耳穴贴压治疗乳腺癌术后抑郁临床观察  

Clinical observation of depression after breast cancer operation treated with auricular point sticking therapy

作　　者：吕晓皑[1] 王蓓[1] 陈建彬[2] 叶荆[2] 

机构地区：[1]浙江中医药大学附属第一医院乳腺病中心,杭州310006 [2]浙江中医药大学第一临床医学院

出　　处：《中国针灸》2015年第5期447-450,共4页Chinese Acupuncture & Moxibustion

基　　金：浙江省中医药管理局科研资助项目:2009YB005;浙江中医药大学附属第一医院院级科研资助项目

摘　　要：目的:比较耳穴贴压、耳穴贴压联合情志疗法与黛力新治疗乳腺癌术后抑郁的疗效差异。方法:将90例患者随机分为3组,每组30例。西药组单纯口服黛力新,每日1片;耳穴组取穴心、肾、肝、神门、皮质下、内分泌,两耳交替贴压,每周更换1次;联合组在耳穴贴压组治疗方案的基础上,配合中医情志疗法,均4周为一疗程,治疗1个疗程,并随访4周。比较各组患者治疗前后抑郁自评量表(SDS)评分,并评定疗效。结果:1与治疗前比较,3组患者在治疗4周、随访4周时SDS评分均明显降低(均P<0.001);耳穴组在随访4周时,联合组在治疗2周、治疗4周、随访4周时SDS评分均比西药组低(均P<0.05)。2治疗4周,联合组痊愈率高于耳穴组及西药组[60.0%(18/30)vs 40.0%(12/30),36.7%(11/30),均P<0.05)],随访4周,联合组、耳穴组痊愈率高于西药组[60.0%(18/30),30.0%(19/30)vs 23.3%(7/30),均P<0.05]。结论:耳穴贴压、耳穴贴压联合情志疗法及黛力新均能改善乳腺癌术后抑郁,耳穴贴压联合情志疗法疗效最优,耳穴贴压疗效优于口服黛力新。Objective To compare the differences in the efficacy on depression after breast cancer operation treated with auricular point sticking therapy,the combined program of auricular point sticking therapy and TCM psychotherapy and medication with deanxit.Methods Ninety patients were randomized into 3groups,30 cases in each one.In the western medication group,the simple oral administration of deanxit was applied,one tablet a day.In the auricular point group,Xin（CO15）、Shen（CO10）、Gan（CO12）、Shenmen（TF4）、Pizhixia（AT4）、Neifenmi（CO18）were selected and stimulated with auricular point sticking on either side in each treatment,once a week.In the combined program group,on the basis of the treatment as the auricular point group,TCM psychotherapy was combined with.The treatment of 4weeks made one session.One session and 4weeks follow-up were required.The self-rating depression scale（SDS）was used to compare the score before and after treatment in the patients of each group and the efficacy was assessed.Results ①Compared with those before treatment,in 4weeks of treatment and 4weeks of follow-up,SDS scores were all reduced apparently in the 3groups（all P〈0.001）.After4 weeks of follow-up in the auricular point group,after 2and 4weeks of treatment and 4weeks of follow-up in the combined program group,SDS scores were all lower than those in the western medication group（all P〈0.05）.②After 4weeks of treatment,the curative rate in the combined program group was higher than that in the auricular point group and the western medication group [60.0%（18/30）vs 40.0%（12/30）,36.7%（11/30）,both P〈0.05）].After 4weeks of follow-up,the curative rate in either the combined program group or the auricular point group was higher than that in the western medication group [60.0%（18/30）,30.0%（19/30）vs 23.3%（7/30）,both P〈0.05].Conclusion The auricular point sticking therapy,the combined program of auricular point sticking therapy and TCM psychotherapy,and medication with deanxi

关 键 词：乳腺癌 抑郁症 耳穴贴压 中医情志疗法 随机对照试验 

分 类 号：R246.2[医药卫生—针灸推拿学]