摘要
目的对比观察不同针刺方法治疗心脾两虚型抑郁症睡眠障碍的临床疗效。方法将177例患者随机分为毫针+耳穴压豆组32例、电针+耳穴压豆组28例、温针+耳穴压豆组30例、毫针组27例、电针组29例、温针组31例,各组均每日治疗1次,治疗3周。观察各组患者临床疗效及治疗前后汉密尔顿抑郁量表(HAMD)、抑郁自评量表(SDS)和匹兹堡睡眠质量指数量表(PSQI)评分。结果毫针+耳穴压豆组总有效率为87.50%,电针+耳穴压豆组为92.86%,温针+耳穴压豆组为86.67%,毫针组为77.78%,电针组为82.76%,温针组为80.65%,各组总有效率比较差异无统计学意义(P>0.05)。SDS评分各组治疗前后差值比较差异无统计学意义(P>0.05),HAMD、PSQI评分治疗前后差值比较差异有统计学意义(P<0.01),电针+耳穴压豆组HAMD和PSQI评分的改善程度较其余各组明显(P<0.05)。结论电针、毫针、温针、耳穴压豆均可改善心脾两虚型抑郁症睡眠障碍患者的睡眠质量,其中电针+耳穴压豆较其他方法在改善HAMD和PSQI评分方面更为理想。
Objective To observe and compare the therapeutic effect of different acupuncture methods for sleep disorder in depression with heart-spleen deficiency pattern.Methods Totally 177patients were randomized into the filiform needle＋auricular pressure group（32cases）,electro-acupuncture（EA）＋auricular pressure group（28cases）,warm needling＋auricular pressure group（30cases）,filiform needle group（27cases）,EA group（29cases）and warm needling group（31cases）.Each group was treated once daily for 3weeks.The therapeutic effect and scores of Hamilton Depression Scale（HAMD）,SelfRating Depression Scale（SDS）and Pittsburgh Sleep Quality Index（PSQI）were observed.Results The total effective rate of the filiform needle＋auricular pressure group,EA ＋auricular pressure group,warm needling＋auricular pressure group,filiform needle group,EA group and warm needling group was 87.50%,92.86%,86.67%,77.78%,82.76%and 80.65% respectively,with no significant difference among groups（P〈0.05）.There was no significant changes after treatment in the SDS score in all groups（P〈0.05）.The scores of HAMD and PSQI were significantly decreased after treatment in all groups（P〈0.01）,especially in the EA＋auricular pressure group（P〈0.05）.Conclusion EA,filiform needle,warm needling and auricular pressure can improve the sleep quality of sleep disorder patients in depression with heart-spleen deficiency pattern,especially EA combined with auricular pressure.
出处
《中医杂志》
CSCD
北大核心
2013年第11期942-945,共4页
Journal of Traditional Chinese Medicine
关键词
针刺
电针
温针
耳穴
睡眠障碍
抑郁症
acupuncture
electro-acupuncture
warm needling
auricular point
sleep disorder
depression
