调神疏肝针刺法治疗脑卒中后抑郁的临床效果

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Abstract

Objective To observe and explore the clinical effect of acupuncture method of soothing the liver and regulating the spirit on post stroke depression (PSD). Methods Eighty PSD patients admitted to Affiliated Rehabilitation Hospital of Fujian University of Traditional Chinese Medicine from June 2019 to June 2021 were selected as research subjects, they were divided into treatment group and control group according to envelope random number table method,with 40 cases in each group. On the basis of symptomatic treatment of basic disease, the treatment group was treated with acupuncture method of soothing the liver and regulating the spirit, and the control group was treated with Fluoxetine Hydrochloride Capsule. After 8 weeks of intervention, the Hamilton depression scale (HAMD), daily life activity scale(ADL) results of efficiency before and after treatment were compared. Results The total effective rate of treatment of the treatment group was higher than that of control group, and the difference was statistically significant (P<0.05). Before treatment, there were no significant differences in HAMD and ADL scores between the two groups (P>0.05). The HAMD scores of two groups were lower than those before treatment, the ADL scores of two groups were higher than those before treatment,the differences were statistically significant (P<0.05).The HAMD score of the treatment group was lower than that of the control group, the ADL score of the treatment group was higher than that of the control group, the differences were statistically significant (P<0.05). Conclusion Acupuncture method of soothing the liver and regulating the spirit can effectively improve depression after stroke.

Key words： Post stroke depression Acupuncture Fluoxetine Hydrochloride Capsules Hamilton depression scale;Daily life activity scale

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