电针百会、印堂为主治疗抑郁症疗效观察

目的观察电针及电针与药物配合治疗抑郁症的临床疗效。方法选取符合标准的轻、中度抑郁症患者71例,随机分为电针组24例,药物组22例和针药组25例,电针组采用电针百会、印堂为主治疗,药物组采用口服盐酸氟西汀治疗,针药组是电针配合药物治疗。将HAMD的减分率作为疗效评定标准,观察HAMD总分、7类因子分的变化及SDS总分的变化。结果针药组总有效率高于电针组（P〈0.05）和药物组（P〈0.01）。电针组和针药组在改善HAMD总分、焦虑/躯体化和睡眠障碍方面与药物组比较,差异均有统计学意义（P〈0.01,P〈0.05）。在降低SDS总分方面,针药组优于药物组（P〈0.01）。结论电针百会、印堂为主治疗抑郁症具有显著的临床疗效,且电针与药物并用治疗疗效更好。

Observations on the Efficacy of Electroacupuncture at Baihui and Yintang as Main Treatment for Depression

Objective To compare the clinical efficacy of electroacupuncture with electroacupuncture plus medication in treating depression.Methods Seventy-one patients with mild or moderate depression meeting the diagnostic criteria were randomly allocated to an electroacupuncture group of 24 cases,a medication group of 22 cases and an acupuncture plus medication group of 25 cases.The electroacupuncture group were treated mainly with electroacupuncture at Baihui and Yintang,the medication group,by oral administration of Prozac and the acupuncture plus medication group,with electroacupuncture plus medicine.HAMD score reduction rate was used for therapeutic evaluation.Changes in the HAMD total score and 7 factor scores,and the SDS total score were examined.Results The total efficacy rate was higher in the acupuncture plus medication group than in the electroacupuncture group（P〈0.05） and in the medication group（P〈0.01）.There were statistically significant post-treatment differences in the HAMD total score,anxiety/somatization and dyssomnia between the electroacupuncture group or the acupuncture plus medication group and the medication group（P〈0.01 or P〈0.05）.The SDS total score decreased more in the acupuncture plus medication group than in the medication group（P〈0.01）.Conclusion Electroacupuncture at Baihui and Yintang as main treatment has clinically a marked effect on depression.Electroacupuncture plus medication has an even better therapeutic effect.