were treated for 4 weeks.The stroke recovery[National Institutes of Health Stroke Scale(NIHSS)and Mini-Mental State Examination(MMSE)],cognitive function and language function[Chinese Rehabilitation Research Center Standard Aphasia Examination(CRRCAE)],psychological recovery[Hamilton Anxiety Scale(HAMA)and Hamilton Depression Scale(HAMD)],and daily living ability and quality of life[Barthel Index of daily living ability(BI)and World Health Organization Quality of Life Assessment(WHOQOL-BREF)]were compared between the two groups before and after treatment.Independent sample t test and X2 test were used for statistical analysis.Results After treatment,the NIHSS score of the combined treatment group was lower than that of the control group[(8.85±2.89)points vs.(10.22±3.14)points],and the MMSE score was higher than that of the control group[(17.73±3.07)points vs.(15.82±3.62)points](both P＜0.05);the CRRCAE scores in the combined treatment group were higher than those in the control group(all P＜0.05);the HAMD and HAMA scores in the combined treatment group were lower than those in the control group[(10.89±2.93)points vs.(12.81±3.62)points,(11.62±2.45)points vs.(13.09±3.52)points](both P＜0.05);the BI and WHOQOL-BREF scores in the combined treatment group were higher than those in the control group[(88.54±11.34)points vs.(83.26±15.13)points,(85.43±11.39)points vs.(79.74±10.62)points](both P＜0.05).Conclusion TCM acupuncture combined with Otago exercise can improve the psychological disorders and quality of life in stroke patients.
万方数据
维普
