腹针配合体针对轻中度抑郁症HAMD各因子评分的影响

Influence of Abdominal Acupuncture Combined with Body Acupuncture on HAMD-17 Factors in Mild and Midrange Depression

目的:观察并比较腹针配合体针和单用体针治疗轻中度抑郁症的疗效和对患者HAMD量表因子的影响。方法:将62例轻中度抑郁症患者随机分为治疗组和对照组,治疗组予腹针配合体针治疗,对照组单纯予体针治疗,评定并比较两种治疗方法的疗效和治疗前、后两组患者的HAMD-17项各因子分值。结果:治疗过程中,对照组脱落2例。治疗结束后,治疗组总有效率96.77%,对照组总有效率82.76%;两组患者治疗后的HAMD-17项各因子分值,与治疗前比较均明显减低(P<0.01);治疗后,治疗组的焦虑/躯体化、迟滞、睡眠障碍三项分值明显低于对照组,具有显著性差异(P<0.05),两组的体重项分值比较,无显著性差异(P>0.05)。结论:腹针配合体针和体针疗法均能有效治疗抑郁症,且腹针配合体针治疗能明显减低抑郁患者焦虑/躯体化、迟滞、睡眠障碍三项因子分值,能够更显著改善抑郁症状。

Objective：To observe and compare the influence of abdominal acupuncture combined with body acupuncture in treating mild and midrange depression on clinical therapeutic effect and HAMD factor score. Methods：62 patients with mild and midrange depression were randomly divided into treatment group （abdominal acupuncture combined with body acupuncture group）and control group （body acupuncture group）, evaluated and comapred two group＇s clinical therapeutic effect and HAMD factor score of each group before and after treatment. Results： Two eases in the control group lost during the teatment. After the treatment, the total effective rate of the traetment group was 96. 77%, the control group was 82. 76%. After the treatment, the four factor scores of the HAM D - 17 of each group were obviously lower than those before treatment （ P 〈 0. 01 ）, the anxiety/somatization ,hysteresis and dyssomna scores of the treatment group were significant lower than the control group＇s, there were significant difference（ P〈0.05 ） ,the body weight score of two group was not significant difference （P 〉 0. 05 ）. Conclusion： Both abdominal acupuncture combined with body acupuncture and body acupuncture could effectively treat depression, the former could significantly decrease the anxiety/somatization, hysteresis and dyssomna scores, and could significantly improve the depressive symptoms.