摘要
目的 探讨按揉内关穴对不同脉息比值的抑郁症患者的临床疗效。方法 选取2024年4月-2025年3月在中山市第三人民医院中医科住院的60例中重度抑郁症患者作为此次研究对象。根据不同脉息比值将入选患者分为三组:脉息比值<4组、脉息比值4-5组、脉息比值>5组,每组20例。所有患者均接受常规的抗抑郁药物治疗和心理护理,同时在此基础上增加按揉内关穴的治疗。比较三组治疗前后抑郁症状、睡眠质量、中医证候积分,分析三组治疗前后脉息比值变化,统计三组抑郁症状及睡眠质量改善情况。结果 治疗后,脉息比值<4组的脉息比值低于脉息比值4-5组和脉息比值>5组(P<0.05),治疗后三组脉息比值均较治疗前降低(P<0.05),脉息比值<4组抑郁症状显著改善率高于脉息比值4-5组和脉息比值>5组(P<0.05),睡眠质量显著改善率高于脉息比值4-5组和脉息比值>5组(P<0.05)。结论 按揉内关穴对不同脉息比值的抑郁症患者具有显著的疗效,其中脉息比值较低者在接受按揉内关穴治疗后,抑郁症状、睡眠质量和中医证候改善程度优于脉息比值较高者。
Objective To explore the clinical effect of pressing Neiguan point on depression patients with different pulse rate.Methods 60 patients with moderate and severe depression from April 2024 to March 2025 were selected as the research object.Patients were divided into three groups according to different pulse-rate ratios:pulse-rate ratio<4,pulse-rate ratio 4-5 and pulse-rate ratio>5,with 20 cases in each group.All patients received routine antidepressant treatment and psychological care,and on this basis,the treatment of rubbing Neiguan point was added.The depressive symptoms,sleep quality and TCM syndrome scores of the three groups before and after treatment were compared,and the changes of pulse-rate ratio of the three groups before and after treatment were analyzed,and the improvement of depressive symptoms and sleep quality of the three groups was counted.Results After treatment,the pulse-rate ratio of the pulse-rate ratio<4 group was lower than that pulse-rate ratio 4-5 group and pulse-rate ratio>5 group(P<0.05).After treatment,the pulse-rate radio of all three groups was lower than that before treatment(P<0.05).The improvement rate of depressive symptoms in pulse-rate ratio<4 group was significantly higher than that in pulse-rate ratio 4-5 group and pulse-rate ratio>5 group(P<0.05),and the sleep quality was significant higher than that in pulse-rate ratio 4-5 group and pulse-rate ratio>5 group(P<0.05).Conclusion Kneading Neiguan point has obvious curative effect on depression patients with different pulse-to-pulse ratio,and the improvement of depression symptoms,sleep quality and TCM syndromes of patients with lower pulse-to-pulse ratio is better than those with higher pulse-to-pulse ratio after receiving the treatment of Kneading Neiguan point.
作者
黄仲彩
乐俊
张欣
黄偶
Huang Zhongcai;Le Jun;Zhang Xin;Huang Ou(The Third People’s Hospital of Zhongshan City,Zhongshan,Guangdong 528451,China)
出处
《首都食品与医药》
2025年第20期154-156,共3页
Capital Food Medicine
基金
中医药传承创新发展专项2024年度院级科研项目(编号:2024Y005)。
关键词
按揉
内关穴
脉息比值
抑郁症
Press and knead
Neiguan point
Pulse-rate ratio
depression
