文献类型：期刊文献

中文题名：温通针法治疗地震后抑郁症:随机对照研究

英文题名：Warming-promotion acupuncture for post-earthquake depression:a randomized controlled study

作者：赵耀东[1];韩豆瑛[2];郭霞[3]

第一作者：赵耀东

机构：[1]甘肃中医学院针灸推拿学院,兰州730000;[2]甘肃省康复中心医院;[3]甘肃中医学院附属医院

第一机构：甘肃中医药大学针灸推拿学院

年份：2014

卷号：34

期号：8

起止页码：755

中文期刊名：中国针灸

外文期刊名：Chinese Acupuncture & Moxibustion

收录：MEDLINE(收录号：25335249);CSTPCD;;Scopus;北大核心:【北大核心2011】；CSCD:【CSCD2013_2014】；PubMed;

语种：中文

中文关键词：地震后抑郁症;温通针法;针刺疗法;心理护理;汉密尔顿抑郁量表

外文关键词：post-earthquake depression; warming-promotion acupuncture; acupuncture therapy; psychologicalnursing ; HAMD

摘要：目的:观察温通针法、常规针刺和心理护理治疗地震后抑郁症的临床疗效差异。方法:将90例甘肃岷县、漳县地震后抑郁症患者随机分为温通针法组、常规针刺组和护理组,每组30例。护理组采用心理护理;常规针刺组穴取百会、四神聪、风池、神门、阳陵泉、太冲、三阴交,采用常规针刺手法;温通针法组取穴同常规针刺组,在常规针刺组的基础上行温通针法,均每日1次,10天为一疗程,疗程间隔2天,共治疗3个疗程。观察各组患者治疗前后汉密尔顿抑郁量表(HAMD)积分并统计疗效。结果:3种疗法对抑郁症均有效,温通针法组总治愈率为86.67%(26/30),明显优于常规针刺组的50.00%(15/30,P<0.01)和护理组的33.33%(10/30,P<0.001);在HAMD积分方面,3组治疗后均较治疗前降低,温通针法组明显优于常规针刺组和护理组(9.02±2.37vs 10.73±2.28、11.05±2.01,P<0.05,P<0.01)。结论:温通针法治疗地震后抑郁症疗效肯定,值得临床推广应用。
Objective To observe the clinical efficacy differences among warming-promotion acupuncture, regu- lar acupuncture and psychological care for post-earthquake depression. Methods Ninety cases of post-earthquake depression in Gansu province were randomly divided into a warming-promotion acupuncture group, a regular acu- puncture group and a care group, 30 cases in each one. The psychological treatment was applied in the care group; the regular acupuncture at Baihui （GV 20）, Sishencong （EX-HN 1））, Fengchi （GB 20）, Shenmen （HT 7）, Yang-lingquan （GB 34）, Taichong （LR 3） and Sanyinjiao （SP 6） was used in the regular acupuncture group; based on the treatment of regular acupuncture group, the warming-promotion acupuncture was applied in the war- ming-promotion acupuncture group, once a day. Ten days were taken as one course with an interval of two days between two courses. Totally 3 treatment courses were completed. The Hamilton depression （HAMD） scale be- fore and after treatment in each group was observed while the efficacy was analyzed. Results All three treatments were effective for depression. The total cured rate was 86.67% （26/30） in the warming-promotion acupuncture group, which was obviously superior to 50. 00H （15/30） in the regular acupuncture group （P〈0. 01） and 33.33%（10/30） in the care group （P〈0. 001）. After the treatment, the score of HAMD was all reduced in three groups, in which the effect in warming-promotion acupuncture group was superior to that in the regular acupunc- ture group and care group （9. 02±2.37 vs 10.73±2.28 and 11.05±2.01, p〈0.05, P〈0.01）. Conclusion The warming-promotion acupuncture has positive effect on post-earthquake depression, which has special effect and is worthy of clinical generalization and application.