针刺十三鬼穴治疗抑郁症认知功能障碍的临床观察  

Clinical research of needling Thirteen Ghost points on depression patients with cognitive dysfunction

作　　者：胡静[1] 卿鹏[1] 黄涛[2] 徐伊[2] 赵仓焕[1] 赵国平[3] 

机构地区：[1]暨南大学附属第一医院针灸科,广东广州510630 [2]暨南大学附属第一医院精神心理科,广东广州510630 [3]暨南大学医学院中医系,广东广州510632

出　　处：《暨南大学学报（自然科学与医学版）》2014年第4期401-404,共4页Journal of Jinan University(Natural Science & Medicine Edition)

基　　金：广东省中医药管理局2011年建设中医药强省科研课题(20112102)

摘　　要：目的:通过临床随机对照实验,评价十三鬼穴(人中、少商、隐白、大陵、申脉、风府、颊车、承浆、劳宫、上星、曲池)治疗抑郁症患者认知功能障碍的临床疗效.方法:共收集病例80例抑郁症认知功能障碍患者,依数字随机法分入常规药物组和常规药物辅助针刺十三鬼穴组,疗程4周.治疗前后分别进行蒙特利尔认知功能评估量表(MoCA,中文版)、简易精神状态检查量表(MMSE)和日常生活能力量表(ADL)评分.全部数据采用SPSS 19.0软件处理,组内前后对照运用成对样本t检验,组间比较采用卡方检验,P<0.05为有统计学差异.结果:两组患者治疗前后的认知功能均有显著性差异(P<0.05);其中在MoCA和ADL评分中,十三鬼穴治疗组比较药物治疗组有显著性差异(P<0.05),显示针刺十三鬼穴治疗抑郁症患者的认知功能障碍具有较好的临床疗效.结论:针刺十三鬼穴治疗抑郁症患者的认知功能障碍,临床疗效肯定,副作用小.Aim：To reveal the effect of the Thirteen Ghost Points （Renzhong,Shaoshang,Yingbai, Daling,Shenmai,Fengfu,Jiache,Chengjiang,Laogong,Shangxing,Quchi）treating the cognitive dys-function of patients with depression.Methods：Eighty patients are divided as figure randomly into routine treatment group and acupuncture Thirteen Ghost Points group.4 weeks as a course.Given marks to each patient before and after treatment using Montreal cognitive assessment scale （MoCA,Chinese version）, the mini mental state examination （MMSE）and activity of daily living scale （ADL）score.SPSS 19.0 was used on all data.Paired samples t test was used within groups,chi square test was used between groups.P〈0.05 was statistically significant.Results：All patients were gotten significant difference be-tween before and after treat（P〈0.05 ）.On the MoCA and ADL scores,Thirteen Ghost points group got a better achievement than routine drug group.Conclusion：Acupuncture Thirteen Ghost points is effective＆amp;nbsp;on cognitive dysfunction patients with depression.This treatment has seldom side effect.

关 键 词：十三鬼穴 针刺 认知功能 抑郁症 

分 类 号：R245[医药卫生—针灸推拿学]