中医药信息2024,Vol.41Issue(9) :60-65.DOI:10.19656/j.cnki.1002-2406.20240911

调神解郁飞针呼吸补泻埋线法治疗轻中度肝郁脾虚型抑郁症

Treatment of Mild to Moderate Depression of Liver Stagnation and Spleen Deficiency Type Using Spirit Regulating and Depression Resolving Flying Acupuncture with Respiratory Supplementation and Draining Method and Catgut Embedment in Acupoint

余丹 马瑞华 王新义
中医药信息2024,Vol.41Issue(9) :60-65.DOI:10.19656/j.cnki.1002-2406.20240911

调神解郁飞针呼吸补泻埋线法治疗轻中度肝郁脾虚型抑郁症

Treatment of Mild to Moderate Depression of Liver Stagnation and Spleen Deficiency Type Using Spirit Regulating and Depression Resolving Flying Acupuncture with Respiratory Supplementation and Draining Method and Catgut Embedment in Acupoint

余丹 1马瑞华 2王新义3
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作者信息

  • 1. 驻马店市第二人民医院,郑州大学附属脑病医院,河南 驻马店 463000
  • 2. 北京回龙观医院,北京大学回龙观临床医学院,北京 100096
  • 3. 河南省中西医结合医院,河南 郑州 450000
  • 折叠

摘要

目的:观察调神解郁飞针呼吸补泻埋线法联合选择性5-羟色胺再摄取抑制剂(SSRIs)类药物治疗肝郁脾虚型抑郁症的临床疗效.方法:选取符合纳入标准的轻中度抑郁症患者80例,依据随机数字表随机分为对照组和治疗组,每组各40例,治疗过程中对照组和治疗组各脱落2例.两组患者均给予SSRIs类药物口服治疗,对照组在口服SSRIs类药物的基础上加用电针治疗,治疗组在口服SSRIs类药物的基础上加用飞针呼吸补泻埋线法治疗,两组均治疗4周.比较两组患者治疗1、2、3、4周末汉密顿抑郁量表(HAMD)、汉密顿焦虑量表(HAMA)、临床疗效总评量表(CGI)的评分情况,并比较临床疗效.结果:治疗后,两组患者HAMD、HAMA评分均降低(P<0.01);与对照组比较,治疗组HAMD评分在治疗2、3、4周末时降低更明显(P<0.05,P<0.01);治疗组HAMA评分在治疗3、4周末时降低更明显(P<0.01).治疗后,两组患者CGI评分均下降(P<0.01),且治疗组治疗1、2、3、4周末较对照组CGI评分下降明显(P<0.01);治疗后,治疗组总有效率100%(38/38),显著高于对照组89.47%(31/38)(P<0.01).结论:调神解郁飞针呼吸补泻埋线法联合SSRIs类药物可以有效改善肝郁脾虚型轻中度抑郁症患者的抑郁及焦虑情绪.

Abstract

Objective:To observe the clinical efficacy of combining the spirit regulating and depression resolving flying acupuncture with respiratory supplementation and draining method and catgut embedment in acupoints with Selective Serotonin Reuptake Inhibitors(SSRIs)for treating mild to moderate depression of liver stagnation and spleen deficiency type.Methods:Eighty patients with mild to moderate depression who met the inclusion criteria were randomly divided into a control group and a treatment group,with 40 cases in each group.During the treatment,2 cases dropped out from each group.Both groups received oral SSRIs treatment.The control group additionally received electroacupuncture therapy,while the treatment group additionally received the spirit regulating and depression resolving flying acupuncture with respiratory supplementation and draining method and catgut embedment in acupoint.Both groups were treated for 4 weeks.The Hamilton Depression Rating Scale(HAMD),Hamilton Anxiety Rating Scale(HAMA),and Clinical Global Impression(CGI)scores were compared at the end of weeks 1,2,3,and 4,and clinical efficacy was assessed.Results:After treatment,both groups showed a decrease in HAMD and HAMA scores(P<0.01).Compared to the control group,the treatment group had more significant reductions in HAMD scores at the end of weeks 2,3,and 4(P<0.05,P<0.01)and in HAMA scores at the end of weeks 3 and 4(P<0.01).Both groups had a decrease in CGI scores(P<0.01),with the treatment group showing a more significant reduction in CGI scores at the end of weeks 1,2,3,and 4 compared to the control group(P<0.01).The total effective rate was 100%(38/38)in the treatment group,significantly higher than 89.47%(31/38)in the control group(P<0.01).Conclusion:Combining spirit regulating and depression resolving flying acupuncture with respiratory supplementation and draining method and catgut embedment in acupoint with SSRIs is effective in improving depressive and anxiety symptoms in patients with mild to moderate depression and Liver Qi Stagnation and Spleen Qi Deficiency syndrome.

关键词

抑郁症/肝郁脾虚型/调神解郁/呼吸补泻/穴位埋线

Key words

Depression/Liver depression and spleen deficiency type/Spirit regulating and depression resolving/Respiratory supplementation and draining/Catgut embedment in acupoint

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基金项目

河南中医药拔尖人才培养项目(豫中医科教[2018]35号)

出版年

2024
中医药信息
中华中医药学会,黑龙江中医药大学

中医药信息

影响因子:1.219
ISSN:1002-2406
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