电针治疗围绝经期轻中度抑郁障碍患者的疗效分析  

Clinical observation on electroacupuncture treatment for mild to moderate depression in peri-menopausal period

作　　者：史佳[1] 黄东勉[2] 冯琦钒 唐南淋[2] Jia Shi;Dong-mian Huang;Qi-fan Feng;Nan-lin Tang(Hainan General Hospital,Haikou,Hainan 570311,China;Chinese Medicine Hospital of Hainan Province,Haikou,Hainan 570203,China)

机构地区：[1]海南省人民医院,海南海口570311 [2]海南省中医院,海南海口570203

出　　处：《中国现代医学杂志》2018年第20期52-56,共5页China Journal of Modern Medicine

基　　金："十二五"国家科技支撑计划(No:2012BA124B01)

摘　　要：目的观察电针治疗围绝经期轻中度抑郁障碍患者的临床疗效。方法将60例符合纳入标准的围绝经期轻中度抑郁障碍患者随机分为药物对照组(口服草酸艾司西酞普兰)和电针组,各30例,采用汉密尔顿抑郁量表(HAMD-17)进行疗效评估。结果经过12周的治疗,2种治疗方法对围绝经期轻中度抑郁障碍患者均有显著疗效,电针组总有效率高于药物对照组(P<0.05);电针组HAMD-17总分低于药物对照组(P<0.05);电针组抑郁症状、入睡困难症状评分较药物对照组低(P<0.05)。结论电针可有效干预围绝经期轻中度抑郁障碍,改善患者临床症状,提高生活质量。Objective To observe the clinical effect of electroacupuncture(EA)treatment for mild to moderate depression in peri-menopausal period.Methods Sixty patients diagnosed with mild to moderate depression in perimenopausal period were randomized into EA group(n=30)and control group(n=30,with oral administration of Escitalopram Oxalate Tablets).The curative effect was evaluated by Hamilton Depression Scale(HAMD-17).Results After 12-week treatment,the two treatment methods had significant effect on the patients.In the drug control group,6 cases were markedly effective,12 cases were effective,12 cases were ineffective,the total effective rate was 60%.In the EA group,25 cases were markedly effective,2 cases were effective,3 cases were ineffective,the total effective rate was 90%,the EA group was significantly superior to the control group(P<0.05).After treatment,the total scores of HAMD-17 in the two groups were significantly lower than those before treatment,and the total score of HAMD-17 in the EA group was lower than that in the control group(P<0.05).The improvement degree of the scores of depression symptom and difficulty in falling asleep in the EA group was significantly different from that in the control group(P<0.05).Conclusions EA treatment can effectively interfere with mild to moderate depression in peri-menopausal period,improve the clinical symptoms and the quality of life.

关 键 词：电针 围绝经期 抑郁障碍 草酸艾司西酞普兰 汉密尔顿抑郁量表 

分 类 号：R246[医药卫生—针灸推拿学]