首页|针灸治疗联合音乐心理放松对青少年抑郁及相关躯体症状的影响

针灸治疗联合音乐心理放松对青少年抑郁及相关躯体症状的影响

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目的 分析针灸治疗联合音乐心理放松对青少年抑郁及相关躯体症状的影响.方法 回顾性分析 106 例青少年抑郁障碍患者资料,按不同治疗方案分为对照组(接受音乐心理放松治疗)、观察组(接受音乐心理放松+针灸治疗),各 53 例.比较两组临床疗效、汉密尔顿抑郁量表(HAMD-17)、抑郁和躯体化症状量表(DSSS-22)、病情相关因子[神经营养因子-3(NT-3)、5-羟色胺(5-HT)、神经生长因子(NGF)]、不良反应.结果 观察组临床总有效率 90.57%(48/53)高于对照组 75.47%(40/53)(P<0.05);与对照组相比,治疗后观察组HAMD-17 评分较低(P<0.05);与治疗前相比,治疗后观察组躯体化评分、抑郁评分及DSSS-22 总评分明显降低(P<0.05);与治疗前比较,两组NGF、NT-3 均降低,5-HT均升高,且观察组更为显著(P<0.05).结论 音乐心理放松联合针灸治疗青少年抑郁障碍患者可调节神经递质分泌,减轻患者抑郁程度,缓解躯体症状,效果显著,且安全性高.
Effects of Acupuncture and Moxibustion Combined with Musical Psychological Relaxation on Depression and Related Somatic Symptoms in Adolescents
Objective To analyze the effects of acupuncture and moxibustion combined with musical psychological re-laxation on depression and related somatic symptoms in adolescents.Methods The data of 106 adolescents with depression were retrospectively analyzed,and divided into control group(receiving music psychological relaxation therapy)and observation group(receiving music psychological relaxation therapy+acupuncture therapy)according to different treatment plans,with 53 cases in each group.The clinical efficacy,Hamilton Depression Scale(HAMD-17),Depression and Somatization Symptom Scale(DSSS-22),disease-related factors[NT-3,5-hydroxytryptamine(5-HT),nerve growth factor(NGF)]and adverse reactions were compared between the two groups.Results The total effective rate of observation group was 90.57%(48/53)higher than that of control group 75.47%(40/53)(P<0.05).Compared with control group,HAMD-17 score in observation group was lower after treatment(P<0.05).Compared with before treatment,the somatization score,depression score and DSSS-22 total score of obser-vation group were significantly decreased after treatment(P<0.05).Compared with before treatment,NGF and NT-3 decreased and 5-HT increased in both groups,and the observation group was more significant(P<0.05).Conclusion Music psychologi-cal relaxation combined with acupuncture in the treatment of adolescent depression can regulate the secretion of neurotrans-mitter,reduce the degree of depression,relieve physical symptoms,and have a significant effect and high safety.

TeenagersDepressionMusic psychological relaxationAcupunctureSomatic symptom

王琮阳、贾金华、孔静

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鹤壁市人民医院<鹤壁市精神病学重点实验室>精神科,河南 鹤壁 458000

青少年 抑郁症 音乐心理放松 针灸 躯体症状

河南省自然科学基金

232102310143

2024

哈尔滨医药
哈尔滨市医学会

哈尔滨医药

影响因子:0.697
ISSN:1001-8131
年,卷(期):2024.44(4)
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