Influence of Electroacupuncture and Ear Acupoint on Depression Symptom and Quality of Life in Patients with Post-stroke Depression
|School||Guangzhou University of Traditional Chinese Medicine|
|Course||Acupuncture and Massage|
|Keywords||Depression after stroke Ear pressure EA HAMD depression scale|
Stroke depression (Post stroke depression, PSD) occurs in a stroke include a variety of psychiatric symptoms and somatic symptoms of complex emotional disorders. Mainly for long-lasting depression , mental retardation and reduced interest and sleep disorders and other symptoms. In recent years , PSD pathogenesis , diagnosis and treatment and other studies reported in the literature , antidepressant drugs can cause varying degrees of Allergy and withdrawal syndrome , and toxicity smaller Chinese medicine treatment technology has increasingly become a clinical application focus , thus strengthening the PSD study for clinical search for a safe , simple , and effective new treatments has important practical significance. Objective : To observe the ear pressure with electro-acupuncture treatment of depression after stroke clinical efficacy. Methods: This randomized controlled trial, the qualified post-stroke depression patients , 60 patients were randomly divided into treatment group and control group . Treatment group of 31 cases with ear fit through the Governor Tiaoshen France EA , ear take God doors, heart, liver , spleen , brain ; electric Baihui Shenting Shenmen mainly with dialectical acupoints , such as: liver stagnation take Taichong, deficiency of both heart and take maidenhair , electric needle density wave , sparse wave frequency 5Hz, dense wave frequency of 50 Hz, intensity of 3.7mA, needle retention time of 30 minutes ; the control group of 29 patients with a tune through the Governor EA divine law , with dialectical acupoints. For both groups generally conventional treatment of stroke ; patients in both groups before treatment and after 6 weeks of treatment each application HAMD (17项) , Chinese medicine symptom scales , Rhone Planck sleep Standings score, to evaluate the efficacy of . Results: their longitudinal comparison : the treatment group after 6 weeks treatment HAMD, TCM Syndrome Scale score and sleep Standings score improvement , compared with before treatment was statistically significant (P <0.05). Horizontal comparison group 2 : After treatment , the treatment group and the control group HAMD score , TCM syndrome scale score , Rhone Planck sleep Standings score was significant difference statistically significant (P <0.05). HAMD score to determine the efficacy , the treatment group than the control group . Conclusion: Auricular acupuncture treatment with evidence of depression after stroke can improve the patient's overall depressive symptoms and improve the patient's quality of sleep , more effective than electro-acupuncture treatment in the control group .