針刺治療產(chǎn)后抑郁臨床療效觀察
本文選題:針刺 + 產(chǎn)后抑郁 ; 參考:《黑龍江中醫(yī)藥大學(xué)》2017年碩士論文
【摘要】:目的:通過針刺治療產(chǎn)后抑郁,尋找更加安全、有效的臨床手段治療產(chǎn)后抑郁,以減輕患者痛苦。方法:將60例與納入標(biāo)準(zhǔn)相符的產(chǎn)后抑郁患者按隨機(jī)數(shù)表法分成治療組針刺治療和對(duì)照組心理疏導(dǎo),每組30例。針刺治療組取穴百會(huì)、情感區(qū)、足三里等進(jìn)行針刺,對(duì)照組予心理疏導(dǎo)方式醫(yī)治。治療組每天針刺1次,每次30分鐘,連續(xù)針刺6天,休息1天。7天為1個(gè)周期,共治療4個(gè)周期。對(duì)照組由固定的醫(yī)生對(duì)患者進(jìn)行心理疏導(dǎo),每周4次,一次60分鐘。兩組患者在醫(yī)治前及醫(yī)治4周后,對(duì)比治療組與對(duì)照組的愛丁堡產(chǎn)后抑郁量表、Zung氏焦慮自評(píng)量表、抑郁自評(píng)量表得分情況。結(jié)果:1、治療組和對(duì)照組產(chǎn)婦在治療4周后愛丁堡產(chǎn)后抑郁量表得分較治療前有明顯改善。(p0.05)2、治療組和對(duì)照組產(chǎn)婦在醫(yī)治4周后Zung氏焦慮自評(píng)量表得分較治療前有明顯改善。(p0.05)3、治療組和對(duì)照組產(chǎn)婦在醫(yī)治4周后抑郁自評(píng)量表得分較治療前有明顯改善。(p0.05)4.與對(duì)照組相比,治療組產(chǎn)婦的抑郁狀態(tài)改善更加顯著。(p0.05)結(jié)論:1.針刺治療產(chǎn)后抑郁療效優(yōu)于心理疏導(dǎo)治療。2.針刺治療能改善產(chǎn)后抑郁癥狀。針刺治療是一種操作方便、副作用小的治療方法。3.心理疏導(dǎo)能改善產(chǎn)后抑郁癥狀。心理疏導(dǎo)是公認(rèn)的對(duì)產(chǎn)后抑郁有良好療效的治療方法。
[Abstract]:Objective: to find a more safe and effective clinical method to treat postpartum depression by acupuncture in order to alleviate the pain of postpartum depression. Methods: 60 patients with postpartum depression were randomly divided into treatment group (30 cases) and control group (30 cases). Acupuncture treatment group points Baihui, emotional area, Zusanli acupuncture, the control group psychological treatment. The treatment group was treated with acupuncture once a day, 30 minutes each time for 6 consecutive days, rest 7 days as a cycle, a total of 4 cycles. In the control group, the patients were psychologically groomed 4 times a week for 60 minutes. The scores of Zung's self rating anxiety scale and self rating depression scale were compared between the treatment group and the control group before and 4 weeks after treatment. Results: after 4 weeks of treatment, the scores of Edinburgh postpartum depression scale in treatment group and control group were significantly improved. The scores of Zung's self-rating anxiety scale in treatment group and control group were significantly better than those before treatment. The scores of self-rating depression scale in the treatment group and the control group were significantly improved after 4 weeks treatment compared with those before treatment. Compared with the control group, the depression in the treatment group was significantly improved. P 0.05) conclusion: 1. The therapeutic effect of acupuncture on postpartum depression is better than that on psychological dredging. Acupuncture treatment can improve postpartum depressive symptoms. Acupuncture treatment is a convenient, less side effect treatment method. 3. Psychological guidance can improve postpartum depressive symptoms. Psychological counseling is recognized as a good therapeutic method for postpartum depression.
【學(xué)位授予單位】:黑龍江中醫(yī)藥大學(xué)
【學(xué)位級(jí)別】:碩士
【學(xué)位授予年份】:2017
【分類號(hào)】:R246.3
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