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Clinical effect of acupuncture at shéntáng and nǎohù points on post-stroke depression#br# |
QIN Na1 HU Guoqiang1 CAO Rong2 HE Xuexin1 |
1.Department of Rehabilitation, Shijiazhuang Hospital of Traditional Chinese Medicine, Hebei Province, Shijiazhuang 050051, China;
2.Hemodialysis Room, Shijiazhuang Hospital of Traditional Chinese Medicine, Hebei Province, Shijiazhuang 050051, China |
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Abstract Objective To observe the clinical effect of acupuncture at shéntáng and nǎohù points on post-stroke depression (PSD). Methods A total of 60 PSD patients admitted to the Department of Rehabilitation, Shijiazhuang Hospital of Traditional Chinese Medicine from October 2018 to December 2020 were selected and they were divided into the control group and the treatment group by random number table method, with 30 patients in each group. The control group was treated with conventional acupuncture, while the treatment group was treated with conventional acupuncture and acupuncture at shéntáng and nǎohù points. Both groups were treated with acupuncture once a day for six days and then rested for one day, four weeks was a course. Hamilton depression scale (HAMD), homocysteine (Hcy) level, National Institutes of Health stroke scale (NIHSS) score, activities of daily living scale (Barthel index[BI] score) were recorded and compared between two groups before and after treatment. The clinical efficacy of the two groups was compared after treatment. Results Before treatment, there were no significant differences in HAMD score, Hcy level, NIHSS score, and BI score between the two groups (P > 0.05). After treatment, HAMD score, Hcy level, and NIHSS score in the two groups were lower than those before treatment, and those in the treatment group was lower than those in the control group, the differences were statistically significant (P < 0.05). After treatment, BI scores in both groups were higher than before treatment, and that in the treatment group was higher than that in the control group, the differences were statistically significant (P < 0.05). The clinical efficacy of the treatment group was better than that of the control group, and the difference was statistically significant (P < 0.05). Conclusion Acupuncture at shéntáng and nǎohù points can improve the depressive symptoms, reduce the level of Hcy, improve the degree of neurological impairment and improve the ability of daily living in PSD patients.
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