经颅直流电刺激联合针刺治疗脑卒中后焦虑临床观察

Transcranial Direct Current Stimulation Combined with Acupuncture in the Treatment of Anxiety after Stroke

目的探讨经颅直流电刺激联合针刺干预脑卒中后焦虑的临床疗效。方法选取南昌市洪都中医院康复科2020年10月—2021年10月收治的符合要求的脑卒中后焦虑障碍患者60例,采用随机分配方法将脑卒中后焦虑患者分为对照组和观察组。其中,30例患者采取常规康复治疗及心理干预,纳入对照组;30例患者在对照组干预基础上增加经颅直流电刺激和针刺治疗,纳入观察组。比较2组患者的治疗效果。结果治疗前,2组患者汉密尔顿焦虑量表(HAMA)、焦虑自评量表(SAS)评分比较,差异无统计学意义(P>0.05);治疗后,观察组HAMA、SAS评分均低于对照组(P<0.05)。结论经颅直流电刺激联合针刺干预对脑卒中后患者的焦虑情绪能起到很好的减轻作用,整体疗效显著,值得推广。

Objective To investigate the clinical effect of transcranial direct current stimulation combined with acupuncture on anxiety after stroke.Methods A total of 60 patients with post-stroke anxiety disorder who met the requirements from October 2020 to October 2021 in Nanchang Hongdu Hospital of Traditional Chinese Medicine were selected.The patients with post-stroke anxiety disorder were divided into control group and observation group by random allocation method.Among them,30 patients who received conventional rehabilitation treatment and psychological intervention were included in the control group.30 patients were given cranial direct current stimulation and acupuncture on the basis of intervention in the control group were included in the observation group.The therapeutic effects of the two groups were compared.Results Before treatment,there was no significant difference in Hamilton Anxiety Scale(HAMA)and self-rating Anxiety Scale(SAS)scores between the two groups(P>0.05).After treatment,HAMA and SAS scores in the observation group were lower than those in the control group(P<0.05).Conclusion Transcranial direct current stimulation combined with acupuncture can effectively reduce the anxiety of patients after stroke,and the overall effect is significant,which is worth promoting.