针刺王氏五脏俞加膈俞治疗肝气郁结型女性更年期抑郁症
临床研究
钮雪松;王平
【期刊名称】《国际中医中药杂志》 【年(卷),期】2017(039)011
【摘要】目的 评价针刺王氏五脏俞加膈俞治疗女性肝气郁结型更年期抑郁症(climacteric depression,CD)的疗效.方法 将符合入选标准的肝气郁结型CD患者82例采用随机数字表法分为2组,每组41例.对照组口服盐酸氟西汀(百忧解),观察组采用针刺五脏俞加膈俞治疗,2组均治疗6周.全部患者分别于治疗前后进行汉密顿抑郁量表(Hamilton Depression Scale,HAMD)评分,计算减分率,比较中医证候积分变化,评价临床疗效.结果 观察组总有效率为97.6%(40/41)、对照组为82.9%(34/41),2组比较差异有统计学意义(χ2=4.986,P=0.026).治疗后,观察组HAMD评分[(7.7±4.3)分比(10.2±4.4)分,t=2.551]低于对照组,HAMD减分率[(55.1±13.3)%比(41.5±15.2)%,t=4.327]高于对照组(P<0.01);观察组中医证候评分[(2.5±1.8)分比(3.7±2.3)分,t=2.692]低于对照组(P<0.01).结论 针刺五脏俞加膈俞可改善肝气郁结型女性CD患者的症状和情绪状态,提高临床疗效.%Objective To evaluate the clinical effect of acupuncture Wangshi Wuzangshu combined Geshu in the treatment of liver qi stagnation type of femaleclimacteric depression(CD).Methods A total of 82 cases of liver qi stagnation type CD patients were divided into observation group and control group with 41 cases in each group. The control group was treated with fluoxetine hydrochloride (Baiyoujie), and the
针刺王氏五脏俞加膈俞治疗肝气郁结型女性更年期抑郁症临床研究
