五行针灸重用原穴法对脑卒中后抑郁患者情绪及睡眠的影响

目的 观察五行针灸重用原穴对脑卒中后抑郁患者情绪及睡眠的影响。方法 将最终纳入的59例脑卒中后抑郁/焦虑患者，采用随机数字表法分为对照组(30例)和观察组(29例)。对照组采用常规针刺方法治疗，每周治疗6次；观察组在常规针刺基础上加用五行针灸重用原穴治疗，每周2次；两组均治疗4周。观察两组患者治疗前后汉密尔顿抑郁量表(Hamilton depression scale, HAMD)评分、汉密尔顿焦虑量表(Hamilton anxiety scale, HAMA)评分、阿森斯失眠量表(Athens insomnia scale, AIS)评分、HAMD失眠子部分评分、美国国立卫生研究院卒中量表(National Institute of Health stroke scale, NIHSS)评分变化并比较两组临床疗效。结果 两组患者治疗后HAMD评分、HAMA评分、NIHSS评分、AIS评分、HAMD失眠子部分评分均较治疗前显著减少(P<0.05),且观察组上述各评分减少程度大于对照组(P<0.05)。基于HAMD评分、AIS评分的临床疗效比较，观察组疗效均优于对照组(P&l...

Clinical Effect of Five-element Acupuncture at Source Points on Emotion and Sleep in Patients with Post-stroke Depression

Objective To investigate the effect of five-element acupuncture at source points on bad mood and sleep in patients with post-stroke depression. Methods A total of 59 patients with post-stroke depression/anxiety were enrolled and divided into control group with 30 patients and observation group with 29 patients using a random number table. The patients in the control group were given routine acupuncture 6 times a week, while those in the observation group were given five-element acupuncture combined with routine acupuncture twice a week; the course of treatment was 4 weeks for both groups. The two groups were observed in terms of the changes in the scores of Hamilton depression scale (HAMD), Hamilton anxiety scale (HAMA), Athens insomnia scale (AIS), the insomnia dimension of HAMD, and National Institutes of Health Stroke Scale (NIHSS) after treatment, and clinical outcome was compared between the two groups. Results After treatment, both groups had significant reductions in the scores of HAMD, HAMA, NIHSS, AIS, and the insomnia dimension of HAMD (P<0.05), and the observation group had significantly greater reductions than the control group (P<0.05). Comparison of clinical outcome based on HAMD and AIS scores showed that the observation group had a significantly better clinical outcome than the control group (P<0.05). Conclusion In patients with post-stroke depression, five-element acupuncture at source points can effectively improve bad emotion, sleep quality, and neurological function, with a better clinical effect than routine acupuncture.