Clinical Therapeutic Effects Of Acupuncture And Music Treatment On PSAD

Objective:The subject of the treatment of stroke in acupuncture on post stroke anxiety state for “ treat heart with brain”as the basic principle of treatment,using emotional acupuncture(i.e.Sishen needling,dingshen needling,Neiguan,Shenmen,Sanyinjiao acupoints)with adjustable features music and conventional western medicine as control.The two of clinical observation methods the curative effect in the treatment of PSAD(post-stroke patients with anxiety).Methods:According to the random number table,patients who met the diagnostic criteria of stroke anxiety were selected and divided into observation group and control group.The two groups were intervened on the basis of routine acupuncture treatment,The observation group received emotional acupuncture(i.e.Sishen needling,dingshen needling,Neiguan,Shenmen,Sanyinjiao acupoints)with the features of melody of music therapy,the control group with oral administration of Western medicine Pa Rossi Dean,with Hamilton Anxiety Scale(HAMA)as the main observation index,combined with Zung’s self rating Anxiety Scale(SAS),self-care ability assessment of Barthel index(BI),to determine the clinical efficacy of two interventions for the treatment of post stroke anxiety disorder,HAMA,SAS,BI before treatment and after2,4and6 weeks,After 3 months of follow-up,HAMA and BI were used to evaluate.TESS adverse reaction scale was used to evaluate the adverse reactions after2,4 and 6 weeks.Results:1 There was no significant difference date in HAMD,SAS and BI scores between the two groups before treatment(P> 0.05).After 2 weeks of treatment,the HAMD,SAS,BI score and treatment before treatment,although the difference was becoming more statistically significant(P < 0.01),however there was no significant thing and business difference in the HAMD,SAS,BI score between the two groups(P > 0.05);After 4th weeks of treatment term,observing the 2 groups with their HAMD,SAS,BI scores to their before treatment,the difference with 2 groups we can see especially statistically significant(P < 0.01),however there was no especially significant difference in HAMD,SAS,BI scores between the two groups(P > 0.05);As we also find that after 6 weeks of treatment,the rule as we observe such as HAMD,SAS and BI scores of the two groups after treatment were significantly different between the two groups(P< 0.01),there is no especially we can find significant difference between the two groups in HAMD,SAS,BI score(P > 0.05).2 Two groups of HAMA three factor(mental anxiety factor,anxiety factor and sleep factor score)compared with before treatment,the differences were especially statistically significant(P<0.01)for patients as we know,observed during the treatment between the two groups HAMD mental anxiety factor,the sleep factor score difference was statistically significant as we find(P > 0.05).As a result,there was no significant difference between the two groups at the end of the second week and the fourth week of the treatment group(P>0.05),however we still find that there was a statistically significant difference between the two groups at the end of the 6 week(P<0.05).3 After treatment,managing the HAMA reduction rate as used to determine the efficacy of the two groups we observed,as a result the observation group was significantly effective with a rate of 55.17%,the total effective rate at the 89.66%,the control group,the effective rate was 33.33%,the total effective rate was 85.61%.Results the non parametric rank sum test statistical analysis,as we can see from the chart the overall efficacy of the observation group compared with the control group was statistically significant(Z=-1.968,P=0.049 < 0.05),in brief we can concludefrom the date that the overall efficacy of the observation group was better than that of the control group.4 After treatment,the two groups of TESS score after the second,4th,6th weeks were significantly different(P < 0.01),the observation group and the control group,less side effects.5 After 3 months of follow-up,the HAMA and BI scores of the two groups were not statistically significant(P > 0.05).There was no more extra significant difference between the two groups in the aspects of mental anxiety factor and sleep factor(P >0.05),while the observation group’s scores of somatization anxiety factor were significantly lower than those in the control group’s(P < 0.05).Conclusion: Acupuncture combined with emotional anxiety disorder after stroke treated with tonal music features of the overall curative effect is better than that of oral medicine Pa Rossi Dean,especially for somatic anxiety and obvious advantages,the infaust and side reaction is less than western medicine,and the long-term curative effect is moer stablely than the control group.