头部透穴法结合普通针刺治疗肝气郁结型郁证的临床研究

发布时间：2018-06-25 19:34

本文选题：肝气郁结型郁证 + 头部透穴　；参考：《黑龙江省中医药科学院》2013年硕士论文

【摘要】：目的：临床观察头部透穴法结合普通针刺治疗肝气郁结型郁证的临床疗效,并对机理进行探讨和研究。方法：我们在临床上选取肝气郁结型郁证病人90例,采用随机对照方法分为三组,每组30例,治疗组(头部透穴组)给予头部透穴法结合普通针刺治疗,对照1组给予普通针刺治疗,对照2组给予药物治疗。每组治疗前后分别采用国际通用汉密尔顿抑郁量表(HAMD)和抑郁自评量表(SDS)进行评分,在生存质量评价方面,选用SF一36生存质量量表评分,分别对每组入组患者进行治疗前和治疗四周后神经精神状态进行评定,观察各组患者总体疗效。结果：头部透穴法结合普通针刺在改善肝气郁结型郁证患者精神症状及躯体症状,自知力的恢复,是否适应现实生活的能力都有明显改善。从疗效比较看,治疗后,透穴组治愈13人,好转16人,无效1人,总有效率为93.33%(P0.05),针刺治疗组治愈8人,好转13人,无效9人,总有效率为76.67%(P0.05),西药对照组治愈9人,好转10人,无效11人,总有效率为62.33%(P0.01),结果可以看出透穴组疗效明显优于普通针刺组和药物组结论： 1头部透穴法结合普通针刺治疗肝气郁结型郁证的疗效肯定。 2三组治疗方法对肝气郁结型郁证患者的症状评分都有改善作用,治疗组优于两个对照组 3本治疗方法具有取穴科学,疗效确切,治愈率高,复发率小,对提高患者生活质量,有较好的临床应用前景.
[Abstract]:Objective:
To observe the clinical efficacy of head penetration point method combined with ordinary acupuncture in treating stagnation syndrome of liver qi stagnation, and to explore and study the mechanism.
We selected 90 patients with stagnation of stagnation of liver qi stagnation syndrome in three groups, each group was divided into three groups, 30 cases in each group. The treatment group (head point penetration group) was given the head penetration method combined with the common acupuncture treatment, the 1 groups were given the common acupuncture treatment, and the 2 groups were given the drug treatment. Each group was treated with international general Hamilton suppression before and after the treatment. The scale of depression scale (HAMD) and self rating Depression Scale (SDS) were scored. In terms of quality of life, the SF 36 quality of life scale was used to evaluate the mental state of the patients in each group before and after the treatment, and the total physical effect of each group was observed.
Result:
The head penetration method combined with the common acupuncture in improving the mental symptoms and physical symptoms of the stagnation of the liver qi stagnation syndrome, the recovery of self-knowledge and the ability to adapt to the real life have obviously improved. From the curative effect comparison, after treatment, 13 people were cured, 16 were improved, 1 were invalid, the total effective rate was 93.33% (P0.05), and 8 were cured by acupuncture treatment group. The total effective rate was 76.67% (P0.05), and the total effective rate was 76.67% (P0.05). In the western medicine control group, 9 were cured, 10 were improved, and 11 were invalid. The total effective rate was 62.33% (P0.01). The results showed that the effect of the acupuncture point group was obviously better than that of the common acupuncture group and the drug group.
Conclusion:
1 head penetration point method combined with ordinary acupuncture is effective in treating stagnation of liver Qi syndrome.
2 the three groups of treatment methods improved the symptom scores of patients with stagnation of liver Qi syndrome, and the treatment group was better than the two control group.
3 the treatment method has the advantages of acupoint selection, exact curative effect, high cure rate and low recurrence rate. It has a good clinical application prospect for improving the quality of life of patients.
【学位授予单位】：黑龙江省中医药科学院
【学位级别】：硕士
【学位授予年份】：2013
【分类号】：R246.1

【参考文献】