首页> 中文期刊>广州中医药大学学报 >背俞穴埋线治疗抑郁症的随机对照试验研究

背俞穴埋线治疗抑郁症的随机对照试验研究

     

摘要

Objective To observe the therapeutic effects of catgut embedding in back-shu points for depression. Methods A randomized controlled trial was carried out in 60 depression patients. The patients were randomly divided into two groups. The treatment group (N=31) was treated with catgut embedding in back-shu points, and the control group (N =29) was treated with electro-acupuncture in the same acu-points. Four weeks were one treatment course, and the treatment lasted two courses. Therapeutic effect of the two groups was assessed by using 17-item Hamilton Rating Scale for Depression (HAMD) , Traditional Chinese Medical Syndrome Rating Scale ( TCMSRS) , and Rhone-Poulenc Sleep Score Scale ( RPSSS) before treatment and 8 weeks after treatment. Results The total effective rate was 93. 5% in the treatment group, better than 75. 7% in the control group (P < 0.05) . After treatment, the scores of HAMD, TCMSRS and RPSSS were reduced in both groups (P<0. 01 compared with those before treatment) , and there were significant differences between the two groups ( P < 0. 05) , indicating that the treatment group had better effect. Conclusion The method of catgut embedding in back-shu points is effective on relieving depression of the depression patients, and the curative effect is superior to that of electro-acupuncture.%[目的]观察背俞穴埋线治疗抑郁症的临床疗效.[方法]采用随机对照试验研究方法,将60例诊断为抑郁症的患者随机分为治疗组(31例)和对照组(29例).治疗组采用背俞穴埋线,对照组采用普通电针治疗.4周为1个疗程,共治疗2个疗程.治疗前及治疗8周后应用汉密尔顿(HAMD)量表(17项)、中医证候量表和睡眠积分量表进行评分,以评价临床疗效.[结果](1)治疗后治疗组临床疗效显著优于对照组,差异有统计学意义(P<0.05).(2)治疗后2组均能显著减少HAMD量表、中医证候量表及睡眠积分量表评分,与治疗前比较差异有统计学意义(P<0.01);2组间比较治疗组在改善HAMD量表、中医证候量表和睡眠积分量表评分方面均优于对照组,差异有统计学意义(P<0.05).[结论]背俞穴埋线能全面改善抑郁患者的抑郁症状,其疗效优于电针治疗.

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