Objective To observe therapeutic effect of acupuncture on post-stroke anxiety disorders (PSAD). Methods According to the diagnosis criteria ICD.10F0.64 organic anxiety disorders and 60 cases of post-stroke anxiety disorder patient selection and divided for 2 groups, an acupuncture plus medication group and a medication group, 30 cases in each group. The acupuncture plus medication group were treated with acupuncture, and oral administration of paroxetine, and the medication group only with paroxetine. The anxiety level and quality of life before and after treatment in two groups were evaluated by the internationally recognized Hamilton Anxiety Scale (HAMA), the Zung's self rating Anxiety Scale (SAS) and the life self-care ability assessment Barthel index (BI). Results In the acupuncture plus medication group, 6 cases were clinically controlled, 14 cases were markedly effective, 7 cases were effective, 3 cases were ineffective, the total improvement rate of 90% in the acupuncture plus medication group was significantly higher than 70% in the medication group (P<0.05), the score of HAMA,SAS, BI in acupuncture plus medication group improved significantly better than that in the medication group. Conclusion Acupuncture has a certain therapeutic effect on PSAD.%目的：观察使用电针治疗卒中后焦虑症的临床疗效。方法按现行 ICD.10F0.64器质性焦虑障碍的诊断标准，选择临床上60例卒中后焦虑症患者随机分成两组，针药组30例，针刺电针治疗并配合口服帕罗西汀；药物组30例，仅单纯口服帕罗西汀。应用 Zung 氏焦虑自评量表（SAS）、汉密尔顿焦虑量表（HAMA）及生活自理能力评定Barthel 指数（BI）评价上述两组患者治疗前后的焦虑程度及生活质量的改善状况。结果针药组临床控制6例，显效14例，有效7例，无效3例，总有效率为90%，明显高于药物组的70%（P ＜0.05）。针药组 HAMA、SAS、BI 评分改善程度均显著优于药物组。结论针药结合治疗卒中后焦虑症具有较好的疗效。
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