颈夹脊、腰夹脊加头针为主穴电针治疗抑郁症38例临床观察  

Clinical Observation on Cervical Paravertebral Points, Hua Tuo's Paravertebral Points and Scalp Acupoints with Electro-Acupuncture for 38 Cases of Depression

作　　者：史榕荇[1] 李辉[1] 于战歌[1] 张丹妹[2] 胡晟[2] 唐学章[1] 

机构地区：[1]中日友好医院,北京市朝阳区樱花东路2号100029 [2]北京中医药大学针灸推拿学院

出　　处：《中医杂志》2013年第15期1291-1293,共3页Journal of Traditional Chinese Medicine

基　　金：国家自然科学基金资助项目(81202766)

摘　　要：目的观察以颈夹脊、腰夹脊、顶中线、额中线为主穴电针治疗抑郁症的临床疗效。方法将76例抑郁症患者随机分电针组、西药组各38例。电针组采用电针颈夹脊、腰夹脊、顶中线、额中线,配合双侧风池、安眠治疗,每次30min,隔日1次;西药组口服盐酸氟西汀分散片,每日20mg。两组均连续治疗4周后观察临床疗效,并于治疗前后进行汉密顿抑郁量表(HAMD-17)、匹兹堡睡眠质量指数量表(PSQI)评分。结果电针组临床总有效率为94.74%,西药组为84.21%,两组比较差异无统计学意义(P>0.05)。治疗后两组HAMD-17、PSQI评分均较治疗前下降(P<0.01);治疗后电针组HAMD-17、PSQI评分均低于对照组(P<0.01)。结论颈夹脊、腰夹脊加头针为主穴电针治疗能明显改善抑郁症患者抑郁及失眠症状,疗效肯定。Objective To observe the therapeutic effect of electro-acupuncture cervical paravertebral points, Huatuo＇s paravertebral points, middle line of vertex （MS5） and middle line of forehead （MS1） of scalp acupoints on depression. Methods Totally 76 cases of depression were randomized into electroacupuncture group and western medicine group, with 38 in each. The electroacupuncture group was given electroacupuncture at the cervical paravertebral points, Huatuo＇s paravertebral points, MS5, MS1, bilateral Fengchi （GB20） and Anmian （points for deep sleep） 30 min each time and once every other day. The western medicine group was given Fluoxetine hydrochloride 20 mg daily. Both groups were treated for 4 weeks and the therapeutic effect was observed. The scores of Hamilton Depression Rating Scale （HAMD-17） and Pittsburgh Sleep Quality Index were observed before and after treatment. Results The total effective rate of the electroacupuncture group and western medicine group was 94.74% and 84.21% respectively, with no significant difference between groups （P0.05）. The scores of HAMD-17 and PSQI were significantly decreased in both groups after treatment （P0.01）, especially in the treatment group （P0.01）. Conclusion The electroacupuncture at cervical paravertebral points, Huatuo＇s paravertebral points and scalp points can obviously relieve the depression and insomnia symptoms.

关 键 词：抑郁症 颈夹脊 腰夹脊 头针 电针 

分 类 号：R246[医药卫生—针灸推拿学]