围产期抑郁症(PND)是女性围产期内经历的精神障碍性疾病,严重威胁孕产妇及子代身心健康。PND的发生与女性生理、心理、经济和社会等多因素综合作用相关,发病机制尚不完全清楚。早期诊断和及早干预、治疗是防止抑郁加重,降低围产期女性...围产期抑郁症(PND)是女性围产期内经历的精神障碍性疾病,严重威胁孕产妇及子代身心健康。PND的发生与女性生理、心理、经济和社会等多因素综合作用相关,发病机制尚不完全清楚。早期诊断和及早干预、治疗是防止抑郁加重,降低围产期女性自杀率,减少不良妊娠结局的关键。中医药治疗PND疗效确切且优势明显,能克服西医治疗的不良反应和毒副作用,具有良好的应用前景。本文通过疏理文献对PND发生的危险因素及中医药治疗进展做一综述,以期为预防PND的发生及临床治疗提供科学依据。Perinatal depression (PND) is a prevalent mental disorder among women during the perinatal period, significantly impacting the physical and mental health of both women and their offspring. The onset of PND is associated with a variety of factors including women’s physiology, psychology, economics, and societal influences, but the pathogenesis remains incompletely understood. Early diagnosis, intervention and treatment are crucial in preventing the worsening of depression, reducing the suicide rate among perinatal women, and mitigating adverse pregnancy outcomes. Traditional Chinese medicine (TCM) has exhibited definitive efficacy and advantages in treating PND, which overcomes the adverse reactions and toxic effects of Western medicine and presents promising application prospects. This article presents a comprehensive review of the risk factors for PND and the advancements in TCM treatment, to provide a scientific basis for the prevention and clinical treatment of PND.展开更多
目的:运用数据挖掘技术分析电针治疗广泛性焦虑障碍(GAD)的参数应用及腧穴规律。方法:检索中国知网、中国生物医学文献数据库、万方、维普、PubMed、Embase、Cochrane library、Web of science中电针治疗GAD的临床研究文献,建立数据库,...目的:运用数据挖掘技术分析电针治疗广泛性焦虑障碍(GAD)的参数应用及腧穴规律。方法:检索中国知网、中国生物医学文献数据库、万方、维普、PubMed、Embase、Cochrane library、Web of science中电针治疗GAD的临床研究文献,建立数据库,进行不同电针参数分析,并对电针连接取穴、组方进行关联规则和聚类分析。结果:电针治疗GAD以低频疏密波、留针20~30min、电流强度以患者耐受为主。常用经脉是督脉,高频腧穴为百会、印堂、三阴交、神门、内关等穴,关联规则分析得出电针治疗GAD的核心穴对为“百会-印堂”,核心腧穴处方为“三阴交-神门-百会”,选穴分布以头面部为主。结论:电针治疗GAD多选择低频疏密波,强度以患者耐受为度,留针时间与一般针灸留针时间无明显区别,使用的腧穴、穴对体现“心脑同治”的治疗原则。展开更多
Objective To discuss the therapeutic effect and mechanism of warming needling technique for the treatment of depression. Methods A total of 60 patients with depression were randomly divided into treatment group and co...Objective To discuss the therapeutic effect and mechanism of warming needling technique for the treatment of depression. Methods A total of 60 patients with depression were randomly divided into treatment group and control group with 30 cases each. The treatment group was treated with warming needle technique on the Jiaji points of the heart, lung, liver, spleen and kidney, control group with Amitriptyline, HAMD scale and the qualitative change of EEG-α wave were observed before and after the treatment. Results The total effective rate of treatment group was 100%, much better than that of the control group with 80% (P<0.05); the HAMD scale of treatment group was better than that of control group (P<0.05); the comparison of the improvement of somatic symptoms between treatment group and control group was significant (P<0.05); the comparison of frequency and amplitude of EEG-α wave was significant (P<0.05), there was no toxic and side effect in the treatment group. Conclusion Warming needling technique for depression has better effect than Amitriptyline, and there was no toxic and side effect in the treatment group. Warming needle technique can effectively regulate the frequency and amplitude EEG-α wave, and acts to improve depressive condition.展开更多
文摘围产期抑郁症(PND)是女性围产期内经历的精神障碍性疾病,严重威胁孕产妇及子代身心健康。PND的发生与女性生理、心理、经济和社会等多因素综合作用相关,发病机制尚不完全清楚。早期诊断和及早干预、治疗是防止抑郁加重,降低围产期女性自杀率,减少不良妊娠结局的关键。中医药治疗PND疗效确切且优势明显,能克服西医治疗的不良反应和毒副作用,具有良好的应用前景。本文通过疏理文献对PND发生的危险因素及中医药治疗进展做一综述,以期为预防PND的发生及临床治疗提供科学依据。Perinatal depression (PND) is a prevalent mental disorder among women during the perinatal period, significantly impacting the physical and mental health of both women and their offspring. The onset of PND is associated with a variety of factors including women’s physiology, psychology, economics, and societal influences, but the pathogenesis remains incompletely understood. Early diagnosis, intervention and treatment are crucial in preventing the worsening of depression, reducing the suicide rate among perinatal women, and mitigating adverse pregnancy outcomes. Traditional Chinese medicine (TCM) has exhibited definitive efficacy and advantages in treating PND, which overcomes the adverse reactions and toxic effects of Western medicine and presents promising application prospects. This article presents a comprehensive review of the risk factors for PND and the advancements in TCM treatment, to provide a scientific basis for the prevention and clinical treatment of PND.
文摘目的:运用数据挖掘技术分析电针治疗广泛性焦虑障碍(GAD)的参数应用及腧穴规律。方法:检索中国知网、中国生物医学文献数据库、万方、维普、PubMed、Embase、Cochrane library、Web of science中电针治疗GAD的临床研究文献,建立数据库,进行不同电针参数分析,并对电针连接取穴、组方进行关联规则和聚类分析。结果:电针治疗GAD以低频疏密波、留针20~30min、电流强度以患者耐受为主。常用经脉是督脉,高频腧穴为百会、印堂、三阴交、神门、内关等穴,关联规则分析得出电针治疗GAD的核心穴对为“百会-印堂”,核心腧穴处方为“三阴交-神门-百会”,选穴分布以头面部为主。结论:电针治疗GAD多选择低频疏密波,强度以患者耐受为度,留针时间与一般针灸留针时间无明显区别,使用的腧穴、穴对体现“心脑同治”的治疗原则。
文摘Objective To discuss the therapeutic effect and mechanism of warming needling technique for the treatment of depression. Methods A total of 60 patients with depression were randomly divided into treatment group and control group with 30 cases each. The treatment group was treated with warming needle technique on the Jiaji points of the heart, lung, liver, spleen and kidney, control group with Amitriptyline, HAMD scale and the qualitative change of EEG-α wave were observed before and after the treatment. Results The total effective rate of treatment group was 100%, much better than that of the control group with 80% (P<0.05); the HAMD scale of treatment group was better than that of control group (P<0.05); the comparison of the improvement of somatic symptoms between treatment group and control group was significant (P<0.05); the comparison of frequency and amplitude of EEG-α wave was significant (P<0.05), there was no toxic and side effect in the treatment group. Conclusion Warming needling technique for depression has better effect than Amitriptyline, and there was no toxic and side effect in the treatment group. Warming needle technique can effectively regulate the frequency and amplitude EEG-α wave, and acts to improve depressive condition.
