针药结合治疗恶劣心境的临床探究.pdfVIP

中文摘要 目的：研究“针药结合”治疗恶劣心境的临床疗效；探索针刺治疗与现代药物 相结合在恶劣心境的治疗中的协同作用，为临床上治疗恶劣心境提供一种安全 有效、简便易行的规范化治疗方案。 方法：将72 例恶劣心境患者，符合 《中国精神障碍分类与诊断标准第 3 版》 （CCMD-3 ）中关于恶劣心境的诊断标准，其症状表现根据汉密尔顿抑郁量表 17 项版（HAMD-17）评分在7-24 分之间者纳入病例。随机分为三组，其中电 针+西药组（甲组）24 例，电针组（乙组）24 例，西药组（丙组）24 例，连续 治疗4-8 周后，比较三组在治疗前后的HAMD-17 评分、CGI 评分、SERS 评分 的改善情况。 结果：经过8 周的临床研究，电针+西药组在治疗恶劣心境方面，与单纯使用电 针或西药组相比具有显著差异（P 0.05 ）。 结论：“针药结合”治疗恶劣心境，能够通调气机、疏肝解郁、调理神志，同时 降低单纯使用西药带来的毒副作用；针刺与西药治疗相结合的综合治疗方案， 在治疗恶劣心境方面，较单纯针刺或是单纯西药治疗技术更有优势，值得临床 上进一步深入研究和推广。 关键词：针刺；文拉法辛；针药结合；恶劣心境；临床研究 Abstract Objective：To study the clinical effect of curing dysthymia by acupuncture and medicine. To explore the coordinate effect of using acupuncture and medicine in the curation of dysthymia. To create a standard curing scheme which is simple and safe and easy to carry out. Method:Choose 72 patients with dysthymia,which are conform to the standard of The 3rd edition of classification and diagnosis of mental disability （CCMD-3 ）.According to the （HAMD-17）,the score of patient whose symptom is between 7-24 can be included in.Put them randomly into 3 groups,1st group:electrical needle with medicine,2nd: electrical needle,3rd: medicine.After 4-8weeks,compare the scores by HAMD-17、CGI、SERS and improve it. Result: After 8 weeks of clinical studies, there is a significant difference between using both the electro-acupuncture and western medicine and the simple use of acupuncture or western medicine in improving the degree of emotional depression. Conclusion: Acupuncture combined with medicine shall regulate the function of Qi together with unblock the liver Qi stagnation and regulate the spirits while treating the Dysthymia, meanwhile it can reduce the side effects by using western medicine alone. the treatment by using both the acupuncture