Objective: To observe the effect of round magnetic needle tapping along meridians on the back plus acupuncture at "Qi Shen Zhen"（including Shenting ［GV24］, Benshen ［GB13］, Sishenchong ［EX-HN1］）, and Baihui （GV20）, Shenmen （HT7） on gastrointestinal function, daily living activities and anxiety status in post-stroke anxiety disorder (PSAD) patients.
Methods: Fifty-seven PSAD patients were randomly divided into acupuncture group (28 cases) and medication group (29 cases). On the basis of routine treatment and physical therapy, patients of the acupuncture group were treated by applying round magnetic needle to mildly tapping the second line→the first line of the Bladder Meridian→Jiaji acupoints→Governor Meridian on the back from outside to the inside in sequence for 20 min, followed by needling GV24, GV20, GB13, EX-HN1 and HT7, respectively, with the needles retained for 30 min after one minute's twisting. The treatment was conducted once daily, 5 times a week, for 6 weeks. Patients of the medication group were asked to take Escitalopram Oxalate tablets (5-20 mg/d) for 6 weeks. The Hamilton Anxiety Rating Scale (HAMA) was used to assess the patient's severity of anxiety, cognition, somatic sensation, symptoms of cardiovascular, respiratory, gastrointestinal, urogenital, automatic and muscular systems, the Barthel Index (BI) used to evaluated the activities of daily living (ADL), and the gastrointestinal function （Spleen-stomach Symptom Score ［SSS］） assessed according to the "Standards for Diagnosis and Curative Effect Evaluation of Syndromes of Traditional Chinese Medicine". The adverse reactions were observed at the end of treatment.
Results: After the treatment, the HAMA scores at the 2nd, 4th and 6th week and the SSS scores at the 4th and 6th week were significantly decreased (P<0.05), and the BI scores at the 2nd， 4th and 6th week were considerably increased in both acupuncture and medication groups compared with their own pre-treatment (P<0.05). The HAMA score at the 2nd week, and the SSS scores at the 2nd, 4th and 6th week were obviously lower(P<0.05), and the BI score at the 6th week was notably higher in the acupuncture group than in the medication group (P<0.05). No significant diffe-rence was found between the two groups in the therapeutic effect of anxiety state (P>0.05). The acupuncture group had fewer adverse reactions than the medication group (P<0.05).
Conclusion: The round magnetic needle tapping plus "Qi Shen Zhen" needling has a significant therapeutic effect in improving PSAD patients' anxiety state, being similar to Escitalopram Oxalate tablets in reducing anxiety state and being superior to Escitalopram in improving gastrointestinal function and daily living activities.
目的：观察采用背部循经叩刺结合“七神针”针刺方法干预卒中后焦虑障碍对患者焦虑情绪、脾胃症候积分和日常生活活动功能(Barthel指数)的影响。方法：将57例卒中后焦虑障碍患者随机分为针刺组28例和西药组29例。在常规康复训练基础上，针刺组患者取磁圆梅针在背部按膀胱经二侧线→膀胱经一侧线→华佗夹脊穴→督脉由外向内循经扣刺20 min，同时给予“七神针”(神庭、本神、四神聪)加百会、神门针刺干预，西药组予以草酸艾司西酞普兰片以起始剂量5 mg口服作为对照，疗程为6周。于第2、4、6周进行汉密尔顿焦虑量表(HAMA)、脾胃症候积分及Barthel指数的评分，并在治疗结束后观察两组的临床疗效和不良反应。结果：与治疗前比较，两组治疗各时点的HAMA评分及治疗第4、6周时的脾胃症候积分均显著降低(P<0.05)，治疗各时点的Barthel指数均显著升高(P<0.05)。与西药组比较,针刺组治疗第2周时的HAMA评分、各时点的脾胃症候积分均降低(P<0.05)，治疗第6周时的Barthel指数升高(P<0.05)。治疗结束后两组临床疗效比较，差异无统计学意义(P>0.05)，针刺组患者出现不良反应的例数较西药组少(P<0.05)。结论：背部循经叩刺结合“七神针”针刺对卒中后焦虑情绪具有明显改善作用，其疗效与艾司西酞普兰片相当，在促进患者脾胃功能恢复和提高Barthel指数上优于艾司西酞普兰片，且安全性好。.
Keywords: Anxietya; Daily living ability; Gastrointestinal functiona; Post-stroke anxiety disordera; Tapping along meridiansa; “Qi Shen Zhen” needlinga.