Observation on effective characteristics of acupuncture combined with medicine on depression of different syndrome types

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Observation on effective characteristics of acupuncture combined with medicine on depression of different syndrome types

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- Observation on effective characteristics of acupuncture combined with medicine on depression of different syndrome types
- Chinese Acupuncture and Moxibustion Vol. 29, Issue 9, Pages: 699-702(2009)
- 作者机构：
  
  1. 南京中医药大学针药结合实验室
  2. 南京脑科医院医学心理科
  3. 南京中医药大学附属第一医院针灸科
- 作者简介：
- 基金信息：
- DOI：
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- Published：2009
- 稿件说明：
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Observation on effective characteristics of acupuncture combined with medicine on depression of different syndrome types[J]. Chinese Acupuncture and Moxibustion, 2009, 29(9): 699-702.
DOI：

Observation on effective characteristics of acupuncture combined with medicine on depression of different syndrome types[J]. Chinese Acupuncture and Moxibustion, 2009, 29(9): 699-702. DOI：

摘要

目的:评价和分析针药结合治疗不同证型抑郁症的临床疗效和特点。方法:将80例抑郁症患者经中医辨证分型后分为肝郁脾虚组(35例)、心脾两虚组(21例)和脾肾阳虚组(24例)

给予针刺百会、印堂、四神聪、内关等穴和口服5-羟色胺再摄取抑制剂(SSRI)类抗抑郁药治疗。采用汉密尔顿抑郁量表(HAMD)和自制中医辨证分型症状评分量表评定疗效。结果:针药结合治疗4周后

肝郁脾虚组有效率为91.4%

心脾两虚组为90.5%

两组均优于脾肾阳虚组的87.5%

(P<0.01

P<0.05);治疗4周后

肝郁脾虚组与脾肾阳虚组HAMD积分比较

差异有统计学意义(P<0.05);各组治疗1、2、4周后

中医辨证分型症状评分均较治疗前明显减低(均P<0.001)

其中在治疗2周后

脾肾阳虚组与肝郁脾虚组、心脾两虚组证型积分比较

差异均有统计学意义(均P<0.05)

治疗4周后

肝郁脾虚组减分率与心脾两虚组、脾肾阳虚组比较

差异均有统计学意义(均P<0.05)。结论:针刺合并SSRI类抗抑郁药治疗对肝郁脾虚型抑郁症疗效较好;中医的辨证分型症状评分表对中医治疗方法的临床疗效评价更为准确敏感。

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