针灸治疗失眠伴抑郁障碍的临床效果分析  

Clinical analysis of treating insomnia with depression by acupuncture and moxibustion

作　　者：梅麟凤[1] 方向东[1] 朱伟芳[1] 唐春林[1] MEI Linfeng;FANG Xiangdong;ZHU Weifang;TANG Chunlin

机构地区：[1]南京中医药大学附属昆山市中医医院,江苏南京215300

出　　处：《中医临床研究》2022年第36期109-111,共3页Clinical Journal Of Chinese Medicine

摘　　要：目的:分析对失眠伴抑郁障碍患者应用针灸治疗的效果。方法:将2019年6月-2020年9月在南京中医药大学附属昆山市中医医院接受治疗的90例失眠伴抑郁障碍患者作为本次观察对象,并将所有患者按照不同的治疗方式分为观察组(45例)和对照组(45例),对照组和观察组分别采用常规药物治疗和针灸治疗,应用匹兹堡睡眠质量指数(Pittsburgh Sleep Quality Index,PSQI)、中华生存质量量表(Chinese Quality of Life Scale,ChQOL)、汉密尔顿抑郁量表(Hamilton Depression Scale,HAMD)评估两组疗效、中医证候(情绪不宁、心情抑郁、失眠)积分。结果:观察组的睡眠质量、生存质量明显比对照组好(P<0.05);治疗前观察组的抑郁评分与对照组的差异无统计学意义(P=0.728);治疗后,观察组的抑郁评分明显比对照组低(P<0.05)。结论:对失眠伴抑郁障碍患者应用针灸治疗效果显著,能够有效改善患者的生存质量和睡眠质量,缓解患者的抑郁情绪,使患者能够积极配合临床治疗,同时能以积极乐观的心态面对治疗,提高治疗依从性,相较于常规干预措施更能减轻患者的中医证候积分,有效提高治疗效果,值得推广应用。Objective:To analyze efficacy of acupuncture and moxibustion on insomnia with depression.Methods:A tatal of 90 patients treated in Kunshan Hospital of Traditional Chinese Medicine Affiliated to Nanjing University of Traditional Chinese Medicine from June 2019 to September 2020 were selected as research subjects and divided into the observation group(45 cases)and the control group(45 cases).The control group and the observation group were treated with conventional drugs and acupuncture and moxibustion,respectively.The efficacy and TCM symptom(mood disturbance,mood depression and insomnia)scores in the two groups were evaluated by Pittsburgh Sleep Quality Index(PSQI),Chinese Quality of Life Scale(Ch QOL)and Hamilton Depression Scale(HAMD)scores.Results:It was found that the sleep quality in the observation group was significantly better than that in the control group(P<0.05),and that the quality of life in the observation group was significantly better than that in the control group,and the differences between the two groups were significant(P<0.05).Before treatment,there was no significant difference in depression score between the two groups(P<0.05).After treatment,the depression score in the observation group was significantly lower than that in the control group(P<0.05).Conclusion:Acupuncture and moxibustion treatment has remarkable effect in treating insomnia with depression,it can effectively improve the quality of life and sleep quality,relieve patients’depression,make patients actively cooperate with clinical treatment.At the same time,it can help patients to face the treatment with a positive and optimistic attitude and improve their treatment compliance.Compared with conventional intervention measures,it can reduce the TCM syndrome score of patients more effectively and improve the therapeutic effect,which is worthy of promotion and application.

关 键 词：针灸 失眠伴抑郁障碍 治疗效果 

分 类 号：R246.6[医药卫生—针灸推拿学]