Clinical Observation Of TDCS Combined With Acupuncture In The Treatment Of Post-stroke Depression And Liver-qi Stagnation

Purpose:To observe the effect of acupuncture combined with Transcranial Direct Current Ctimulation(tDCS)in the treatment of liver qi stagnation type post-stroke depression.Material and method:On the basis of the randomized controlled trial(RCT)method,60 patients who met the inclusion criteria among those who received treatment for post-stroke depression(liver qi stagnation type)in the 2nd Department of Brain Disease Rehabilitation in the Rehabilitation Center of the Affiliated Hospital of Liaoning University of Traditional Chinese Medicine during the period between June 2018 ? June 2019 were randomly divided into treatment group(n = 30)and control group(n = 30),each group consisting of 30 patients.The treatment group was coordinated with tDCS treatment on the basis of the control group.The control group was only given acupuncture therapy,using Shenting,Baihui,Shenmen,Neiguan,Hegu,Taichong,Xinshu,Ganshu and Xingjian as the selected acupoints.Using the technique of mild reinforcing-reducing manipulation(pingbupingxie),needles were retained for 30 minutes once per day,5 times a week and treatment was continued for 4 weeks.As for tDCS body surface stimulation sites,the left dorsolateral prefrontal lobe was used as the positive site and the opposite shoulder as the negative site.Treatment mode was set to direct current stimulation,the stimulation intensity of which was 1.5m A.Treatment was carried out 20 mins once a day,5 times a week for 4 weeks.Before and 4 weeks after the treatment,condition of depression in the two groups were assessed respectively.Hamilton Depression Scale(HAMD),Self-rating Depression Scale(SDS)and TCM Syndrome Depression Scale were used for evaluation.All data were statistically analyzed using SPSS21.0 statistical software.Results:There was no significant difference in pre-treament age,course of disease,HAMD scores,SDS scores and TCM Syndrome scores between the two groups(P > 0.05).After treatment,the scores of each group were compared with those before treatment.The results showed that the scores of each group after treatment were significantly lower than those before treatment(P < 0.05),indicating that treatment was effective in both groups with post-stroke depression.The groups were then compared with each other,the difference being statistically significant(P < 0.05).The rating scale of the treatment group was significantly reduced,showing that the treatment effect was higher and efficacy faster than in the control group.Conclusion:1.There was fairly good treatment effect in both the experiment group and the control group of liver qi stagnation type post-stroke depression.2.For post-stroke patients with depression of liver qi stagnation,treatment effect in the experimental group was better than that of the control group.