本文關(guān)鍵詞： 抑郁性神經(jīng)癥 肝郁脾虛型 針刺 刺絡(luò) 艾灸　出處：《廣州中醫(yī)藥大學(xué)》2017年碩士論文　論文類型：學(xué)位論文

【摘要】：目的:觀察針刺刺絡(luò)聯(lián)合艾灸治療肝郁脾虛型抑郁性神經(jīng)癥的臨床療效,為本病治療提供一種無副作用、療效可靠的中醫(yī)傳統(tǒng)特色療法。方法:將符合納入標(biāo)準(zhǔn)的66例肝郁脾虛型抑郁性神經(jīng)癥患者進(jìn)行隨機(jī)分組(用Excel產(chǎn)生隨機(jī)數(shù))。將研究對(duì)象分為針刺刺絡(luò)聯(lián)合艾灸組與針刺刺絡(luò)組,脫落病例6例,實(shí)際有效病例兩組各30例。針刺刺絡(luò)組,針刺處方為:四關(guān)穴(太沖、合谷)、百會(huì)、印堂(參照符文彬,樊莉,朱曉平,等.針刺調(diào)肝法治療抑郁性神經(jīng)癥的臨床研究[J].針刺研究,2006,31(6):355-358.)。刺絡(luò)取穴:第一組穴位選膈俞,第二組穴位選肝俞,均為雙側(cè),每次選擇一穴雙側(cè),兩組交替使用。針刺刺絡(luò)艾灸組的針刺刺絡(luò)方法和上一組相同,艾灸以神闕為中心,針刺同時(shí)將艾箱放在腹部,熏灸中脘、下脘、神闕、氣海、關(guān)元等穴。兩組患者每3天治療1次,1周2次,2周為一療程,共治療2個(gè)療程。分別在治療前、治療2周后、治療4周后對(duì)兩組患者進(jìn)行SDS評(píng)分、HAMD評(píng)分及抑郁癥肝郁脾虛中醫(yī)證候量表評(píng)分,治療2周及治療4周后進(jìn)行臨床療效評(píng)價(jià)。結(jié)果:一、基本資料比較兩組患者在年齡、性別、SDS評(píng)分、HAMD評(píng)分及中醫(yī)證候評(píng)分方面差異均無統(tǒng)計(jì)學(xué)意義(P0.05),具有可比性。二、觀察指標(biāo)比較(一)SDS評(píng)分比較經(jīng)t檢驗(yàn),①治療2周后:針刺刺絡(luò)艾灸組與其治療前比較評(píng)分降低,差異有統(tǒng)計(jì)學(xué)意義(P0.01);針刺刺絡(luò)組與其治療前比較評(píng)分降低,差異有統(tǒng)計(jì)學(xué)意義(P0.01);兩組間評(píng)分比較,差異無統(tǒng)計(jì)學(xué)意義(P0.05);②治療4周后:針刺刺絡(luò)艾灸組與其治療2周后比較評(píng)分降低,差異有統(tǒng)計(jì)學(xué)意義(P0.01);針刺刺絡(luò)組與其治療2周后評(píng)分比較,差異無統(tǒng)計(jì)學(xué)意義(P0.05);兩組間評(píng)分比較,差異有統(tǒng)計(jì)學(xué)意義(P0.01)。(二)HAMD評(píng)分比較經(jīng)t檢驗(yàn),①治療2周后:針刺刺絡(luò)艾灸組與其治療前比較評(píng)分降低,差異有統(tǒng)計(jì)學(xué)意義(P0.01);針刺刺絡(luò)組與其治療前比較評(píng)分降低,差異有統(tǒng)計(jì)學(xué)意義(P0.01);兩組間評(píng)分比較,差異無統(tǒng)計(jì)學(xué)意義(P0.05);②治療4周后:針刺刺絡(luò)艾灸組與其治療2周后比較評(píng)分降低,差異有統(tǒng)計(jì)學(xué)意義(P0.01);針刺刺絡(luò)組與其治療2周后評(píng)分比較,差異無統(tǒng)計(jì)學(xué)意義(P0.05);兩組間評(píng)分比較,差異有統(tǒng)計(jì)學(xué)意義(P0.01)。(三)抑郁癥肝郁脾虛證候評(píng)分比較經(jīng)t檢驗(yàn),①組內(nèi)比較:針刺刺絡(luò)艾灸組治療2周后在入睡難、食欲下降、神疲乏力、時(shí)有太息、煩躁、口苦口干、頭暈、頭痛、胸悶、腹脹以及總分方面與治療前比較評(píng)分降低,差異有統(tǒng)計(jì)學(xué)意義(P0.01);針刺刺絡(luò)組治療2周后在時(shí)有太息、煩躁、口苦口干、頭痛、總分方面與治療前比較評(píng)分降低,差異有統(tǒng)計(jì)學(xué)意義(P0.01);針刺刺絡(luò)艾灸組治療4周后在憂愁善感、入睡難、食欲下降、神疲乏力、興趣索然、時(shí)有太息、煩躁、口苦口干、頭暈、頭痛、胸悶、腹脹、總分方面與治療2周后比較評(píng)分降低,差異有統(tǒng)計(jì)學(xué)意義(P0.01);針刺刺絡(luò)組治療4周后與治療2周后比較在各癥狀評(píng)分及總分方面無明顯差異。②組間比較:針刺刺絡(luò)艾灸組治療2周及4周后在入睡難、食欲下降、神疲乏力、頭暈、胸悶、腹脹、總分方面的評(píng)分均顯著低于針刺刺絡(luò)組,差異具有統(tǒng)計(jì)學(xué)意義(PO.01),對(duì)憂愁善感、興趣索然、時(shí)有太息、煩躁、口苦口干、頭痛癥狀方面在治療2周后與針刺刺絡(luò)組相比,差異無統(tǒng)計(jì)學(xué)意義(P0.05),但在治療4周后相比則評(píng)分低于針刺刺絡(luò)組,差異有統(tǒng)計(jì)學(xué)意義(P0.01)。三、療效比較治療2周后針刺刺絡(luò)艾灸組總有效率為90%,針刺刺絡(luò)組總有效率為76.67%,兩組有效率差異無統(tǒng)計(jì)學(xué)意義(P0.05)。治療4周后針刺刺絡(luò)艾灸組總有效率為100%。針刺刺絡(luò)組總有效率為80%,兩組有效率差異有統(tǒng)計(jì)學(xué)意義(P0.01)。結(jié)論:針刺刺絡(luò)聯(lián)合艾灸與單純針刺刺絡(luò)治療肝郁脾虛型抑郁性神經(jīng)癥均有臨床療效,但針刺刺絡(luò)聯(lián)合艾灸在改善SDS總分、HAMD總分以及肝郁脾虛主要癥狀評(píng)分和總分方面優(yōu)于針刺刺絡(luò),對(duì)此證型具有較好的臨床療效。
[Abstract]:Objective: To observe the clinical effect of acupuncture combined with pricking moxibustion in the treatment of liver stagnation and spleen deficiency type of depressive neurosis, provide a no side effect for the treatment of this disease, the curative effect is reliable the characteristics of traditional Chinese medicine therapy. Methods: 66 patients met the inclusion criteria of liver and spleen deficiency of patients with depressive neurosis were randomly divided into two groups randomly (produced by Excel number). The subjects were divided into acupuncture group and acupuncture moxibustion combined with pricking cupping group, cases in 6 cases, effective two cases 30 cases in each group. Acupuncture pricking group, acupuncture prescription: four Guan (Taichong, Hegu), Baihui, Yintang (see Fu Wenbin, Fan Li, Zhu Xiaoping, etc. the treatment of depressive neurosis. Acupuncture regulating the liver and clinical study of [J]. acupuncture research, 2006,31 (6): 355-358.). Pricking acupoints: the first group of acupoints selected Geshu, second groups of acupoints selected liver Yu, were bilateral, each one hole double side, two groups of alternate use of acupuncture pricking moxibustion. Group 鐨勯拡鍒哄埡緇滄柟娉曞拰涓婁竴緇勭浉鍚，

本文編號(hào)：1542678