湖南中医药大学学报2018，Vol.38Issue(3)：302-306,5.DOI:10.3969/j.issn.1674-070X.2018.03.017
针刺联合耳穴治疗抑郁障碍相关性失眠(心脾两虚型)的临床观察
Clinical Observation of Needling Combined with Ear Acupoint on Depressive Insomnia (Heart-Spleen Deficiency Syndrome)
摘要
Abstract
Objective To observe the clinical effect of acupuncture combined with ear acupoint application on depressive insomnia (heart-spleen deficiency syndrome). Methods The 80 cases hospitalized in department of Acupuncture Department, Foshan Hospital of traditional Chinese medicine, from September 2016 to July 2017 were taken as subjects of the study. Patients were randomly divided into the acupuncture group and simple acupuncture combined with ear acupoint group(combined group), 40 cases in each group. The curative effect of two groups was compared after treatment for 6 months. The sleep quality and depression status of patients were evaluated by polysomnography (PSG), Pittsburgh sleep quality index (PSQI) scale, self rating Depression Scale (SDS) scale and Hamilton Depression Scale (HAMD). Results The total effective rate of combined treatment group was 82.5％, compared with the acupuncture group, the combined group was statistically significant (P<0.05). The sleep quality of two groups after treatment were statistically improved (P<0.05). Compared with acupuncture group, TST of combined group was improved significantly (P<0.05). After treatment, PSQI scale and scores of each factor were improved(P<0.05);the sleep efficiency and day function of combined group were obviouly improved (P<0.0l); SDS of two groups was improved (P<0.0l). Compared with acupuncture group, SDS of combined group decreased significantly (P<0.05). HAMD of two groups decreased after treatment (P <0.05), but the improvement of combined group was more obvious than the acupuncture group (P<0.05). The anxiety / somatization, sleep disorder factor and hopelessness factor in combined group were also lower than those in acupuncture group (P<0.05). Conclusion Acupuncture combined with ear acupoint application has good curative effect on depressive disorder (heart-spleen deficiency syndrome).关键词
抑郁障碍相关性失眠/心脾两虚/针刺/耳穴贴压Key words
depressive insomnia/heart-spleen deficiency/needling/ear acupoint application分类
医药卫生引用本文复制引用
李茜茜,黄桂兰,冯淑兰..针刺联合耳穴治疗抑郁障碍相关性失眠(心脾两虚型)的临床观察[J].湖南中医药大学学报,2018,38(3):302-306,5.基金项目
国家中医药管理局科研基金[SATCM-2015-BZ(389)]. （389）
