穴位埋线治疗抑郁性神经症的疗效评价研究

Clinical Study on Catgut Embedding Treatment of Depressive Neurosis

目的:穴位埋线治疗抑郁性神经症,与百忧解进行疗效对比观察,探讨穴位埋线治疗该病的优势。方法:抑郁性神经症患者47例随机分为两组。对照组每天口服百忧解20mg,观察组10天埋线1次,两组共治疗3个月。将HAMD的减分率作为疗效评定标准,分别于治疗前和治疗结束观察HAMD的总分及7类因子分的变化情况、SDS抑郁自评量表,中医证候量表等。结果:两组对抑郁性神经症的总的临床疗效没有明显差异。各组HAMD总分和7类因子分数均较治疗前有明显降低(P<0.01,P<0.05),在总分和焦虑/躯体化和睡眠改善方面,观察组较对照组具有明显差异(P<0.01,P<0.05);SDS量表评定结果为治疗后两组均较治疗前分值明显下降,而治疗后治疗组较对照组有显著差异(P<0.01);两组在治疗后较治疗前各中医症状有不同程度改善,而观察组在改善嗳气频作、口苦和妇女月经不调方面较对照组有显著差异(P<0.01,P<0.05)。结论:埋线治疗抑郁性神经症具有显著的临床疗效,避免了药物的副作用,能够对机体整体调节,不失是理想的治疗方法。

Objective：To research the clinical effect of catgut embedding on depressive neurosis. Methods：Depressive neurosis eases were randomly divided into a control group and an observation group according to diagnosis standard. Control group was treated by fluoxetine 20mg every day. Manipulation of catgut embedding was performed once every ten days in oberservation group. Every group was treated three months. Therapeutic effect was observed though the rate of subtracting score about HAMD and the con -score of HAMD, seven factors score of HAMI）, the score of SDS and symptom of TCM were compared. Every index was evaluated in pretherapy, and the third month in post - treatment. Results ： There was no significant difference between two groups in the whole therapeutic effect. The HAMD con - score and seven factor score of three groups decreased after treatment than pretherapy （P 〈 0.01, P 〈 0. 05 ）. Compared with control group, oberservation group had more significant effect in improving anxiety/somati- zation, sleep and con - score （P 〈 0. 01,P 〈 0. 05）. The results of SDS showed that the scores of two group decreased post - treatmeut than pretherapy. Compared with control group,the score of oberservation group had significant difference （P 〈 0. 01 ,P〈0.05）. The results of symptom of TCM showed that oberservation group improved varied symptoms of TCM in post - treatment than pretherapy. Compared with control group, there are significant advantage in improving frequent belching, bitter tast of month and menoxenia（ P 〈 0. 01, P 〈0. 05 ）. Conclusion ： Catgut embedding had significant therapeutic effect on depressive neurosis. It was ideal method without side effect.