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Stroke:针灸能预防卒中后抑郁吗?

2017-04-29 xing.T MedSci原创

由此可见,住院脑卒中患者出院后3个月内针灸治疗与抑郁发生率无相关性。

近日,卒中领域权威杂志Stroke上发表了一篇研究文章,研究人员旨在调查卒中患者在出院后3个月期间内运用针灸治疗能否降低卒中后抑郁症风险。

在这项队列研究中,研究人员在2000年至2012年期间共纳入了16046名年龄≥18岁首次脑卒中住院患者,这些患者来自于一个全员健康保险索赔数据库。脑卒中患者出院后3个月内接受了针灸治疗的患者被定义为针灸使用者(n=1714)。所有患者随访至2013年底,为了得到抑郁症的发病率。研究人员在所有受试者中采用Cox比例风险模型评估了使用针灸和抑郁症发生之间的相关性,并且通过倾向评分组成了1714对针灸使用者和针灸非使用者的样本。

在随访期间,针灸使用者和针灸非使用者中抑郁症的发生率为每1000人每年分别有11.1人和9.7人。无论是多变量调整后的Cox模型(风险比为1.04;95%可信区间为0.84-1.29),还是倾向得分匹配模型(风险比为1.06;95%可信区间为0.79-1.42)均没有发现使用针灸治疗与卒中后抑郁症发病率之间存在相关性。

由此可见,住院脑卒中患者出院后3个月内针灸治疗与抑郁发生率无相关性。

原始出处:

Chung-Yen Lu,  et al. Acupuncture Therapy and Incidence of Depression After Stroke
.Stroke. 2017. https://doi.org/10.1161/STROKEAHA.117.016959

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    2017-06-01 海棠胜雪

    学习了

    0

  3. 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    2017-05-07 lemon985

    呵呵,真假的

    0

  4. 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topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=62d381629, createdName=yafeiliutjh, createdTime=Sat Apr 29 13:44:20 CST 2017, time=2017-04-29, status=1, ipAttribution=)]
    2017-05-03 1e10c84am36(暂无匿称)

    文章很好,拜读了

    0

  5. 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topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=62d381629, createdName=yafeiliutjh, createdTime=Sat Apr 29 13:44:20 CST 2017, time=2017-04-29, status=1, ipAttribution=)]
    2017-04-30 chenyewen

    针灸这个范围太宽泛。建议研究具体的部位方式

    0

  6. 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topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=62d381629, createdName=yafeiliutjh, createdTime=Sat Apr 29 13:44:20 CST 2017, time=2017-04-29, status=1, ipAttribution=)]
    2017-04-30 虈亣靌

    学习一下觉得非常好

    0

  7. 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topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=62d381629, createdName=yafeiliutjh, createdTime=Sat Apr 29 13:44:20 CST 2017, time=2017-04-29, status=1, ipAttribution=)]
    2017-04-30 baihao215

    这个对照组选择和处理合适吗?

    0

  8. 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topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=62d381629, createdName=yafeiliutjh, createdTime=Sat Apr 29 13:44:20 CST 2017, time=2017-04-29, status=1, ipAttribution=)]
    2017-04-30 有备才能无患

    中医针灸等治疗已经纳入很多国家的医保体系

    0

  9. 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topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=62d381629, createdName=yafeiliutjh, createdTime=Sat Apr 29 13:44:20 CST 2017, time=2017-04-29, status=1, ipAttribution=)]
    2017-04-30 微笑人参

    中医药博大精深,好多不懂!

    0

  10. 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topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=62d381629, createdName=yafeiliutjh, createdTime=Sat Apr 29 13:44:20 CST 2017, time=2017-04-29, status=1, ipAttribution=)]
    2017-04-29 yafeiliutjh

    逐渐被世界接受

    0

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