| ObjectiveThrough the three stimulation technique (TST) to assess the effect of Electroacupuncture affect the recovery of neural function of patients with on post stroke depression (PSD) of Stagnation of liver Qi. It can provide a more accurate, objective and quantitative index for the evaluation of patients with PSD corticospinal tract injury degree and prognosis of PSD, to investigate the correlation between TSTtest test results, the degree of depression, nerve function recovery.Methods①2013.1-2014.1in the stroke patients hospitalized in the Department of internal medicine and nerve.49cases of patients with PSD were diagnosed through criteria for depression in the CCMD-3. according to admission time, by SPSS software the selected patients were randomly divided into two groups. the treatment group in26cases, the control group in23cases.②SDS、HAMD were used to assess the symptoms of depression between treatment group and the control group (before treatment,7days after treatment,14days after treatment).③NIHSS、Fugl-Meyer were used to assess the neural function between treatment group and the control group (before treatment,7days after treatment,14days after treatment);④TST were used to assess the corticospinal tract injury degree between treatment group and the control group (before treatment,14days after treatment);⑤before and after treatment, to evaluate the clinical curative effect of depressive symptoms、nerve function recovery between treatment group and control group to investigate the correlation between TSTtest test results, NIHSS scores, Fugl-Meyer scores. ResuIts①Clinical evaluation of depressive symptoms:the treatment group of26cases, cure7cases, effective in9cases, progress in8cases, invalid in2cases, the total effective rate was92.31%; When come to control group of23cases, the dates were4,5,5,9respectively, and the total effective rate was60.87%. There were significant difference between the treatment group and the control group (X2=6.9284, P<0.01)。Clinical evaluation of neural function recovery:the treatment group of26cases, cure4cases, significantly progress in15cases, progress in6cases, the total effective rate was96.15%; When come to control group of23cases, the dates were1,9,5,8respectively, and the total effective rate was65.21%.There were significant difference between the treatment group and the contro] group (X2=5.8633,P<0.01)。②Before treatment, there were no significant difference between the treatment group and the control group in HAMD scale (t=0.6306, P=0.1242>0.05).Before and after treatment, there were significant diff erence in the same group in HAMD scale (P<0.05)。Seventh days after treatment, HAMD scores of the two groups were lower than those before treatment decreased gradually, and fourteenth days after treatment (P=0.0008<0.01), HAMD scores of the treatment group were significantly lower than that in the control group, there were significant difference (t=4.2658, P=0.0052<0.01).③Before treatment, there were no significant difference between the treatment group and the control group in NIHSS scale (t=0.3968, P=0.1325>0.05).Before and after treatment, there were significant diff erence in the same group in NIHSS scale (P<0.05)。Seventh days after treatment, NIHSS scale of the two groups were lower than those before treatment decreased gradually, and fourteenth days after treatment, NI HSS scale of the treatment group were significantly lower than that in the control group, there were significant difference (t=3.3505, P=0.0047<0.01).④Before treatment, there were no significant difference between the treatment group and the control group in Fugl-meyer scale (t=0.8456, P=0.0978>0.05). Before and after treatment, there were significant difference in the same group in Fugl-meyer scale (P<0.05)。 Seventh days after treatment, Fugl-meyer scale of the two groups were higher than those before treatment decreased gradually, and fourteenth days after treatment, Fugl-meyer scale of the treatment group were significantly lower than that in the control group, there were significant difference (t=3.1747,P=0.0014<0.01)。⑤Before treatment, there were no significant difference between the treatment group and the control group in TSTtest test results (t=0.8456, P=0.0924>0.05).Before and after treatment, there were significant difference in the same group in TSTtest test results (P<0.05)。Fourteenth days after treatment, TSTtest test results of the treatment group were significantly lower than that in the control group, there were significant difference (t=2.7280, P=0.0038<0.01).⑥Before treatment, the treatment group HAMD score and TSTest test results were correlated (r=0.4591, P=0.0022<0.01);the NIHSS score and TSTest test results were correlated (r=0.5173, P=0.0013<0.01);the Fugl-meyer score and TSTest test results were correlated (r=-0.5172, P=0.0004<0.01). the control group HAMD score and TSTest test results were correlated (r=0.4377, P=0.0033<0.01);the NIHSS score and TSTest test results were correlated (r=0.6145, P=0.0076<0.01);the Fugl-meyer score and TSTest test results were correlated (r=-0.5314, P=0.0034<0.05).⑦Fourteenth days after treatment, the treatment group HAMD score and TSTest test results were correlated (r=0.4871, P=0.0057<0.01); the NIHSS score and TSTest test results were correlated (r=0.5564P=0.0049<0.01); the Fugl-meyer score and TSTest test results of Jun Youxiang correlation (r=-0.6424, P=0.0091<0.01). the control group HAMD score and TSTest test results were correlated (r=0.5176, P=0.0024<0.01); the NIHSS score and TSTest test results were correlated (r=0.5564, P=0.0051<0.01); the Fugl-meyer score and TSTest test results of Jun Youxiang correlation (r=-0.4411, P=0.0048<0.01).Conclusions①TST can quantitatively reflect the degree of neural function defect in patients with PSD, and assess the recovery of neurological function in patients with PSD Objectively, accurately。TST is a practical and reliable technology that reflects effectively lesions, and guide the clinical therapy. ②Electroacupuncture could promote the repair of the corticospinal tracts of PSD patients, improve motor function of the limbs, significantly promote the recovery of neural function.③Electroacupuncture can effectively reduce the post stroke depression degree.④Before and after treatment, HAMD score and TSTtest test results, the NIHSS scores were positively correlated. |
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