Clinical Study of Acupuncture Combined with Emotional Intervention in Patients with Post-Stroke Depression

Fajin Wang, Yanyan Huang, Zhidan Zhang, Yan-hua Yang, Huikai Wang, Hao Han, Yongsheng Zhang, Yuxiang Jiao, Jianyong Gao
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Abstract

Objective: To investigate the clinical efficacy of acupuncture combined with emotional intervention in patients with post-stroke depression (PSD). Methods: A total of 100 patients with PSD who met the inclusion criteria were randomly divided into an experimental group (50 cases) and a control group (50 cases) using the random number table method, and the enrollment was in order of admission time. The control group used conventional treatment of oral antidepressant Deanxit tablets (0.5 mg flupenthixol + 10 mg melitracen) with the dose appropriately adjusted according to the patient’s medication effect, and modern rehabilitation treatment given selectively according to the patient’s condition. The experimental group had similar treatment as the control group with the addition of traditional Chinese medicine (TCM) acupuncture combined with emotional intervention. The application effects of both groups before and after treatment were verified using the Hamilton Depression Rating Scale (Ham-D), National Institutes of Health Stroke Scale (NIHSS), and Activities of Daily Living (ADL), serotonin levels were measured, and statistical analyses were carried out. Results: The total effective rate of patients in the experimental group was significantly higher than that in the control group, and the Ham-D score, NIHSS score, ADL score, and serotonin level after treatment were significantly higher than those in the control group, and the difference between the two groups was statistically significant (P < 0.05). Conclusion: For patients with PSD, adding TCM acupuncture with emotional intervention on top of conventional treatment significantly improve the clinical efficacy and better improve the daily life ability of patients.
针刺配合情绪干预治疗脑卒中后抑郁症的临床研究
目的:探讨针刺配合情绪干预治疗脑卒中后抑郁症的临床疗效。方法:采用随机数表法将100例符合入选标准的PSD患者随机分为实验组(50例)和对照组(50例行),按入院时间顺序进行入选。对照组采用常规口服抗抑郁药黛力新片(0.5 mg氟哌噻索+10 mg美利曲新)治疗,剂量根据患者用药效果适当调整,并根据患者病情选择性给予现代康复治疗。实验组采用与对照组相似的治疗方法,加用中医针灸配合情绪干预。使用汉密尔顿抑郁量表(Ham-D)、美国国立卫生研究院卒中量表(NIHSS)和日常生活活动量表(ADL)验证两组治疗前后的应用效果,测量血清素水平,并进行统计分析。结果:实验组患者总有效率明显高于对照组,治疗后Ham-D评分、NIHSS评分、ADL评分、血清素水平均明显高于对照对照组,两组差异有统计学意义(P<0.05),在常规治疗的基础上,辅以情绪干预的中医针灸治疗,可显著提高临床疗效,更好地提高患者的日常生活能力。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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