电针联合认知行为疗法早期干预轻度抑郁状态30例疗效观察

目的 观察电针联合认知行为疗法早期干预轻度抑郁状态的临床疗效.方法 将90例轻度抑郁状态患者随机分为心理组、电针组、综合组各30例,心理组采用认知行为疗法进行心理干预,每周1次；电针组选取百会、印堂为主穴进行电针治疗,每周2次；综合组同时采用认知行为疗法及电针治疗,疗程均为8周.治疗前后分别采用汉密尔顿抑郁量表(H AMD)、抑郁自评量表(CES-D)对各组患者进行评价,并比较临床疗效.结果 综合组总有效率为93.33％,明显优于心理组(总有效率68.97％)以及电针组(总有效率79.31％),差异有统计学意义(P＜0.05).各组患者治疗后HAMD、CES-D评分较治疗前明显下降,差异有统计学意义(P＜0.01),治疗后综合组与心理组、电针组比较差异有统计学意义(P＜0.05).结论 电针联合认知行为疗法是轻度抑郁状态较优化的干预治疗方案.

Therapeutic Effect of Early Intervention with Electro-Acupuncture and C ognitive Behavioral Therapy on Mild Depression of 30 Cases

Objective To observe the therapeutic effect of early intervention with electro-acupuncture(EA) and cognitive behavioral therapy(CBT) on mild depressi on.Methods Ninety mild depression patients were random ized into CBT group,EA group and combined treatment group,with 30 in each. CBT group was intervented with cognitive behavioral therapy,once a week.EA group was given electro-acupuncture at Baihui(GV 20),Yintang(EX-HN3),twice a week.Combined treatment group was given both treatment of CBT group and EA group.The treatm ent course lasted for 8 weeks.The therapeutic effect was observed and compared before and after the treatment according to Hamilton Depression Rating Scale for Depression(HAMD) and Center for Epidemiological Studies Depression Sca le(CES-D).Results The total effective rate of the combined treatment group was 93.33%,which was superior to 68.97% of CBT group and 79.31% of EA group(P<0.05).After treatment,the average scores of HAMD and CES-D decreased significantly in the three groups( P<0.01),especially in the combined treatment group(P<0.05).Conclusion The early intervention with EA and CBT in mild depression is more effective.