| Purpose:To observe the clinical efficacy of acupoint acupuncture in regulating qi and strengthening spleen group combined with sertraline hydrochloride in the treatment of poststroke depression of liver depression and spleen deficiency.Material and method: The cases collected in this clinical study are from the outpatients of the Affiliated Hospital of Liaoning University of traditional Chinese medicine or inpatients in brain K1 ward of the rehabilitation center from January 2021 to December 2021.A total of64 cases were included in this experiment.Excel generated a random number table.According to the order of treatment,the patients were divided into treatment group and control group,with32 cases in each group.During the treatment,2 cases fell off in each group.Finally,60 patients with post-stroke depression of liver depression and spleen deficiency type(30 cases in the treatment group and 30 cases in the control group)who met the Na Pai standard and did not fall off were included in the statistics.The control group was treated with basic treatment +sertraline hydrochloride tablets 50 mg once a day;The treatment group was treated with basic treatment + sertraline hydrochloride tablets + acupoint acupuncture of Tiaoqi Jianpi group.The main acupuncture points were Baihui,Yintang,Hegu(both sides),Tanzhong,Zhongwan,zhangmen(both sides),Qihai,Zusanli(both sides),yinlingquan(both sides),Sanyinjiao(both sides),Taichong(both sides),once a day,five days a week.There should be a sense of Qi after the injection,and the needle should be kept for 30 minutes.The total observation period was set as 4 weeks,and two evaluations were set.The baseline evaluation before enrollment was conducted on the first day,and the evaluation was conducted again after treatment.Hamilton Depression Scale(hamd-24),National Institutes of Health Stroke Scale(NIHSS),Barthel index rating scale(BI)and TCM syndrome integral scale were used as evaluation scales.The data were statistically analyzed by SPSS 21.0 software.P > 0.05 indicates that there is no statistical difference,and P < 0.05 indicates that there is statistical difference,P < 0.01,indicating significant statistical difference.Results:1.Baseline comparison: before treatment,the scores of gender,age,course of disease and stroke type were compared between the two groups,P > 0.05,there was no statistical difference and comparable;Compared with symptoms,hamd-24,NIHSS,Bi and TCM syndrome scores(P >0.05),there was no statistical difference and comparable.2.Intra group comparison: after treatment,hamd-24,NIHSS,Bi and TCM syndrome scores were compared between the two groups.Both groups were p < 0.01,with significant statistical difference.3.Comparison between groups: after treatment,hamd-24 and TCM syndrome score of the two groups were compared(P < 0.05);There was no statistical difference between HSS and nibi score > 0.05.4.Comparison of curative effects: after treatment,the degree of depression in the two groups was improved.The total effective rate was 93.3% in the treatment group and 76.7% in the control group.Z =-3.934,P < 0.01;In the improvement of TCM symptoms,the total effective rate was 96.7% in the treatment group and 43.3% in the control group,z =-4.122,P < 0.01,with significant statistical difference.Conclusion:1.Acupoint acupuncture combined with sertraline hydrochloride in Tiaoqi Jianpi group and oral sertraline hydrochloride alone are effective in the treatment of post-stroke depression of liver depression and spleen deficiency type,and the combination of acupuncture and medicine is more effective;2.Acupoint acupuncture of Tiaoqi Jianpi group combined with sertraline hydrochloride is better than oral sertraline hydrochloride tablet therapy in improving the depression and TCM syndrome effect of post-stroke depression of liver depression and spleen deficiency type.The method of acupuncture treatment according to syndrome differentiation is feasible and worthy of reference. |
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