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针刺对女性更年期抑郁症的治疗作用及其对多巴胺、去甲肾上腺素和5-羟吲哚乙酸含量的影响

[Therapeutic effect of acupuncture on female's climacteric depression and its effects on DA, NE and 5-HIAA contents].

作者信息

Zhou Sheng-hong, Wu Fu-dong

机构信息

Shandong Academy of TCM, Jinan 250014, China.

出版信息

Zhongguo Zhen Jiu. 2007 May;27(5):317-21.

Abstract

To observe therapeutic effects of acupuncture on female's climacteric depression and to study on the mechanism. Methods Sixty cases enrolled were randomly divided into an acupuncture group and a control group, 30 cases in each group. In the acupuncture group, acupuncture were given at Ganshu (BL 18), Shenshu (BL 23), Xinshu (BL 15), etc. with uniform reinforcing-reducing method, once each day, and the control group were treated with oral administration of fluexertine hydrochloride, 20 mg, once daily. HAMD scale was used for assessment before treatment and 2,4,6 weeks after treatment. Blood dopamine (DA), norepinephrine (NE) and 5-hydroxy-indoleacetic acid (5-HIAA) contents were detected before treatment and after one therapeutic course. Results The total effective rate was 86.7% in the acupuncture group and 92.9% in the control group with no significant difference between the two groups (P > 0.05). After treatment, DA content increased significantly in the acupuncture group with a significant difference as compared with that of the control group (P < 0.05); and after treatment NE and 5-HIAA contents in the two groups significantly increased as compared with that before treatment (P < 0.05, P < 0.01), with no significant difference between the two groups (P > 0.05). Conclusion Acupuncture can benignly and comprehensively regulate general functions, and increase contents of monoamines in the body, so as to play the role of anti-depression.

摘要

观察针刺治疗女性更年期抑郁症的疗效并探讨其机制。方法 将纳入的60例患者随机分为针刺组和对照组,每组30例。针刺组针刺肝俞(BL 18)、肾俞(BL 23)、心俞(BL 15)等穴位,采用统一的补泻手法,每日1次;对照组口服盐酸氟西汀,20 mg,每日1次。治疗前及治疗后2、4、6周采用汉密尔顿抑郁量表(HAMD)进行评定。治疗前及1个疗程后检测血多巴胺(DA)、去甲肾上腺素(NE)及5-羟色胺酸(5-HIAA)含量。结果 针刺组总有效率为86.7%,对照组为92.9%,两组比较差异无统计学意义(P>0.05)。治疗后,针刺组DA含量显著升高,与对照组比较差异有统计学意义(P<0.05);两组治疗后NE及5-HIAA含量均较治疗前显著升高(P<0.05,P<0.01),两组比较差异无统计学意义(P>0.05)。结论 针刺能良性、全面地调节整体机能,提高体内单胺类物质含量,从而发挥抗抑郁作用。

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