电针联合小剂量药物治疗抑郁焦虑障碍共病

Research of Treatment to CDA by Ways of Electroacupuncture Combined with Small Dosage Medicine of Comorbid Depression Disorder and Anxiety Disorder

目的评价电针联合小剂量抗抑郁剂和抗焦虑剂对抑郁焦虑障碍共病(CDA)的疗效。方法将62例CDA患者随机分为治疗组(针+药组)和对照组(药物组),在治疗第2、4、6周分别采用汉密尔顿抑郁量表(HAMD)和汉密尔顿焦虑量表(HAMA)进行疗效评价;并且在首次治疗中对比电针和口服劳拉西泮0.5mg30min后HAMA减分率。结果治疗后两组HAMD、HAMA评分明显低于治疗前(P<0.01),组间比较差异无显著性意义(P>0.05);电针对焦虑症状的缓解早于且优于劳拉西泮。结论电针联合小剂量抗抑郁剂和抗焦虑剂对CDA的疗效显著,不良反应轻微,电针对缓解焦虑症状有明显的即刻效应。

Objective To evaluate the therapeutic effect to CDA by ways of electroacupuncture combining with small dosage medicine of comorbid depression disorder and anxiety disorder. Methods 62 patients of CDA were randomly divided into 2 groups, treatment group (electroacupuncture + medicine) and control group (medicine). Evaluation of therapeutic effect was conducted during the 2nd, 4th and 6th week of treatment in the ways of HAMD and HAMA. Comparision of HAMA score decrease rate between electroacupuncture and 30 minutes after eating 0.5 mg cloraxzepam also recorded during the first stage of treatment. Result Scores of HAMD and HAMA of 2 groups after treatment is obviously lower than that before treatment (P <0.01), no significent difference between two groups (P <0.05). Electroacupuncture can be earlier and superior to cloraxzepam in relief of anxiety disorder. Conclusion Therapeutic effect of electroacupuncture combined with small dosage medicine of comorbid depression disorder and anxiety disorder to CDA is obvious and few side effects. Therapeutic effect of electroacupuncture to the relief of anxiety disorder is also obvious.