Clinical Observation Of Conventional Acupuncture Therapy With Dragon-tiger Warring Treatment On Ganshu Point On Post-stroke Anxiety Disorders

Research objectivesThe primary research objective was to observe the clinical effect of the Conventional acupuncture therapy with dragon-tiger warring on gan yu point on post-stroke anxiety disorder when compared to control group using conventional acupuncture therapy only. Meanwhile,to evaluate the effects on the improvement of the living standard of the patients.MethodsAll patients are from the emergency department、Acupuncture and Moxibustion Deparment and the preventive treatment centre, the Affiliated Hospital of Cheng Du University of TCM, and 70 of them are accorded with the inclusive criteria, They are devided into two groups randomly,35 of which is the treatment group and the rest of which belong to the conventional acupuncter group.The acupoint’s election of the conventional acupuncture group:(FirstSet):Bai Hui,Yin Tang,Si Guan,Tai Chong,Tai Yang and Shen Men;(Secondset):Bai Hui,Si Shen Chong,Nei Guan、Xin Yu,Gan Yu and San Yin Jiao.The above two groups are used alternately.The therapeutic schedule of the treatment group is the combination of the Conventional acupuncture therapy and a kind of method called "dragon-tiger warring" on gan yu point.Both groups receive one treatment every other day and 4 weeks is one treatment course.Use HAMA and Zung SAS to evaluate the curative effects of anxiety after apoplexy before and after the treatment and meanwhile, use the three-factor score in the HAMA to refine the evaluation of the advantages of the treatment group. Apply the Bartherl BI to assess the body function recovery in the two groups before and after the treatment. Use the stroke scale-quality of life (SS-QOL) to evaluate the living quality of patients. At the same time, the safety of two treatments was also evaluated with Treatment Emergent Symptom Scale (TESS). Follow-up was carried out at 3 months and 6 months after the last treatment.Results(1) There are 70 cases in all met the entry criteria for the study and were invited to participate. They were randomized into treatment group (n=35) or control group (n=35). There was no significant difference between the two groups on demographic and clinical characteristics which mean baselines were equal.(2) Both HAMA and SAS scores showed significant difference before and after treatment in both groups (P<0.05).There was statistical difference between the two groups which mean the treatment group was better than the other one (P<0.05).(3) The scale scores of three factors in HAMA (spiritual anxiety factor, somatic anxiety factor, sleep factor) decreased obviously after t reatment and showed significant statistical difference in both groups.Furthermore the final result showed significant difference between the two groups in the three factors’ score (P<0.05).(4) The score of CGI showed significant difference between both groups (P<0.05).(5) The score of BI showed no significant difference before and after treatment in both groups (P>0.05). So there was no statistical difference between the two groups which mean they have no effect (P>0.05).(6) In the contrast of QOL score, both groups make comparative differences after the treatment (P< 0.05) by improving QOL score, and the treatment group is doing better than the control group (P< 0.05).(7) 3 months and 6 months later, compared to the last treatment the score of HAMA showed no significant statistical difference(P) 0.05). It indicated that the effect remained.(8) Safety evaluation showed that two cases had slight dizziness in Treatment group during treatment period. While in control group,no cases suffered from any side effect.ConclusionBoth therapeutic method could provide satisfactory outcome of post-stroke anxiety disorders.But the treatent group does have certain advantages in treating mental anxiety and somatic anxiety and insomnia compared to the control group,and it also do better in improving CGI and SS-QOL.In a word,the treatent group was better than the control group.