首页|俞募配穴针刺治疗肝郁脾虚型抑郁症的临床效果观察

俞募配穴针刺治疗肝郁脾虚型抑郁症的临床效果观察

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目的:观察俞募配穴针刺治疗肝郁脾虚型抑郁症患者的临床疗效.方法:选取2022年1月至2022年12月福建中医药大学附属第二人民医院收治的肝郁脾虚型抑郁症患者100例作为研究对象,随机分为对照组和观察组,每组50例.对照组给予艾司西酞普兰口服治疗,持续用药1个月;观察组在对照组基础上联合俞募配穴针刺治疗,2 d治疗1次,持续治疗15次.比较2组患者治疗前后主要症状、抑郁程度、生命质量评分、血清5-羟色胺(5-HT)水平、肠道菌群、不良反应、复发率及临床疗效.结果:治疗后,观察组健康调查简表(SF-36)评分、血清5-HT水平、粪便标本乳酸杆菌及双歧杆菌数量高于对照组(均P<0.05),主要症状评分、汉密尔顿抑郁量表(HAMD-24)评分、粪便标本大肠埃希菌及肠球菌数量低于对照组(均P<0.05).2组患者不良反应发生率比较差异无统计学意义(P>0.05).观察组治疗后6个月复发率略低于对照组,但差异无统计学意义(P>0.05).治疗后观察组总有效率高于对照组(P<0.05).结论:俞募配穴针刺治疗肝郁脾虚型抑郁症患者疗效明确,可有效改善患者症状,减轻抑郁程度,提高生命质量,调节血清5-HT水平及改善肠道菌群分布,安全性高.
Clinical Efficacy of Acupuncture at Back-shu and Front-mu Acupoints in Treating Depression of Liver Depression and Spleen Deficiency Syndrome
Objective:To observe the clinical efficacy of acupuncture at back-shu and front-mu acupoints in the treatment of de-pression patients with liver depression and spleen deficiency syndrome.Methods:A total of 100 patients diagnosed with depression with liver depression and spleen deficiency syndrome treated at the Second Affiliated People's Hospital of Fujian University of Tra-ditional Chinese Medicine from January 2022 to December 2022 were enrolled and randomly divided into control group and observa-tion group,with 50 cases in each group.The control group was treated with oral administration of escitalopram for one month,while the observation group were treated with acupuncture at back-shu and front-mu acupoints based on the control group,with treatment administered once every 2 days for a total of 15 times.The main symptoms,depression severity,quality of life scores,serum 5-hydroxytryptamine(5-HT)levels,intestinal flora,adverse reactions,recurrence rate,and clinical efficacy were compared before and after treatment between the two groups.Results:After treatment,the observation group had higher scores in the Short Form Health Survey(SF-36),serum 5-HT levels,and quantities of Lactobacillus and Bifidobacterium in fecal specimens than the control group(all P<0.05),while the scores of main symptoms,Hamilton Depression Rating Scale(HAMD-24),and quantities of Escherichia coli and Enterococcus in fecal specimens were lower than those in the control group(all P<0.05).There was no statistically signif-icant difference in the incidence of adverse reactions between the two groups(P>0.05).The recurrence rate in the observation group at 6 months after treatment was slightly lower than that in the control group,but the difference was not statistically significant(P>0.05).The total effective rate in the observation group after treatment was higher than that in the control group(P<0.05).Conclusion:Acupuncture at back-shu and front-mu acupoints has definite efficacy in the treatment of depression patients with liver depression and spleen deficiency syndrome,effectively improving symptoms,reducing depression severity,enhancing quality of life,regulating serum 5-HT levels,and improving intestinal flora distribution,with high safety.

DepressionLiver depression and spleen deficiency syndromeIntestinal floraAcupunctureBack-shu and front-mu acupointsCurative efficacy5-hydroxytryptamineQuality of life

徐欣、高丽丽、洪秀娥、张霖云、朱定钰、李文萍

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福建中医药大学附属第二人民医院,福州,350003

抑郁症 肝郁脾虚型 肠道菌群 针刺 俞募配穴 疗效 5-羟色胺 生命质量

福建中医药大学校管课题临床专项

XB2022020

2024

世界中医药
世界中医药学会联合会

世界中医药

CSTPCDCHSSCD北大核心
影响因子:1.266
ISSN:1673-7202
年,卷(期):2024.19(3)
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