本文選題：抑郁癥 + 針刺治療　； 參考：《廣州中醫(yī)藥大學》2013年博士論文

【摘要】：抑郁癥的產生因素,具有“多因素”特性,含生物、心理、社會、環(huán)境等因素。病理的改變特色,具有“多環(huán)節(jié)”特質,有心理造成生理,也有生理造成心理障礙。抑郁癥的治療方法也因此形成“多標靶”特性,西醫(yī)由腦生化入手,中醫(yī)由氣血、陰陽著手,心理從情緒、壓力紓解出發(fā),來研究病患；癥型屬于“中、重度抑郁癥”,采取“針刺加心理治療”,是一個有效的治療方法。 目的： 觀察及對照心理治療、心理加上針刺處方對抑郁癥的治療效果,比較兩者的療效特點和差異,并探討針刺與心理治療抑郁癥的作用機理。 方法： 將66例符合納入標準的患者隨機分為兩組,對照組33例,采用心理治療；治療組33例,采用針刺加上心理治療。治療組取穴：百會、四神聰、印堂、內關、神門、太沖、三陰交。隨癥配穴：神志不安,加本神、神庭；肝火上亢,加行間、俠溪；痰熱內擾,加豐隆、內庭；心脾兩虛,加心俞、脾俞；肝腎陰虛,加太溪；心腎不交,加心俞、腎俞；心膽氣虛,加心俞、膽俞。心理治療方法,采取精神分析法、人本中心法、認知治療法、壓力調適法、EQ管理法、人際關系法等。治療前后采用漢米爾(HAMD)量表,抑郁自評量表(SES)、整體效果評估表(CES),進行評分療效的比較。 成果： 兩組治療后,各評量表均有降低,其差異具有統(tǒng)計學意義(P0.05),兩組在、HAMD及SDS量表評分前后比較,有顯著差(P0.01),針心組明顯有效率達96.96%,心理治療組明顯有效達51.15%,兩組治療效果有極顯著差異(P0.01)。 結論： 針刺加心理治療與心理治療處方,對抑郁癥均具有治療效果,針心組在“臨床療效”與“治療效率”均明顯優(yōu)于心理組。針心組在“心神不定”、“身心焦慮”、“人際壓力”、“情緒低落”、“食欲減低”、“睡眠”、“疲倦乏力”、“失去興趣”等九項均優(yōu)于心理組。針刺、心理治療都有助于患者減低藥物的依賴性。采取“身心兼治”是一個有效的途徑。
[Abstract]:The causes of depression include biological, psychological, social and environmental factors. The characteristic of pathological changes is multi-link, psychological cause physiology, and physiology cause psychological obstacle. The treatment of depression is therefore characterized by "multiple targets". Western medicine starts with brain biochemistry, TCM begins with qi and blood, yin and yang, and psychology studies patients from emotional and stress relief; the symptomatic type belongs to "moderate and severe depression." It is an effective method to take acupuncture plus psychotherapy. Objective: The therapeutic effects of psychological and acupuncture prescriptions on depression were observed and compared. The characteristics and differences of therapeutic effects were compared and the mechanism of acupuncture and psychotherapy for depression was discussed. Methods: 66 patients who met the inclusion criteria were randomly divided into two groups: the control group (n = 33) and the treatment group (n = 33). Treatment group: Baihui, Sishen Cong, Yin Tang, Neiguan, Shenmen, Taichung, Sanyinjiao. Syndromes with acupoints: uneasiness of mind, plus God, Shenting; liver-fire hyperactivity, plus interline, Xiaxi; phlegm heat internal disturbance, Jiafeng long, inner atrium; deficiency of heart and spleen, plus heart and spleen, spleen Yu; liver and kidney yin deficiency, plus Taixi; Heart and kidney do not cross, plus heart Yu, kidney Yu; Heart gallbladder qi deficiency, plus heart Yu, gallbladder Yu. Psychotherapy, psychoanalysis, human-centered approach, cognitive therapy, stress adjustment, EQ management, interpersonal relationship, etc. Before and after treatment, Hamil's Hamd scale, self rating Depression scale (SESX), and whole effect Assessment form (CESX) were used to evaluate the efficacy. Outcome: After treatment, each rating scale was decreased, and the difference was statistically significant (P 0.05). The scores of Hamd and SDS were compared between the two groups before and after treatment. The effective rate of acupuncture group was 96.96 and that of psychotherapy group was 51.15. There was a very significant difference between the two groups. Conclusion: Acupuncture plus psychotherapy and psychotherapy prescriptions had therapeutic effects on depression, and the acupuncture group was superior to the psychological group in "clinical efficacy" and "therapeutic efficiency". The acupuncture group was superior to the psychological group in nine items such as "restlessness", "physical and mental anxiety", "interpersonal stress", "depression", "loss of appetite", "sleep", "fatigue" and "loss of interest". Acupuncture and psychotherapy can help patients reduce drug dependence. It is an effective way to take both body and mind treatment.
【學位授予單位】：廣州中醫(yī)藥大學
【學位級別】：博士
【學位授予年份】：2013
【分類號】：R246.6

【引證文獻】

相關期刊論文 前1條

1 劉素芬;;中醫(yī)辨證聯(lián)合心理疏導治療抑郁癥效果觀察[J];大家健康(學術版);2014年07期

，

本文編號：1857812