玫瑰解郁汤联合穴位埋线及耳穴贴压治疗血液透析患者抑郁症临床研究

目的:观察玫瑰解郁汤联合穴位埋线及耳穴贴压疗法治疗血液透析患者抑郁症的临床疗效。方法:选取患有抑郁症的血液透析患者66例,随机分为观察组和对照组,每组各33例。观察组采用玫瑰解郁汤联合穴位埋线、耳穴贴压治疗,对照组单纯采用玫瑰解郁汤治疗。观察治疗后两组患者汉密尔顿抑郁量表(Hamilton depression scale,HAMD)评分及抑郁自评量表(self-rating depression scale,SDS)评分,评价临床疗效。结果:治疗后两组患者HAMD评分及SDS评分均较治疗前降低,观察组优于对照组,两组比较,差异有统计学意义(P0.05);观察组有效率84.9%,对照组有效率57.6%,两组比较,差异有统计学意义(P0.05);两组治疗期间均未出现明显不良反应。结论:玫瑰解郁汤联合穴位埋线、耳穴贴压疗法治疗血液透析患者抑郁症效果明显,无明显不良反应。

Meigui Jieyu Decoction Combined with Acupoint Catgut Embedding and Auricular Acupressure in Treatment of Depression in Hemodialysis Patients

Objective:to observe the clinical efficacy of Meigui Jieyu Decoction Combined with Acupoint catgut embedding and auricular acupressure in Treatment of Depression in Hemodialysis Patients.Methods:Sixty-six patients with hemodialysis were randomly divided into observation group and control group (n =33).The observation group was treated with Meigui Jieyu Decoction combined with acupoint catgut embedding and auricular acupoint pressing treatment.The control group was treated with Meigui Jieyu Decoction only.The Hamilton depression scale (HAMD) score and the self-rating depression scale (SDS) score were used to evaluate the clinical efficacy.Results:After treatment,the scores of HAMD and SDS in the two groups were lower than those before treatment,and the observation group was significantly better than those of the control group (P ＜ 0.05).The effective rate was 84.9％ in the observation group,which was significantly higher than that (57.6％) of the control group (P ＜ 0.05).There was no significant adverse reaction in the two groups during the treatment.Conclusion:Meigui Jieyu Decoction combined with acupoint catgut embedding and auricular acupoint pressing therapy have obvious positive effect on depression in hemodialysis patients,and there is no obvious adverse reaction.