Clinical Observation On Post-Stroke Depression Treated By "Kai Guan Li Qiao,Li Qi Jie Yu"Acupuncture Therapy

Objective: To discuss the feasibility of "Kai Guan Li Qiao, Li Qi Jie Yu" ("KGLQ, LQJY") acupuncture therapy on post-stroke depression(PSD) and observe the therapeutic effect on neurologic impairment and self-caring ability which based on "Xing Nao Kai Qiao" (XNKQ)acupuncture therapy.Methods: Sixty PSD patients were divided into the acupuncture group and the control group randomly. Besides the conventional treatment and "XNKQ" acupuncture therapy, the acupuncture group was selected with "KGLQ, LQJY " acupuncture therapy and the psychology instruction. One time per day, have a rest per week and 4 weeks for one course. The control group was only selected with the same psychology instruction. Before and in the end of treatment, we assessed ADL by Barthel index (BI), degree of neurological deficit by the Modified Scandinavian stroke scale (MSSS) and depressive symptomatology by Hamilton depression rating scale for depression (HRSD). The data was analyzed by SPSS 11.5 software. Significance was determined at p<0.05 and remarkable significance at p<0.01 by Student t-test.Results:1. The scores of HRSD of two groups have remarkable difference before and after treatment(P<0.01). And the acupuncture group has better efficacy (remarkable efficacy rate 43.3%) greatest improvement was observed in "KGLQ, LQJY" treated group (P<0.05) .2.Acupuncture group had remarkable improvement in quality of life and nerve function before and after treatment. Control group also had such effective (P<0.01). But amelioration level of acupuncture group was better than control group. There was significance between two groups (P<0.05) .3. The scores of HRSD for first time onset patients were lower than those of onset for more than two times before treatment (P<0.01). After acupuncture treatment, the level of HRDS of both of them was obviously reduced (P<0.01). But there was nosignificant difference between them after acupuncture (P>0.05 ) .Conclusions: The results suggest that "KGLQ. LQJY" acupuncture method can release depressive symptomatology of post-stroke significantly. It can improve PSD patients' quality of daily life and neurological function.