Objective] To estimate the clinical efficacy of acupuncture for poststroke depression(PSD). [Methods] The single-center randomized control ed trial was adopted, 150 cases of PSD were randomized into the acupuncture group(AG) and routine group(RG), al of the patients received western medicine treatment and rehabilitation training, AG was treated with acupuncture, RG was without acupuncture treatment. The trial required 2-month treatment cycle and 3-month fol ow-up visit. The HAMD, NIHSS, Barthel index and Fugl-Meyer were assessed before and after treatment, and during 3 months fol owing up.[Results] The scores of HAMD, Barthel index and Fugl-Meyer Assessment of AG were much better than that of RG after 2 months treatment(P<0.05), al of the four of AG were much better than that of RG after 3 months fol owing up(P<0.05).[Conclusion] Acupuncture is effective for PSD, it can also improve motor function,ADL and neurologic impairment.%[目的]评价针刺治疗卒中后抑郁(Poststroke depression，PSD)的临床疗效。[方法]将150例卒中后抑郁的患者随机分成两组，针刺组接受针灸治疗和常规治疗，常规治疗组仅予常规治疗，治疗周期2个月，随访期3个月。主要疗效指标为汉密尔顿抑郁量表（HAMD），次要指标为美国国立卫生研究院卒中量表(NIHSS)、Barthel量表以及Fugl-Meyer量表。[结果]两组受试者的各项观察指标在治疗前无明显差异（P﹥0.05），满足均衡性。治疗2个月后，针刺组的HAMD量表、Barthel量表以及Fugl-Meyer量表较常规治疗组明显改善（P<0.05）；随访3个月时，各项指标与常规治疗组相比均有明显改善（P<0.05）。[结论]在常规治疗的基础上加用针刺治疗，可以改善PSD患者的抑郁状态，并对PSD患者的运动功能、日常生活能力以及神经功能缺损程度均有不同程度的提高。
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