产后抑郁障碍(postpartum depression, PPD)是产妇在产后出现的一种常见的精神障碍,“调任通督”针刺法治疗轻中度产后抑郁障碍已在临床上取得了较满意的疗效。采用前瞻性队列研究设计,将173例轻中度PPD患者根据是否接受针刺治疗分为针刺组和对照组,并根据针刺疗程,将针刺组分为针刺A组(总疗程≤4周)和针刺B组(总疗程>4周)。比较各组患者各时间节点汉密尔顿抑郁量表(HAMD)评分、治疗前后焦虑/躯体化、体重减轻、认知障碍、阻滞、睡眠障碍5个HAMD亚因子评分及总有效率,旨在观察“调任通督”针刺法治疗轻中度产后抑郁障碍的临床疗效。结果显示针刺B组患者治疗后第8周HAMD评分低于针刺A组及对照组(P<0.05);针刺B组治疗后焦虑/躯体化评分低于对照组(P<0.05),与针刺A组差异无统计学意义(P>0.05);针刺B组有效率优于针刺A组及对照组。研究表明“调任通督”针刺法可有效改善PPD患者抑郁症状,且针刺疗程>4周疗效更佳。
Postpartum depression (PPD) is a common mental disorder in postpartum women, and the therapy for mild to moderate postpartum depression by“Tiao Ren Tong Du”Acupuncture has achieved satisfactory clinical efficacy. In this study, 173 patients with mild to moderate postpartum depression were divided into acupuncture group and control group according to whether they received acupuncture treatment, and the acupuncture group was divided into acupuncture group A (total treatment course≤4 weeks) and acupuncture group B (total treatment course>4 weeks) according to the treatment course. By comparing the Hamilton depression scale (HAMD) score at different time points, and five factor scores of anxiety/somatization, weight loss, cognitive impairment, block, and sleep disorders before and after treatment, and the effective rate of each group, the clinical efficacy of“Tiao Ren Tong Du”Acupuncture in treating mild to moderate postpartum depression was observed. The results show that the HAMD score of acupuncture group B is lower than that of acupuncture group A and control group at 8 weeks after treatment (P<0.05). After treatment, the anxiety/somatization score in acupuncture group B is lower than that in the control group (P<0.05), and there is no significant difference between acupuncture group B and acupuncture group A (P>0.05). The effective rate of acupuncture group B is better than that of acupuncture group A and control group. The study shows that“Tiao Ren Tong Du”Acupuncture can effectively improve the depressive symptoms of PPD patients, and the acupuncture treatment period of more than 4 weeks is more effective.
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