针灸对急性冠状动脉综合征经皮冠状动脉介入后抑郁症患者的影响

Anti-depression effects of acupuncture in patients with acute coronary syndrome after percutaneous coronary intervention

背景：抑郁症属中医“郁证”范畴，而针灸对其有良好的治疗效果。目的：观察针灸对急性冠脉综合征经皮冠状动脉介入后抑郁患者的抗抑郁疗效。方法：从确诊为急性冠状动脉综合征行经皮冠状动脉介入治疗的患者中筛选抑郁患者，将这些患者随机治疗组（n=23）和对照组（n=22），分别给予心理疗法和中医针灸治疗。结果与结论：治疗2个月后，与对照组相比，治疗组患者低密度脂蛋白和超敏C反应蛋白水平下降，且患者抑郁相关评分降低。说明中医针灸治疗急性冠脉综合征经皮冠状动脉介入后抑郁症效果优于心理治疗。

BACKGROUND： Depression is a traditional Chinese medicine ＂melancholia＂ category, and the acupuncture treatment has a good effect on the disease. OBJECTIVE： To observe the anti-depression curative effect of acupuncture treatment in acute coronary syndrome patients suffering from depression after percutaneous coronary intervention. METHODS： 150 patients undergoing percutaneous coronary intervention who had been diagnosed with acute coronary syndrome were randomized into treatment group （n=23） and control group （n=22）, and respectively received psychotherapy and Chinese medicine acupuncture treatment. RESULTS AND CONCLUSION： Two months later, the levels of low-density lipoprotein cholesterol and high-sensitivity C-reactive protein were lower in the treatment group, and scores on Hamilton depression rating scale were also lower in the treatment group. These findings indicate that acupuncture treatment has a better effect than psychotherapy in the treatment of depression in acute coronary syndrome patients after percutaneous coronary intervention.