| Post-Stroke DePression(PSD) is a common complications on cerebrovascular disease, which mean a kind of affective disturbance that showing with be down in spirit, decreased activity, slow thinking function after cerebrovascular disease occured. It regarded as secondary depression, amount to depression syndrome of TCM。 Recently, because of the population aging society and higher morbidities in cardiovascular and cerebrovascular diseases, PSD has a tendency to increase year by year:in USA, the morbidity of PSD is about22%-69%; interiorly, it is about23%-76%, which higher than abroad。. PSD not only affects the mental condition of patients, and to the progress and prognos is have influence. PSD hampers the recuperation of neurological function in paralytics. And it can also add the disability rate and death rate, which give familise and societise a heavy burden. Therefore, it is very important to diagnose and cure the patients timely to improve their quality of life.The study contrasts acupuncture of spirit regulation with acupuncture therapy in randomized controlled trial (RCT) to know the curative effects in PSD, and to discuss the clinical value and promoting significance in cureing the disease with acupuncture of spirit regulation, and provide evidence based-medicine for chooosing more effictive treatment. ObjectiveThe study adopts the method of acupuncture of spirit regulation in treating PSD, compare with another group treating with common acupuncture method, then the Neurological function Defect Scale(NDS), Hamilton Depression scale24(HAMD), Symptom Checklist(SCL-90) and Barthel Index score were recorded after the course of treatment, and then assess the clinical effect and mechanism of action.MethodsDuiring the period of2013/3to2014/3, we selected62insomnia patients who accepted treatment in the outpatient department and ward of First Affiliated Hospital of TCM, then randomly divided the illness into the acupuncture of spirit regulation group and the common acupuncture group,31cases in each one. The illness must be comparable with the general information as like as sex, age and the course befor the experiment. The treatment group (the acupuncture of spirit regulation group) was based on the Four-shen Points, Zhi-san Points and Shenmen Points, while the control group(the common acupuncture group) was based on the Shuigou-Points, Baihui-Point, Neiguan-Points, Shenmen-Points, Taichong-Points. Both needle retaining time was30mins after getting the Qi, and five times a week,2weeks as a courses of treatment,then totally2courses in this study.Estimating the PSD get through the NDS score, HAMD score, SCL-90and Barthel Index score before and after treatment, with the statistical software SPSS19.0.ResuIts1. Before the treatment, the difference of NDS score between the two groups was not Statistically significant(P>0.05). After a treatment course, the NDS score was decreased in both group(P<0.05), but according the statistical software, it was not significant among the groups comparision(P>0.05). After two treatment courses, the score was obviously decreased, and it was Statistically significant (P<0.05) according the statistical software, which indicated the treatment group had better advantages in the treatment of PSD.2. Before the treatment, the difference of HAMD score between the two groups was not Statistically significant(P>0.05). After a treatment course, the HAMD score was decreased in both group(P<0.05), but according the statistical software, it was not significant among the groups comparision(P>0.05).After two treatment courses, the score was obviously decreased, and it was Statistically significant (P<0.05) according the statistical software, which indicated that the treatment group had better advantages in the treatment of PSD.3. Before the treatment, the difference of SCL-90score between the two groups was not statistically significant(P>0.05). After a treatment course, the SCL-90score was decreased in both group(P<0.05), but according the statistical software, it was not significantamong the groups comparision(P>0.05). After two treatment courses, the score was obviously decreased, and it was significant difference(P<0.01) according the statistical software, which indicated that the treatment group had better advantages in the treatment of PSD.4. Before the treatment, the difference of Barthel Index score between the two groups was not significant (P>0.05). After a treatment course, the Barthel Index score was decreased in both group, but according the statistical software, it was not statistically significant (P>0.05) among the groups comparision. After two treatment courses, the score was obviously decreased, and it was significant difference(P<0.01) according the statistical software, which indicated that the treatment group had better advantages in the treatment of PSD.Conelusion1.Both two groups can obviously decrease the PSD score, both of the two treatments can cure the PSD.2. According the statistical analysis, it is not statistically significant(P>0.05) among the groups comparision after one treatment course, but it is statistically significant (P<0.05) after two treatment courses, especially in SCL-90score and Barthel Index score, which means that the treatment group have better advantages in the treatment of PSD. |
PDF Full Text Request