穴位埋线联合子午流注针法对抑郁症患者抑郁状态及睡眠质量的影响

Effect of acupoint catgut embedding therapy combined with Ziwu-Liuzhu acupuncture on the sleep quality of the patients with depression

目的探讨穴位埋线联合子午流注针法对抑郁症患者的临床疗效及睡眠质量的影响。方法将符合入选标准的64例患者采用随机数字表法分为2组,每组32例。对照组行常规电针治疗,观察组采用穴位埋线联合子午流注针法治疗。2组均治疗8周。采用匹兹堡睡眠质量指数(Pittsburgh Sleep Quality Index,PSQI)评估睡眠质量,采用汉密顿抑郁量表(Hamilton Depression Scale,HAMD)评估抑郁程度,采用WHO生存质量量表(World Health Organization Quality of Life,WHOQOL-BREF)评估生活质量,评价临床疗效。结果治疗后,观察组HAMD评分[(11.3±2.4)分比(14.5±2.6)分,t=4.986]及PSQI指数[(9.6±2.3)分比(11.8±2.5)分,t=3.707]均低于对照组(P<0.01);WHOQOL-BREF量表中生存质量[(12.9±2.3)分比(11.3±2.5)分,t=2.598]、心理健康[(13.5±2.4)分比(11.3±2.6)分,t=3.413]评分均高于对照组(P<0.01)。观察组总有效率为93.8%(30/32)、对照组为75.0%(24/32),2组比较差异有统计学意义(χ^2=4.246,P=0.038)。结论穴位埋线联合子午流注针法可有效改善抑郁症患者的抑郁状态,提高睡眠质量与生存质量,疗效优于常规电针治疗。

Objective To investigate the effect of acupoint catgut embedding combined with Ziwu-Liuzhu theory based acupuncture on the clinical efficacy and sleep quality of depressive patients. Methods A total of 64 patients who met the inclusion criteria were randomly divided into two groups, 32 in each group. The control group was treated with routine electro-acupuncture, while the observation group was treated with acupoint catgut embedding combined with Ziwu-Liuzhu theory based acupuncture. Both groups were treated for 8 weeks. Sleep quality was assessed by Pittsburgh Sleep Quality Index (PSQI), and depression was assessed by Hamilton Depression Scale (HAMD) to evaluate the clinical efficacy. Results After treatment, the HAMD score (11.3 ± 2.4 vs. 14.5 ± 2.6, t=4.986) and PSQI index (9.6 ± 2.3 vs. 11.8 ± 2.5, t=3.307) in the observation group were significantly lower than those in the control group (P<0.01). The quality of life (12.9 ± 2.3 vs. 11.3 ± 2.5, t=2.598) and mental health score (13.5 ± 2.4 vs. 11.3 ± 2.6, t=3.413) of WHOQOL-BREF scale in the observation group were significantly higher than those in the control group (P<0.01). The total effective rate was 93.8% (30/32) in the observation group and 75.0% (24/32) in the control group. There were significant differences between the two groups (χ2=4.246, P=0.038). Conclusions Acupoint catgut embedding combined with Ziwu-Liuzhu theory based acupuncture can effectively improve depressive state, sleep quality and quality of life in patients with depression, and the curative effect is better than conventional electro- acupuncture treatment.