头穴透刺治疗多汗症及其抑郁焦虑状态的临床观察  

Clinical Observation on Treatment of Hyperhidrosis and Depression andAnxiety State by Penetrating Head Acupoints

作　　者：程笑菡 梅成[2] CHENG Xiaohan;MEI Cheng(Heilongjiang Academy of Chinese Medicine Sciences,Harbin 150000,Heilongjiang,China;Heilongjiang Provincial Hospital of Traditional Chinese Medicine,Harbin 150000,Heilongjiang,China)

机构地区：[1]黑龙江省中医药科学院,黑龙江哈尔滨150000 [2]黑龙江省中医医院,黑龙江哈尔滨150000

出　　处：《辽宁中医杂志》2025年第2期145-148,共4页Liaoning Journal of Traditional Chinese Medicine

基　　金：黑龙江省中医药科研项目(ZHY2020-036)。

摘　　要：目的对头穴透刺治疗多汗症及其焦虑抑郁状态的临床疗效进行观察。方法将60例多汗症及其伴有抑郁焦虑状态的患者采取随机数字表法分为试验组和对照组。试验组采用头穴透刺联合复溜合谷;对照组选用复溜合谷组穴。以7 d作为1个疗程,观察两个疗程,比较治疗前后的多汗症的疾病严重度评分(hyperhidrosis disease severity scale,HDSS)、生活质量评分(quality of life score,QOL)、汉密尔顿抑郁量表(hamilton depression scale,HAMD)、汉密尔顿焦虑量表(hamilton anxiety scale,HAMA),并比较其总有效率。结果治疗后两组患者的HDSS与治疗前相比显著降低(P<0.05),治疗后试验组总有效率为80.0%(24/30);对照组总有效率为43.3%(13/30)。HAMA及HAMD评分也显著下降(P<0.05),QOL评分前后相比明显上升(P<0.05)。试验组临床疗效明显优于对照组(P<0.05)。结论头穴透刺在治疗多汗症、缓解其抑郁焦虑情绪及提高生活质量上有明确疗效,宜在临床大范围推广使用,为针灸解决多汗情况提供一种有效的方法。Objective To observe the clinical efficacy of penetrating head acupoints in the treatment of hyperhidrosis and its anxiety and depression state.Methods Sixty patients with hyperhidrosis and its associated depression and anxiety states were divided into experimental and control groups by the random number table method.The experimental group used penetrating head acupoints combined with Fuliu(KI7)-Hegu(LI4).The control group used the Fuliu(KI7)-Hegu(LI4).With 7 d as a course of treatment,two courses were observed to compare the sweat level score(HDSS),quality of life score(QOL),Hamilton depression scale(HAMD),Hamilton anxiety scale(HAMA)before and after the treatment,and to compare the total effective rate.Results After treatment,the sweating degree scores of patients in both groups were significantly lower compared to those before treatment(P<0.05).The total effective rate after treatment was 80.0%(24/30)for the experimental group and 43.3%(13/30)for the control group.HAMA and HAMD scores also decreased significantly(P<0.05)and QOL scores increased significantly(P<0.05)before and after comparison.The clinical efficacy of the experimental group was significantly better than that of the control group(P<0.05).Conclusion Penetrating head acupoints has clear efficacy in treating hyperhidrosis,relieving its depression and anxiety and improving quality of life,and is suitable for widespread clinical use to provide an effective method for acupuncture to address the condition of hyperhidrosis.

关 键 词：头穴透刺 多汗症 焦虑抑郁状态 临床观察 

分 类 号：R245.321[医药卫生—针灸推拿学]