Impacts of acupuncture and moxibustion on outcome indices of depression patients' subjective reports  

针灸对抑郁症患者主观报告结局指标的影响(英文)

作　　者：樊凌[1,2] 符文彬[1] 许能贵[3] 刘健华[1] 李滋平[1] 欧爱华 WANG You-jing 

机构地区：[1]广东省中医院大针灸科 [2]广州中医药大学博士后科研流动站 [3]广州中医药大学 [4]广东省中医药科学院

出　　处：《World Journal of Acupuncture-Moxibustion》2013年第2期22-28,共7页世界针灸杂志（英文版）

基　　金：Supported by National natural science fund (No: 81173348);Class general financial grant of the China postdoctoral science foundation (No: 2012M511784);Science foundation of the outstanding young innova ve personnel of department of education Guangdong Province (No.2012LYM_0043);Special research foundation of the new teacher category for the doctoral program of higher school by National ministry of education (No.20124425120005);Science founda on of the postdoctoral researchers in Guangzhou University of Chinese Medicine from Guangdong Provincial Department of human resources and social security fund(No.BBK429122K19)

摘　　要：Objective To assess the clinical efficacy of acupuncture and moxibustion on depression based on the outcome indexes of the patient subjective reports. Methods One hundred and sixty-three cases of depression conformed to the inclusive standards were randomized into a soothing liver and regulating mind group （group A）, an acupoint shallow puncturing group （group B） and a non- acupoint shallow puncturing group （group C）. In group A, the conventional acupuncture was applied to the four gate points [Hegu （合谷 LI 4） and Taichong （太冲 LR 3）], Baihui （百会 GV 20） and Yintang （印堂 GV 29）, direct moxibustion with moxa cone was applied to the four flower points [Geshu （膈俞 BL 17）, Danshu （胆俞 BL 19）]. Finally, intradermal needling was used at Xinshu （心俞 BL 15） and Ganshu （肝俞 BL 18）. In group 13, the acupoints selected were same as those in the soothing liver and regulating mind group, with a shallower needling depth and a shorter duration of moxibustion. In group C, the spots selected were located at 10 mm lateral to the acupoints selected in group A, with same manipulation method as that in group 13. In all the three groups, the treatment was given twice a week, for 12 weeks. Before treatment, 1 month and 3 months after treatment, the scores of symptoms were respectively assessed with the symptom checklist 90 （SCL 90）, and the corresponding short- term, mid-term and long-term efficacies of the acupuncture and moxibustion program for soothing the liver and regulating mind were investigated. Results At each time point after treatment, the scores of somatization, compulsion, depression, anxiety, hostility, extremeness, psychotic behavior and other 8 dimensionalit-ies were significantly different between group A and group C （all P〈0.05）. In the scores of depression, anxiety and hostility there were significant differences between the group A and the group C （all P〈0.05）. Conclusion Acupuncture and moxibustion can improve the scores of SCL 90 f目的:基于患者主观报告结局指标评价临床上针灸治疗抑郁症的疗效。方法:将符合纳入标准的163例抑郁症患者随机分为疏肝调神组、穴位浅刺组和非穴位浅刺组。疏肝调神组取四关穴(合谷、太冲)、百会、印堂进行常规针刺,在四花穴(膈俞、胆俞)艾炷直接灸,最后埋皮内针于心俞、肝俞;穴位浅刺组取穴同疏肝调神组,只是针刺深度较疏肝调神组浅,艾灸时间短于疏肝调神组;非穴位浅刺组取穴为疏肝调神组所取穴位旁开10 mm处,操作方法同穴位浅刺组。3组患者每周治疗2次,共治疗12周。观察治疗后及治疗后1个月、3个月症状自评量表(SCL 90)评分,以评价疏肝调神针灸方案对治疗抑郁症的近期效应及中、远期疗效。结果:治疗后各时点,对于躯体化、强迫、抑郁、焦虑、敌对、偏执、精神病性及其他8个维度的评分,疏肝调神组与非穴位浅刺组比较,差异均有统计学意义(均P<0.05);对于抑郁、焦虑、敌对3个维度的评分,疏肝调神组与穴位浅刺组比较,差异均有统计学意义(均P<0.05)。结论:针灸可改善抑郁症患者SCL 90量表评分,运用患者主观报告结局指标可准确地评价临床疗效。

关 键 词：acupuncture moxibustion DEPRESSION patient report outcome SCL 90 scale clinical trial 

分 类 号：R246.6[医药卫生—针灸推拿学]