电针百会印堂对肝郁型抑郁性神经症的影响

Influence of electroacupuncture at Baihui and Yintang on liver stagnation type depressive neurosis

目的观察电针治理肝郁型抑郁性神经症患者的疗效。方法选取符合标准的肝郁型抑郁性神经症患者45例,随机分为2组,电针组23例,电针百会、印堂,配以合谷、太冲,隔日治疗1次;药物组22例,每天口服百忧解20 mg。2组共治疗3个月。观察2组HAMD评分减分率及中医证候积分的变化。结果2组对肝郁型抑郁性神经症的临床疗效没有明显差异。电针组治疗后中医证候均有明显改善(P均<0.05),在改善急躁易怒、嗳气频作、口苦、头痛方面较药物组有明显差异(P均<0.05)。结论电针百会、印堂为主治疗肝郁型抑郁性神经症具有显著的临床疗效,避免了药物的毒副作用。

Objective It is to observe the clinical effect of electroacupuncture in treatment of liver stagnation type depressive neurosis.Methods 45 patients with liver stagnation type depressive neurosis were randomly divided into 2 groups.The medical group with 22 cases was treated by fluoxetine 20mg every day.The electroacupuncture group with 23 cases was treated by electroacupuncture at Baihui（GV20） and Yintang（EX-HN3）,Hegu（LI4） and Taichong（LR3） was matched,alternate day treatment.The period of treatment was three months.The rate of subtracting score about HAMD and score of TCM symptom were observed.Results There was no significant difference between two groups in the whole therapeutic effect.The symptoms of TCM in electroacupuncture were improved after therapy（P0.05）.Compared with control group,there are significant advantage in improving frequent belching,bitter taste of mouth and headache（P 0.05）.Conclusion The electroacupuncture has significant therapeutic effect in liver stagnation type depressive neurosis.It is an ideal method without side effect.