Objective:To evaluate the clinical effect of Fang's scalp acupuncture with three-step Tiaoshen method in treatment of post-ischemic stroke depression(PSD).Methods:60 patients with PSD were randomly divided into the study group(n=30,3 cases fell off)and the control group(n=30,2 cases fell off).Both groups were treated with conventional medication and needling hemiplegic side.Apart from that,the study group was also treated with needling head part of prone position,upper-Jiao of prone position,upper part of supine position,upper-Jiao of supine position,and the areas of recognition,writing and signaling;during the operation,the three-step method of adjusting Shen persists throughout,i.e.calming Shen before needling,focusing Shen during needling and harmonizing Shen after needling.The control group was treated with conventional needling Neiguan(PC6),Shenmen(HT7),Baihui(DU20),Yintang(EX-HN3),Sanyinjiao(SP6)and Taichong(LR3).After 3 weeks of the treatment,the scores of HAMD-24,NIHSS and MBI were observed to evaluate the clinical efficacy of the two groups.Results:The scores of HAMD-24 were significantly decreased after the treatment compared with those before the treatment in the two groups(P＜0.05),and the score of HAMD-24 was lower in the study group than that in the control group after the treatment(P＜0.01).The scores of NIHSS were significantly decreased after the treatment compared with those before the treatment in the two groups(P＜0.01),and the score of NIHSS was lower in the study group than that in the control group after the treatment(P＜0.01).The scores of MBI were significantly higher after the treatment than those before the treatment in the two groups(P＜0.05),but there was no statistical difference between the two groups after the treatment(P＞0.05).The total effective rate was 83.33％(25/30)in the study group,which was significantly higher than 70.00％(21/30)in the control group(P＜0.05).Conclusion:Fang's scalp acupuncture with three-step Tiaoshen method can effectively improve the depressive symptoms of the patients with PSD,and the clinical effect is better than that of the common acupuncture.The therapeutic effect of Fang's scalp acupuncture with three-step Tiaoshen method is similar to that of the common acupuncture in terms of improving daily life ability of the patients.
维普
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