探讨中医三联法调理心理亚健康的临床效果及对抑郁、焦虑的影响

Clinical application of TCM triple-method in regulating mental sub-health and its influence on depression and anxiety

目的:对于临床收诊的心理亚健康患者,研究实施中医三联法(中医五音、针刺以及拔罐)调理前后患者汉密尔顿抑郁量表17项(Hamilton Depression Scale 17-item,HAMD-17)和汉密尔顿焦虑量表(Hamilton Anxiety Scale,HAMA)评分变化情况,同时分析治疗后对整体临床效果造成的影响。方法:本次研究随机挑选2019年7月-2020年6月时间段内到我院治疗的心理亚健康患者共60例进行研究,根据实施不同治疗方式将其分为参照组与研究组。其中30例参照组患者实施单一的路优泰进行调理,而30例研究组则实施中医五音、针刺以及拔罐进行治疗,分别比对两组患者治疗前后HAMD-17和HAMA评分变化情况、治疗后临床效果以及两组体质评分进行比对。结果:治疗前两组患者的心理变化、生活质量情况差异无统计学意义(P>0.05);治疗后,研究组患者的HAMD-17、HAMA、生活质量评分均优于参照组评分,组间差异具有统计学意义(P<0.05);与研究组相对比,参照组总有效率显著偏低,组间差异具有统计学意义(P<0.05);治疗后,研究组体质评分更低,两组数据的差异有统计学意义(P<0.05)。结论:临床针对收治的心理亚健康患者,通过实施中医三联法(中医五音、针刺以及拔罐)进行治疗,不仅能提升整体临床疗效,还能调理患者的偏颇体质,让患者达到体质平和状态,同时也改善了患者的心理状态,消除患者内心的负面情绪。

Objective:To study TCM triple-method on HAMD-17 scores and HAMA scores of mental sub-health patients,and analyze the impact of this therapy on the overall clinical effects.Methods:According to different treatment methods,60 cases were divided into the reference group and the study group,30 patients in each.The reference group was treated with neurostan,while the study group was treated by TCM Wuyin(五音),acupuncture and cupping.Results:After treatment,the HAMD-17,HAMA and life quality scores in the study group were better than the reference group,with statistically significant differences(P<0.05).Compared with the study group,the total efficiency in the reference group was significantly lower(P<0.05).After treatment,physical score in the study group was lower than the reference group,with statistically significant difference(P<0.05).Conclusion:TCM triple-method on mental sub-health can not only improve the overall clinical efficacy,but also regulate biased constitution types of the patients,improve the patient’s mental state,and eliminate the negative emotions of the patients.