针刺五脏俞治疗抑郁症的临床疗效视察.pdfVIP

提 要 目的：观察针刺五脏俞治疗抑郁症的临床疗效，并探讨五脏俞治疗本病的机理， 为临床针刺治疗抑郁症提供一种新思路。 方法：选择符合《中国精神障碍分类与诊断标准第三版》（CCMD-III ）中抑郁症 发作诊断标准和中医郁证诊断标准的 60 例病人（脱落 4 例），随机分为两组，治疗组 28 例，对照组 28 例。治疗组采用五脏俞针刺治疗，对照组进行常规针刺，疗程均为 6 周。观察治疗前后两组患者汉密尔顿抑郁量表（HAMD ，17 项版本）总分及各因子 分、中医症状总评分及各项症候评分的变化。 结果：经统计学分析，治疗组的总显效率为82.14%，对照组的总显效率为53.57%。 两组总疗效经秩和检验有显著差异（P ＜0.05），并且在改善HAMD 量表各因子，尤 其是对焦虑/躯体化因子、体重因子、认知障碍因子、阻滞因子等治疗组疗效明显优 于对照组；在改善中医症状方面，治疗组总显效率为 71.43%，对照组为 25.00%，两 组中医总疗效经秩和检验有非常显著性差异（P ＜0.01），治疗组疗效明显优于对照组， 并且对忧郁不畅、精神不振、不思饮食、胸闷胁胀、善太息、易怒善哭等症状改善明 显。 结论：针刺五脏俞治疗抑郁症从整体调节脏腑功能，疗效显著，可明显改善患者 的中医症状。 关键词 抑郁症；针刺；五脏俞；背俞穴；临床研究 To Observe the clinical curative effect of needling Five zang-organs shu in treating depression Speciality: Acupuncture and moxibustion of TCM Author:Li cui Tutor: Hou shuwei Abstract Objective: To observe the therapeutic efficacy of needling Five zang-organs shu in treating depression and to explore the mechanism of applying Five zang-organs shu to treat this disease , and to provide a new way for treating depression with acupuncture. Methods: 60 patients who meet the Chinese Classification and Diagnostic Criteria of Mental Disorders Third Edition (CCMD-III) in the diagnostic criteria for depressive episode and standards of traditional Chinese medicine differentiation of depression (off 4), were randomly divided into two groups, treatment group 28 patients, 28 patients in control group. The treatment group using acupuncture for Five zang-organs shu and the control group using routine acupuncture treatment ,both treatment courses are six weeks. The two groups were observed before and after treatment with Hamilton Depression Rating Scale (HAMD, 17 version) and the factor scores and the various symptoms of clinical symptoms score changes. Results: By statistical analy