电针抗抑郁临床疗效与中医症状改善的相关性研究  

Correlation between Electro- acupuncture for Depression and Improvement of Chinese Medicine Symptoms

作　　者：吴迁 王思涵[2] 马学红[2] 杨昕婧[3] 张春涛[2] 赵冰骢 图娅[2] 

机构地区：[1]北京市朝阳区黑庄户社区卫生服务中心,北京100121 [2]北京中医药大学,北京100029 [3]首都医科大学附属北京康复医院,北京100144

出　　处：《针灸临床杂志》2015年第9期4-7,共4页Journal of Clinical Acupuncture and Moxibustion

摘　　要：目的:观察电针抗抑郁的临床疗效与中医症状改善的相关性。方法:本研究在一项基于真实世界研究法的临床疗效观察研究基础上,将55例患者按意愿分为治疗组32例和对照组23例,治疗组选取百会、印堂为主穴的电针治疗;对照组采用选择性5-羟色胺再摄取抑制剂类药物,选用汉密尔顿抑郁量表和中医辨证简表进行结局评价。结果:8周后,两组总有效率差异无统计学意义(P>0.05),治疗组临床痊愈率为62.5%,对照组13.04%。治疗组疗后部分中医症状的改善程度明显优于对照组,差异有统计学意义(P<0.0001)。HAMD总分改善程度与部分中医症状改善程度存在相关性。结论:针刺治疗抑郁症临床痊愈率和对一些中医症状的改善程度优于5-羟色胺再摄取抑制剂类药物。Objective： To observe the clinical effectiveness of electro- acupuncture（ EA） on depression and the correlation between Hamilton Depression Scale（ HAMD） and Traditional Chinese Medicine Dialectical Scales（ TCMDS）. Methods： 55 depressive patients were divided into two groups according to patients＇ wishes,32 cases in the treatment group and 23 cases in the control group. HAMD and TCMDS were used to evaluate the results. Results： After 8 weeks＇ treatment,chi- square test showed no significant difference in the total efficiency（ P〉0. 05）. The curative rate of the treatment group was higher than that of the control group. There was a significant difference between treatment group and control group in TCMDS scores（ P 〈0. 0001）. HAMD total score had correlation with TCMDS score. Conclusion： EA treatment is effective for depression and can improve some clinical symptoms of TCM.

关 键 词：抑郁症 电针 中医症状 

分 类 号：R245.97[医药卫生—针灸推拿学]