五脏俞加膈俞针刺治疗抑郁症的临床疗效观察

Clinical Observation on the Treatment of Depression by Acupuncture of Five Zang-Shu and Diaphragm Shu

目的探讨五脏俞加膈俞针刺治疗抑郁症的临床疗效。方法选取本院(2016年1月—2018年1月)收治的120例抑郁症患者,根据不同治疗方法分为两组,对照组(n=60)接受西药治疗,观察组(n=60)接受五脏俞加膈俞针刺治疗,对比两组患者治疗前后抑郁程度和临床疗效以及不良反应(恶心、头痛、口干、皮下出血等)发生率。结果治疗后1、2、4、8周以及随访时观察组HAMD评分明显低于对照组,差异具有统计学意义(P<0.05)。观察组临床疗效明显高于对照组,差异具有统计学意义(P<0.05)。对照组出现2例恶心、3例头痛、2例口干,观察组出现1例皮下出血,观察组不良反应发生率1.67%明显低于对照组11.67%,差异具有统计学意义(χ^2=8.0320,P<0.05)。结论五脏俞加膈俞针刺能有效改善抑郁症患者抑郁状态,且针刺疗法还具有操作简便、经济方便、安全无毒等优势。

Objective To explore the clinical effect of Five Zang-Shu combined with diaphragm acupuncture in the treatment of depression.Methods 120 patients with depression admitted to our hospital from January 2016 to January 2018 were divided into two groups according to different treatment methods.The control group(n=60)received western medicine treatment,and the observation group(n=60)received Five Zang-Shu combined with diaphragm acupuncture treatment.The degree of depression,clinical efficacy and adverse reactions(nausea,headache,xerostomia,subcutaneous hemorrhage,etc.)were compared between the two groups before and after treatment.Incidence rate.Results The HAMD score of the observation group was significantly lower than that of the control group at 1,2,4,8 weeks after treatment and at the time of follow-up(P<0.05).The clinical efficacy of the observation group was significantly higher than that of the control group(P<0.05).There were 2 cases of nausea,3 cases of headache and 2 cases of dry mouth in the control group and 1 case of subcutaneous hemorrhage in the observation group.The incidence of adverse reactions in the observation group was 1.67%lower than that in the control group(11.67%).The difference was statistically significant(χ^2=8.032 0,P<0.05).Conclusion Acupuncture of Five Zang-Shu combined with diaphragm can effectively improve depression in patients with depression,and acupuncture therapy also has the advantages of simple operation,economic convenience,safety and non-toxicity.