The Clinical Observation Of GUBENTIAOSHEN Acupuncture Treatment For Post-stroke Anxiety Disorder

Objective: The purpose is to observe the clinical efficacy of GUBENTIAOSHEN Acupuncture on post-stroke anxiety disorder,and to preliminary explore the effects of GUBENTIAOSHEN Acupuncture on the treatment of post-stroke anxiety disorders,and the effect of this acupuncture on patients’ daily life ability.Improve the sleep and gastrointestinal symptoms of patients,and conduct safety assessment at the same time,providing a safe and effective plan for the treatment of post-stroke anxiety disorders,with a view to being widely promoted and applied in the future.Methods: In this study,a randomized controlled trial design method was used to select patients with PSAD that met the inclusion criteria.A total of 60 cases were collected from the outpatient and inpatient departments of the acupuncture department of the Affiliated Hospital of Tianjin Academy of Chinese Medicine,and the patients were divided into treatments according to the random number table method.30 patients in each group and control group were given basic medical treatment based on the physical examination and laboratory examination results of the two groups of patients,and both groups were treated with acupuncture.Acupoints: Baihui,Sishencong,Guanyuan,Zhongli,Zusanli(bilateral),Daling(bilateral),Sanyinjiao(bilateral),Taixi(bilateral));the control group was given a routine needle for stroke hemiplegia Acupuncture treatment(acupuncture points: Shuigou,Taixi(both sides),Hand Sanli(both sides),Zusanli(both sides),Shenting(both sides),Chengling(both sides),Shenmen(both sides),Ring jump,Yanglingquan,Sanyinjiao(used on the affected side alternately));Zhuxue leveling and reducing diarrhea,taking Qi as the degree,keeping the needle for 30 min each time,once a day,5 days as a course of treatment,rest between sessions Two consecutive days of 8 courses of treatment.The patients’ HAMA scores and daily activity index(BI)scores were recorded before treatment,4 weeks after treatment,and 8 weeks after treatment,respectively.Pittsburgh Sleep Quality Index Scale(PSQI),gastrointestinal symptoms rating scale(GSRS).The symptom score changes before and after comparison of two groups of patients,in order to assess the clinical efficacy.The results after the end of treatment were statistically analyzed.Result:1 Efficacy analysis: After the treatment course,the total effective rate in the treatment group was 90% and the total effective rate in the control group was 76.7%.After statistical analysis,there was a statistical difference in the total effective rate between the two groups(p<0.05),which proved that the treatment group The effect is better than the control group.2 HAMA score,PSQI score,and GSRS score: After treatment,the patient’s HAMA score,PSQI score,and GSRS score decreased,and there were significant differences in the comparison between the groups(p<0.05),indicating that the two treatment methods were effective for the patients.Anxiety,sleep status,and gastrointestinal symptoms were effective.Compared between the groups,the HAMA score,PSQI score,and GSRS score of the two groups were significantly different at the time points after 4 weeks of treatment and 8weeks after treatment(p < 0.05),which proves that the treatment group is better than the control group in treating patients’ anxiety,sleep status and gastrointestinal symptoms.3 BI index: After the two groups of treatment,the BI index of the patients increased,and there were significant differences in the comparison within the group(p<0.05),indicating that the two groups of treatment methods are effective in improving the daily living ability of the patients.The BI index has no significant difference between the two groups at the time node after 4 weeks of treatment and 8 weeks after treatment(p>0.05),which proves that the two groups of treatment methods have comparable efficacy in improving patients’ daily life ability.4 Correlation between the HAMA score and the BI index: There is a significant difference between the decrease rate of the HAMA score and the increase rate of the bi index in the two groups(p<0.05),which proves that the better the daily living ability of PSAD patients,the better the anxiety symptoms The better the effect.5 Safety evaluation: There is no statistical difference in the safety evaluation of clinical operation between the two groups of treatment methods(p>0.05),which proves that both methods have clinical safety.Conclusion:1 According to the results of this study,the treatment of anxiety,sleep condition and gastrointestinal symptoms in PSAD patients was better than that in routine acupuncture,and the effect of the method was similar to that in routine acupuncture group.2 At the same time,this method is safe and effective,and it is worth popularizing andapplying in clinic.