针刺中脘、四关穴为主配合呼吸补泻手法治疗抑郁症疗效观察  

Observation on therapeutic effect of acupuncture at Zhongwan(CV 12) and Si-guan points combined with reinforcing-reducing manipulation of respiration for treatment of depression

作　　者：谢肄聪[1] 李育红[2] 

机构地区：[1]天津医科大学总医院中医科,天津300052 [2]天津安定医院

出　　处：《中国针灸》2009年第7期521-524,共4页Chinese Acupuncture & Moxibustion

摘　　要：目的:探寻治疗抑郁症的较佳疗法。方法:将120例抑郁症患者随机分为两组。针刺组(60例)采用以中脘、四关穴(太冲、合谷)为主穴,百会、四神聪等为配穴,同时配以呼吸补泻手法的治疗方法。西药组(60例)口服盐酸氟西汀,每天20mg。两组均治疗8周,分别对两组治疗前及治疗第8周末进行汉密尔顿抑郁量表(HAMD)评分,采用副反应量表(TESS)评定不良反应。结果:针刺组总有效率为95.0%,西药组总有效率为91.7%,两组比较差异无统计学意义(P>0.05)。HAMD评分两组治疗8周后与治疗前比较差异均有统计学意义(均P<0.01);两组间治疗后比较差异无统计学意义(P>0.05)。治疗结束后两组间TESS评分比较差异有统计学意义(P<0.01),针刺组基本无不良反应,西药组表现为恶心、厌食、腹泻等。结论:针刺中脘、四关穴为主配合呼吸补泻手法治疗抑郁症与服用盐酸氟西汀疗效相当,且安全、无不良反应。Objective To search for an effective therapy for depression. Methods One hundred and twenty cases were randomly divided into two groups. The acupuncture group （60 cases） was treated with acupuncture at Zhongwan （CV 12） and Si-guan points [Taichong （LR 3） and Hegu （LI 4）] selected as main aeupoints, combined with Baihui （GV 20）, Sishencong （EX-HN 1）, etc., meanwhile, the reinforcing-reducing manipulation of respiration was adopted. The western medicine group （60 cases） was treated with oral administration of Fluoxetine Hydrochloride at the dosage of 20 mg every day. These treatments lasted for 8 weeks in both groups. The depression severities were assessed with Hamilton Depression Scale （HAMD） before treatment and at the 8th week of the treatment and adverse reactions were appraised respectively with Treatment Emergent Symptom Scale （TESS）. Results The total effective rate was 95.0% in the acupuncture group and 91. 7% in the western medicine group with no significant difference between the two groups （P〉0.05）. After treatment, the HAMD score had very significant changes in the two groups as compared with those before treatment （both P〈0.01）, but there was no significant difference between the two groups （P〉0.05）. After treatment, there was a significant difference between two groups in TESS score （P〈0.01）. There was almost no adverse reaction in the acupuncture group, while the main clinical manifestations in the western medicine group were nausea, anorexia, diarrhea, etc. Conclusion Acupuncture at Zhongwan （CV 12） and Si-guan points combined with reinforcing-reducing manipulation of respiration can significantly improve symptoms of depression patients with a similar therapeutic effect to oral administration of Fluoxetine Hydrochloride and it is a safe method for depression without adverse reactions.

关 键 词：针刺疗法 穴 中脘 穴 太冲 穴 合谷 呼吸补泻 抑郁症 

分 类 号：R246.6[医药卫生—针灸推拿学]