Literature Analysis on the Characteristics of Acupuncture Diagnosis and Treatment for Postpartum Depression
Objective:To discuss the characteristics of acupuncture diagnosis and treatment for postpartum depression(PPD)and the laws.Methods:The literature about treating PPD with acupuncture were searched from CNKI,VIP,Wanfang,PubMed and Google Scholar from 1999 to 2020,to analyze and sum up the commonly-used diagnostic standard,the classification of the disease degree,acupuncture intervention measures,the characteristics of syndrome differentiation and acupoint selection,frequency,total courses,short-term clinical effects,follow-up and the safety.Results:Among 37 included papers,45.95%(17/37)adopted the Diagnostic and Statistical Manual of Mental Disorders(DSM-IV)published by the American Psychiatric Association in 1994,and 32.43%(12/37)used the third Edition of The Chinese Classification and Diagnostic Criteria for mental Disorders(CCMD-3);72.97%(27/37)of the included literature were ambiguous at the classification of depression;24.32%(9/37)of the therapy commonly used acupuncture and psychological therapy,the next,21.62%(8/37)adopted acupuncture and herbs;75.68%(28/37)adopted standardized regimen mostly;the common syndrome was liver stagnation pattern,occupying 13.51%(5/37);11 commonly used acupoints were Baihui(DU20),Taichong(LR3),Zusanli(ST36),Neiguan(PC6),Sanyinjiao(SP6),Shenmen(HT7),Qimen(LR14),Sishencong,Xinshu(BL15),Pishu(BL49)and Guanyuan(CV4);45.95%(17/37)of literature performed acupuncture therapy mostly once each day;total course of the treatment was six weeks,reaching 45.95%(17/37);the effective rate was between 76.9%and 97.6%;the follow-up rate was not high,only holding 5.41%(2/37);40.54%(15/37)of the studies evaluated the safety.Conclusion:At present,acupuncture therapy for PPD mostly adopt standardized acupuncture regimen,commonly acupuncture combined with psychological intervention,regulating the mind,harmonizing Qi and blood as acupoint selection principle,once each day;acupuncture might be effective in alleviating PPD symptoms.
depression,postpartumacupuncture therapydiagnostic and therapeutic characteristicsliterature analysis
万方数据
维普
