针刺督脉背段压痛点联合西药治疗抑郁症合并胃肠道症状60例临床观察

陆梦江; 张建斌

doi:10.13288/j.11-2166/r.2017.23.012

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针刺督脉背段压痛点联合西药治疗抑郁症合并胃肠道症状60例临床观察

临床研究 | 更新时间：2021-11-10

- 针刺督脉背段压痛点联合西药治疗抑郁症合并胃肠道症状60例临床观察
- Clinical Observation on 60 Patients of Depression Complicated with Gastrointestinal Symptoms Treated with Needling Tender Points on Back Section of DU Meridian Combined with Western Medicine
- 中医杂志 2017年58卷第23期页码：2028-2031
- 作者机构：
  
  南京中医药大学第二临床医学院
- 作者简介：
- 基金信息：
- DOI：10.13288/j.11-2166/r.2017.23.012
  中图分类号： R749.4
- 纸质出版：2017
- 稿件说明：
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[1]陆梦江,张建斌.针刺督脉背段压痛点联合西药治疗抑郁症合并胃肠道症状60例临床观察[J].中医杂志,2017,58(23):2028-2031.

LU Mengjiang, ZHANG Jianbin. Clinical Observation on 60 Patients of Depression Complicated with Gastrointestinal Symptoms Treated with Needling Tender Points on Back Section of DU Meridian Combined with Western Medicine[J]. Journal of Traditional Chinese Medicine2017, 58(23): 2028-2031.
[1]陆梦江,张建斌.针刺督脉背段压痛点联合西药治疗抑郁症合并胃肠道症状60例临床观察[J].中医杂志,2017,58(23):2028-2031. DOI： 10.13288/j.11-2166/r.2017.23.012.

LU Mengjiang, ZHANG Jianbin. Clinical Observation on 60 Patients of Depression Complicated with Gastrointestinal Symptoms Treated with Needling Tender Points on Back Section of DU Meridian Combined with Western Medicine[J]. Journal of Traditional Chinese Medicine2017, 58(23): 2028-2031. DOI： 10.13288/j.11-2166/r.2017.23.012.

摘要

目的观察针刺督脉背部段压痛点联合西药对抑郁症合并胃肠道症状的临床疗效。方法 60例伴有胃肠道症状的抑郁症患者随机分为针药组和药物组各30例。两组患者都口服西酞普兰40 mg

每日1次。针药组另给予针刺督脉背段压痛点

隔日1次

每周3次。两组均治疗2周。观察治疗前后汉密尔顿抑郁量表（HAMD）和胃肠疾病中医证候评分表评分变化。结果两组治疗1、2周HAMD各因子评分及总分、胃肠疾病中医证候评分均显著降低（P<0.05或P<0.01）;与本组治疗1周比较

两组治疗2周HAMD各因子评分及总分、胃肠疾病中医证候评分均显著降低（P<0.05或P<0.01）。针药组治疗1周焦虑/躯体化、认知障碍、日夜变化和睡眠障碍因子分及总分均较药物组降低

针药组治疗2周焦虑/躯体化、日夜变化因子分也较药物组降低

针药组治疗1、2周胃肠疾病中医证候评分均低于药物组（P<0.05或P<0.01）。结论针刺督脉背段压痛点联合西药治疗抑郁症合并胃肠道症状临床疗效确切

且对部分症状改善效果优于西药。

Abstract

Objective To examine the clinical effect of needling tender points on back section of DU meridian combined with western medicine in treating depression complicated with gastrointestinal symptoms. Methods Sixty depression patients with gastrointestinal symptoms were randomized into acupuncture & medicine group and medicine group

30 cases in each group. Patients in both groups were given citalopram 40 mg orally once every day. The acupuncture & medicine group was added needling tender points on back section of DU meridian

once every other day

3 times each week. Both groups were treated for 2 weeks. The score changes of Hamilton Depression Scale（ HAMD）and Chinese medicine syndrome score of gastrointestinal diseases before and after treatment were examined. Results The scores of HAMD factors

total score and Chinese medicine syndrome score of gastrointestinal diseases at treating for 1 week and 2 weeks in both groups decreased（ P < 0. 05 or P < 0. 01）. The scores of HAMD factors

total score and Chinese medicine syndrome score of gastrointestinal diseases in both groups decreased（ P < 0. 05 or P < 0. 01）aftre treatment for two weeks as compared with those after one-week treatment. Moreover

the scores of anxious/somatization

cognitive disorder

day-night change and sleep disorder and total score in the acupuncture & medicine group were lower than those in the medicine group after one week treatment. The scores of anxious/somatization and daynight change factors in the acupuncture & medicine group were lower than those in the medicine group after two weeks treatment. The scores of Chinese medicine syndrome score of gastrointestinal diseases in the acupuncture & medicine group were lower than those in the medicine group after treatment for 1 week and 2 weeks（ P < 0. 05 or P < 0. 01）.Conclusion Needling tender points on back section of DU meridian combined with western medicine was effective in treating depression complicated with gastrointestinal symptoms. Moreover

the improvement of some symptoms of needling was superior to western medicine.

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