【作者】 王丹；

【导师】 于钦明；

【作者基本信息】 黑龙江中医药大学 ， 中医心理学， 2020， 硕士

【摘要】 目的:观察原络配穴针刺联合心理疏导疗法治疗肝气郁结型抑郁症的疗效。方法:本研究采用计算机随机分组的设计方法,选取2019年2月至2020年2月来自黑龙江中医药大学附属第一医院门诊就诊的60名肝气郁结型抑郁症患者。根据设计方案将其分为治疗组30例和对照组30例。在基础治疗的基础上,治疗组进行针刺联合心理疏导方式治疗;对照组仅给予与治疗组同样的针刺治疗。通过观察患者治疗前、治疗1个疗程后、治疗2个疗程后Hamiliton抑郁量表、治疗前与治疗后对中医症候量表的评分变化,比较治疗组与对照组的疗效差异并做出疗效判定。结果:1.两组患者治疗后1疗程、2疗程与治疗前HAMD评分比较均为P<0.05;两组患者治疗后2疗程与1疗程HAMD评分比较均为P<0.05,具有统计学意义。治疗前两组HAMD评分无显著差异,P>0.05,具有可比性;治疗后1个疗程两组间比较P>0.05,差异不明显;2个疗程后P<0.05,具有统计学意义。2.两组患者治疗前中医症候量表积分比较,结果显示(Z=-0.855,P=0.392>0.05),结果无统计学意义,具有可比性;两组患者治疗前与治疗2个疗程后中医症候量表积分比较均为P<0.05,具有统计学意义。3.治疗组痊愈8例,显效15例,有效5例,无效2例,治疗组显效率为76.67%,总有效率为93.33%;对照组痊愈5例,显效11例,有效9例,无效5例,对照组显效率为53.33%,总有效率为83.33%;经对比治疗组疗效优于对照组。结论:1.原络配穴针刺联合心理疏导疗法及单纯原络配穴针刺治疗肝气郁结型抑郁症均有一定的疗效,能缓解患者的抑郁症状,改善身心情况,并且治疗2个疗程的疗效均好于1个疗程。2.原络配穴针刺联合心理疏导疗法治疗肝气郁结型抑郁症1个疗程时疗效与单纯原络配穴针刺效果相当,但治疗2个疗程时则优于单纯原络配穴针刺治疗。说明针刺联合心理治疗在延长疗程时更具优势。更多还原

【Abstract】 Objective:By observing the therapeutic effect of Yuan-luo plus point acupuncture combined with psychological dredging therapy on depression of stagnation of liver-qi type.Methods:In this study,60 patients with liver-qi depression were selected from the First Affiliated Hospital of Heilongjiang University of Traditional Chinese medicine from February 2019 to February 2020.The patients were divided into treatment group(30 cases)and Control Group(30 cases).On the basis of basic treatment,the treatment group was treated with acupuncture combined with psychological counseling,while the control group was only given the same acupuncture treatment as the treatment group.By observing the scores of Hamiliton depression scale before treatment,after 1 course of treatment,after 2courses of treatment,and before and after treatment,compare the curative Effect Difference Between the Treatment Group and the Control Group and make the curative effect judgment.Results:1.The HAMD score of 1 course,2 course and pre-treatment was P < 0.05,and the HAMD score of 2 course and 1 course after treatment was P < 0.05,which had statistical significance.There was no significant difference in HAMD score between the two groups before Treatment(P > 0.05),but there was no significant difference between the two groups after treatment(P > 0.05)and after two courses(P < 0.05).2.The scores of TCM symptom scale before treatment were compared between the two groups,the results showed(z=-0.855,p =0.392 > 0.05),the results were not statistically significant and comparable;The scores of TCM symptom scale before treatment and after treatment were P < 0.05 in both groups,which had statistical significance.3.In the treatment group,the effective rate was 76.67%,and the total effective rate was 93.33%;in the control group,the effective rate was 53.33%,and the total effective rate was 83.33% The curative effect of the Treatment Group was better than that of the control group.Conclusions:1.The treatment of depression of liver-qi stagnation type by yuan-luo plus point acupuncture combined with psychological dredging therapy and simple yuan-luo plus point acupuncture has certain curative effect,which can alleviate the depressive symptoms of patients and improve their physical and mental conditions,and The curative effect of 2courses of treatment is better than 1 course.2.The curative effect of one course of treatment of depression of stagnation of liver-qi type is similar to that of simple yuan-luo acupuncture,but it is better than that of simple yuan-luo acupuncture for 2 courses.It shows that acupuncture combined with psychotherapy has more advantages in prolonging the course of treatment.更多还原