切脉针灸法治疗不孕症轻、中度抑郁临床研究  

Clinical Study on Pulse-Taking Acupuncture Method for female infertility with Mild to Moderate Depression

作　　者：黄健[1] 王聪[1] 陈颐[1] HUANG Jian;WANG Cong;CHEN Yi

机构地区：[1]广东省中医院妇科,广东广州510120

出　　处：《新中医》2021年第14期134-138,共5页New Chinese Medicine

基　　金：2016年度广东省中医药局科研项目(20162065);2019年度广东省中医药局科研项目(20193006)。

摘　　要：目的:观察切脉针灸法治疗不孕症轻、中度抑郁患者的临床疗效。方法:将62例患者按随机数字表法分为治疗组和对照组各31例,治疗组采用切脉针灸法治疗,对照组采用普通针刺法治疗。2组均治疗8周。分别在治疗前、治疗8周末,应用汉密尔顿抑郁量表(HAMD-24)及世界卫生组织生存质量测定简表(WHOQOL-BREF)对2组患者进行评分。比较2组的疗效。结果:治疗8周后,治疗组临床疗效总有效率为100%,高于对照组的90.3%,但2组比较,差异无统计学意义(P>0.05)。2组HAMD-24评分均较治疗前下降,差异均有统计学意义(P<0.05)。治疗组HAMD-24评分低于对照组,差异有统计学意义(P<0.05)。2组WHOQOL-BREF生理领域、心理领域、社会关系领域、环境领域评分均较治疗前增加,差异均有统计学意义(P<0.05);治疗组以上4个领域的评分均高于对照组,差异均有统计学意义(P<0.05)。结论:切脉针灸法与普通针刺法比较,能更有效地改善不孕症患者的抑郁程度和提高其生活质量。Objective:To observe the clinical effect of pulse-taking acupuncture method for patients with mild to moderate depression due to infertility.Methods:A total of 62 cases of patients were divided into the treatment group and the control group according to the random number table method,31 cases in each group.The treatment group was treated with pulse-taking acupuncture method,and the control group was given routine acupuncture method.Both groups were treated for eight weeks.Before and after eight-week treatment respectively,Hamilton Rating Scale for Depression-24 items(HAMD-24)and World Health Organization Quality of Life(WHOQOL-BREF)were applied to score in the two groups.The curative effect in the two groups was compared.Results:After eight-week treatment,the total effective rate was 100%in the treatment group,higher than that of 90.3%in the control group,but there was no significant difference being found in the comparison between the two groups(P>0.05).The HAMD-24 scores in the two groups were decreased when compared with those before treatment,differences being significant(P<0.05).The HAMD-24 score in the treatment group was lower than that in the control group,the difference being significant(P<0.05).The scores of physical domain,psychological domain,social relation domain and environmental domain in WHOQOL-BREF in the two groups were increased when compared with those before treatment,differences being significant(P<0.05).The scores of the above four domains in the treatment group were higher than those in the control group,the difference being significant(P<0.05).Conclusion:Compared with routine acupuncture method,pulse-taking acupuncture method for patients with infertility can more effectively improve the depression and quality of life.

关 键 词：切脉针灸法 不孕症 抑郁 汉密尔顿抑郁量表 生活质量 世界卫生组织生存质量测定简表 

分 类 号：R246[医药卫生—针灸推拿学] R271.14[医药卫生—中医临床基础]