摘要
目的:观察针刺调肝法对于抑郁性神经症的临床疗效。方法:采用随机分组的方法,将201例患者分为针刺调肝法组、百优解组、假针刺组,针刺调肝组采用四关穴为主的穴位,百优解组服用药物20 mg/d,假针刺组患者接受非穴位的针刺治疗。针刺每周进行2次,药物每天服用1次,各治疗12周。在治疗前、治疗后进行Hamilton抑郁量表(HAMD)和患者抑郁自评量表(SDS)评分,按HAMD减分率进行疗效评价。结果:针刺调肝组的有效率优于假针刺组及百优解组,治疗后针刺调肝组的HAMD、SDS计分亦优于另外两组。结论:针刺调肝法对于抑郁性神经症是一种有效的疗法,穴位的准确与否对于针刺治疗抑郁性神经症的疗效具有重要作用。
Objective： To observe the therapeutic effects of acupuncture for depressive neurosis by using liver-functionregulating method. Methods： A total of 201 patients were randomized into acupuncture group （n = 78）, medication （Prozac） group （ n = 82） and sham-acupuncture group （ n = 41 ）. Acupoints used were Taichong （LR 3）, Hegu （LI 4）, Baihui （GV 20）, Yintang （EX-HN 3）, otopoint Liver and Heart. For sham-acupuncture group, the punctured spots were those 0.5 cm to LR 3 and LI 4 on the radial side, 0.5 cm to GV 20 on the left side, 0.5 cm to EX-HN 3 on the left side. Acupuncture treatment was given twice every week, 12 weeks altogether. Patients of medication group were ordered to take Prozac 20 mg/d, continuously for 12 weeks. Hamilton Rating Scale for Depression （HAMD） and Self-rating Depression Scale （SDS） were used to evaluate the therapeutic effect. Results： After the treatment, of the 78, 82 and 41 cases in acupuncture, medication and sham-acupuncture groups, 7 （9.0%）, 10 （12.2 % ） and 1 （2.4 % ） were cured, 55 （70.5%）, 33 （40.2 % ） and 13 （31.7 % ） experienced marked improvement in their symptoms, 14 （18.0%）, 25 （30.5%） and 12 （29.3%） had improvement, 2 （2.5%）, 14 （17. 1% ） and 15 （36.6%） failed, with the effective rates being 97.5%, 82.9% and 63.4% respectively. The effective rate of acupuncture group was significantly higher than those of medication group and sham-acupuncture group （ P〈0.01 ）, and that of medication group was markedly higher than that of sham-acupuncture group （P〈0.05）. Scores of HAMD and SDS of the 3 groups all decreased apparently after the treatment, and those of acupuncture group were significantly lower than those of sham-acupuncture and medication groups （P〈0.05）, showing that the effect of acupuncture was significantly superior to that of Prozac in improving depression patients＇ clinical symptoms. HAMD and SDS scores of medication group were significantly lower than those of sham-acupuncture group （P〈0.05）. Conclusion ： Acupuncture therapy is effective in improving symptoms of depression patients and lowering both HAMD and SDS scores.
出处
《针刺研究》
CAS
CSCD
2006年第6期355-358,共4页
Acupuncture Research
基金
国家中医药管理局资助课题(No.国中医药2003ZL148)
关键词
抑郁性神经症
针刺
药物
假针刺
Depressive neurosis Acupuncture Medication Sham-acupuncture
