针刺治疗失眠抑郁共病临床研究

目的:观察电项针、头针结合按症取穴针刺治疗对失眠抑郁共病患者的抑郁症状、睡眠质量及躯体症状的影响.方法:将符合诊断标准的失眠抑郁共病患者采用随机数字法分为针刺组与药物组各35例.针刺组采用电项针、头针结合按症取穴针刺疗法治疗;药物组采用盐酸帕罗西汀及艾司唑仑片治疗.观察比较2组治疗前后汉密尔顿抑郁量表(HAMD)评分、...

Clinical Study on Acupuncture for Insomnia Complicated with Depression

Objective:To observe the effect of electroacupuncture at neck points and scalp acupuncture combined with acupuncture at selective points according to symptoms on depressive symptoms,sleep quality and somatic symptoms in patients with insomnia complicated with depression. Methods:The patients with insomnia complicated with depression who were in accordance with diagnostic criteria were divided into the acupuncture group and the medicine group according to the random number table method,35 cases in each group. The acupuncture group was treated with electroacupuncture at neck points and scalp acupuncture combined with acupuncture at selective points according to symptoms. The medicine group was treated with paroxetine hydrochloride and estazolam tablets. Before and after treatment,the scores of Hamilton Depression Scale(HAMD),Pittsburgh Sleep Quality Index(PSQI) and Somatic Symptom Scale of the Patient Health Questionnaire(PHQ-15) in the two groups were observed and compared. Results:The comparison of the total effective rates between the two groups showed significance in the difference(P<0.05). After treatment,the scores of HAMD,PSQI and PQH-15 in the two groups were decreased when compared with those before treatment, differences being significant(P<0.01). Before and after treatment,there was no significant difference being found in the comparison of the changes in HAMD scores between the two groups(P>0.05);there were significant differences being found in the comparison of the changes in the scores of PSQI and PQH-15 between the two groups(P<0.01). Conclusion:The therapy of electroacupuncture at neck points and scalp acupuncture combined with acupuncture at selective points according to symptoms for patients with insomnia complicated with depression has good curative effect,and can improve the accompanied somatic symptoms.