针药结合治疗德国抑郁症住院患者120例临床观察  

Treatment of acupuncture & decoctions for 120 German patients with depression

作　　者：熊航 马淑惠[2,3] 李媛媛[2,4] 戴京璋 Xiong Hang;Ma Shuhui;Li Yuanyuan;Dai Jingzhang(Deparment of Medical Neurology,Dongzhimen Hospital at Tongzhou District,Beijing University of Chinese Medicine,Beijing 101100;Badl Koeting Klinik of Beijing University of TCM Cermany;Donghimen Hospital,Beijing University of Chinese Medicine;Dongfang Hospital,Beijing University of Chinese Medicine)

机构地区：[1]北京中医药大学东直门医院通州院区脑病科,北京101100 [2]北京中医药大学德国魁茨汀医院 [3]北京中医药大学东直门医院 [4]北京中医药大学东方医院

出　　处：《现代中医临床》2020年第6期21-26,共6页Modern Chinese Clinical Medicine

摘　　要：目的观察针药结合治疗德国抑郁症住院患者的临床疗效。方法 120例德国抑郁症住院患者,针对不同证候予相应中药汤药治疗,同时以督脉、足厥阴肝经、手少阴心经穴位为主,予辨证取穴治疗。观察治疗前、后的抑郁自评量表(self-rating depression scale,SDS)、焦虑自评量表(self-rating anxiety scale,SAS)评分,抗抑郁药物用量及临床症状变化。结果 120例经中药及针刺治疗后,显效19例,有效66例,无效32例,加重3例,总有效85例,总有效率为70.8%。出院6个月后随访及复诊者共48例,占病例数的40.0%,其中持续有效者36例,占75.0%。120例治疗后与治疗前比较,SDS评分明显下降(P<0.05)。伴有焦虑状态的90例治疗后与治疗前比较,SAS评分明显下降(P<0.05)。120例中抗抑郁药物减量者70例,占58.3%,其中20例(16.7%)停用抗抑郁药物。疲乏有所改善者86例,占71.7%;焦虑情绪好转者78例,占65.0%;睡眠障碍改善者75例,占62.5%。结论针药结合治疗德国抑郁症住院患者具有较好的临床疗效。Objective To explore the clinical efficacy of the treatment of acupuncture & decoctions for depression in German patients. Methods 120 hospitalized patients with depression in Germany received individulized TCM decoctions plus acupuncture treatment based on syndrome differentiation with acupoints selected mainly from the Governor Vessel, the Liver Meridian of Foot-Jueyin, and the Heart Meridianof Hand-Shaoyin. The scores of self-rating depression scale(SDS) and self-rating anxiety scale(SAS), dosage of antidepressants and changes of clinical symptoms were observed before and after treatment. Results Among the 120 cases treated with traditional Chinese medicine and acupuncture, 19 cases were markedly effective, 66 cases were effective, 32 cases were ineffective and3 cases were aggravated, with a total effective rate of 70.8%.At 6 months after discharge, 48 cases were followed up, accounting for 40.0% of the cases. Among them, 36 cases(75.0%) were continuously effective. After treatment, SDS scores of 120 cases decreased significantly, as compared with those before treatment(P<0.05).The SAS score of 90 patients with anxiety was significantly lower after treatment than before treatment(P<0.05).Among the 120 cases, 70 cases(58.3%) reduced the amount of antidepressants, and 20 cases(16.7%) stopped using antidepressants. Fatigue improved in 86 cases, accounting for 71.7%;anxiety symptoms improved in 78 cases, accounting for 65.0%;sleep disorders improved in 75 cases, accounting for 62.5%.Conclusions The combination of acupuncture and decoctions is effective for depression among German patients, which is worth further study and promotion.

关 键 词：针刺疗法 中医药 德国 抑郁症 抑郁自评量表 焦虑自评量表 

分 类 号：R246.6[医药卫生—针灸推拿学]