| Objective:Through clinical observation "tong du tiao shen" acupuncture in patients with depression after ischemic stroke on the improvement of their depressive symptoms and acupuncture Serum Ferritin in patients with PSD,To explore the therapeutic effect of acupuncture on PSD,and provide the basis for acupuncture treatment of PSD.Method:1.A total of 60 patients with ischemic stroke depression were randomly divided into acupuncture treatment group and drug control group,30 cases per group,Two groups of patients were given secondary prevention and related basic treatment of cerebrovascular disease,Such as low salt and low fat diet,nutritional brain nerve,improvement of circulation,anti-platelet aggregation,anticoagulation,control of blood pressure,regulation of blood glucose,blood lipids;Prevention and treatment of complications and other related symptomatic treatment,One session is four weeks,Two courses of continuous treatment,After the onset of cerebral apoplexy,corresponding rehabilitation should be conducted for the disease,The duration and intensity of each recovery is as good as the patient’s ability to endure.On the basis of this treatment,The drug control group was treated with oral hydrochloride paroxetine tablets(celeste),20 mg,daily,morning,and 8 weeks in a row,The acupuncture treatment group was applied to the treatment of the control group with the “tong du tiao shen”acupuncture,The cave is bai hui,shen ting,yin tang,ren zhong,feng fu;The liver qi yu tie type with taichong(double),dan zhong,Heart and spleen two virtual type with shen men(double),nei guan(double),4 weeks for 1 course of treatment,2 courses.To observe the level of serum ferritin in the two groups before treatment,4 weekends and 8 weekends,Immunofluorescence assay was used,The scores of the Hamilton depression scale(HAMD)and the Zung depression self-rating scale(SDS)were changed.2.The data were analyzed by SPASS21.0 statistical software package,and the data were measured and the average number of the data was measured,The mean of the group is in normal distribution and the variance is tested by t,Correction t test is adopted for variance,counting data description with frequency,percentage,using X2 test,analyze the results using SPASS21.0 software,P < 0.05 think there’s a significant difference,P < 0.01 think there is a very significant difference,P > 0.05 thought there was no significant difference.Result:1.Changes in serum SF:After the fourth week of treatment,there was a significant difference in serum SF level between the two groups of patients(P<0.05)and that between the acupuncture group and the drug group(P<0.05).8 weeks after treatment,two groups of patients with serum SF before treatment with significant difference(P < 0.01),and compared between two groups had no significant difference(P > 0.05),showed that after the two period of treatment,acupuncture treatment group and drug group can reduce the PSD patients serum SF levels,but in the treatment of 4 weeks after the acupuncture treatment group is better than that of drug group,8 weeks after treatment,acupuncture treatment group and drug group.2.Changes in HAMD scale scores:4 weeks after treatment,two groups of patients with HAMD scores and compared with before treatment,HAMD scores decreased significantly(P < 0.05),the more obvious differences between acupuncture group and drug group(P < 0.05),8 weeks after treatment,two groups of patients,respectively,compared with before treatment,HAMD scores decreased significantly(P < 0.01),and compared between two groups had no significant difference(P > 0.05),There was a significant difference in the total effective rate between the two groups after 4 weeks of treatment(P<0.01),while there was no significant difference in the total effective rate between the two groups after 8 weeks of treatment(P>0.05).3.Score changes of Zung depression self-rating scale:At the fourth week after treatment,there was a significant difference in the score of Zung depression self-rating scale between the two groups compared with that before treatment(P<0.05),and there was a significant difference between the acupuncture group and the drug group(P<0.05).After the 8th week of treatment,there was a significant difference in the score of Zung depression self-rating scale between the two groups compared with that before treatment(P<0.01),but no significant difference between the two groups(P>0.05).Conclusion:1.The acupuncture therapy can reduce the serum SF content of PSD patients.2.“Tong du tiao shen” acupuncture therapy can improve the depressive symptoms in PSD patients,and with the increase of the treatment,acupuncture has better than western medicine in the improvement of depression in PSD patients.3.Reducing serum SF level may be one of the mechanisms for the treatment of PSD. |
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