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基于红外热成像技术探讨针刺疗法联合柴胡桂枝干姜汤治疗青少年抑郁症临床疗效 预览

Discussion of the Clinical Efficacy of Acupuncture plus Chaihu Guizhi Ganjiang Decoction for Teenage Depression Based on Infrared Thermal Imaging Technology
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摘要 目的观察针刺联合柴胡桂枝干姜汤治疗青少年抑郁症的临床疗效。方法 60例青少年抑郁症患者,随机分为治疗组和对照组,每组30例。治疗组给予针刺联合柴胡桂枝干姜汤治疗,对照组给予盐酸氟西汀治疗。使用红外热成像仪观察各组肝胆经循行处胁肋部及两经原穴温度的改变情况,采用汉密尔顿抑郁量表(HAMD)评价两组治疗前后抑郁状况,并比较两组临床疗效。结果治疗组治疗后的肝胆经循行于胁肋部的温度及两经的原穴穴位温度明显减低,治疗组低于对照组(P<0.05)。治疗组总有效率为83.3%,对照组为60.0%,两组临床疗效比较差异有统计学意义(P<0.05)。结论针刺联合柴胡桂枝干姜汤治疗肝气郁结型的青少年抑郁症患者具有明显的疗效,能够显著改善患者的精神状态,进而提高患者的生活质量。 Objective To observe the clinical efficacy of acupuncture plus Chaihu Guizhi Ganjiang decoction in treating teenage depression.Method Sixty teenage depression patients were randomized into a treatment group and a control group,with 30 cases in each group.The treatment group was intervened by acupuncture therapy plus Chaihu Guizhi Ganjiang decoction,while the control group was prescribed with Fluoxetine hydrochloride.Infrared thermal imaging device was used to observe the changes in the temperatures of hypochondriac areas along the Liver and Bladder Meridians and the Yuan-primary acupoints of the two meridians;Hamilton depression scale(HAMD)was adopted to estimate the depressive state in the two groups before and after treatment;the clinical efficacy was also compared.Result After treatment,the temperatures of hypochondriac areas along the Liver and Bladder Meridians and the Yuan-primary acupoints of the two meridians dropped obviously in the treatment group,and the treatment group was lower than the control group(P<0.05).The total effective rate was 83.3%in the treatment group versus 60.0%in the control group,and the between-group difference in the clinical efficacy was significant(P<0.05).Conclusion Acupuncture plus Chaihu Guizhi Ganjiang decoction can produce significant efficacy for teenage depression due to stagnated liver qi.This method can obviously improve the mental state and quality of life of the patients.
作者 齐建华 刘静 周晓玲 覃绿星 梁谊深 张丹璇 周娅妮 杨薇 谢静 谢鸿蔚 QI Jian-hua;LIU Jing;ZHOU Xiao-ling;QIN Lü-xing;LIANG Yi-shen;ZHANG Dan-xuan;ZHOU Ya-ni;YANG Wei;XIE Jing;XIE Hong-wei(Guangxi Liuzhou Traditional Chinese Medical Hospital,Liuzhou 545001,China)
出处 《上海针灸杂志》 2019年第11期1219-1224,共6页 Shanghai Journal of Acupuncture and Moxibustion
基金 广西重点研发计划(桂科AB16380317) 柳州市城中区科技创新能力与条件建设项目(201503001)。
关键词 针刺疗法 针药并用 抑郁症 红外热成像 经络 皮温 汉密尔顿抑郁量表 Acupuncture therapy Acupuncture medication combined Depression Infrared thermal imaging Meridian Skin temperature HAMD
作者简介 齐建华(1992—),女,住院医师,Email:1134892292@qq.com;通信作者:刘静(1982—),女,副主任医师,硕士,Email:2019985290@qq.com。
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