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[电针与氟西汀治疗伴有躯体症状的抑郁症的疗效评估]

[Assessment of effectiveness of electroacupuncture and fluoxetine for treatment of depression with physical symptoms].

作者信息

Duan Dong-mei, Tu Ya, Chen Li-ping

机构信息

Section of TCM and Acupuncture, PLA General Hospital, Beijing, and Acupuncture College, Beijing University of TCM, Beijing, China.

出版信息

Zhongguo Zhen Jiu. 2008 Mar;28(3):167-70.

Abstract

OBJECTIVE

To study on clinical therapeutic effect and safety of electroacupuncture and Fluoxetine for treatment of mild or moderate depression with physical symptoms.

METHODS

Seventy-five cases were randomly divided into a western medicine group (group A), an electroacupunctue group(group B) and an electroacupuncture plus medicine group (group C), 25 cases in each group. The group A were treated by oral Fluoxetine, 20 mg each day; the group B by electroacupuncture with Baihui (GV 20) and Yintang (EX-HN 3) selected as main points; the group C by oral administration of Fluoxetine plus electroacupunctue. HAMD depression scale was used for assessment of clinical therapeutic effect and TESS adverse reaction scale was used for adverse reactions.

RESULTS

The clinical effective rate was 78.3% in the group A, 82.6% in the group B and 91.7% in the group C, with significant differences between group C and A, group C and B (P < 0.05). Groups B and C had significant therapeutic effects in improvement of physical symptoms, and the adverse reaction of Fluoxetine in the group C was less than that in the group A.

CONCLUSION

Electroacupuncture can significantly improve physical symptoms and relieve adverse reactions of Fluoxetine. Electroacupuncture combined with Fluoxetine has a better therapeutic effect on depression with mild or moderate physical symptoms, with less adverse reactions.

摘要

目的

探讨电针与氟西汀治疗伴有躯体症状的轻中度抑郁症的临床疗效及安全性。

方法

将75例患者随机分为西药组(A组)、电针组(B组)和电针加药物组(C组),每组25例。A组口服氟西汀,每日20mg;B组以百会(GV20)、印堂(EX-HN3)为主穴行电针治疗;C组口服氟西汀并结合电针治疗。采用汉密尔顿抑郁量表(HAMD)评估临床疗效,采用副反应量表(TESS)评估不良反应。

结果

A组临床有效率为78.3%,B组为82.6%,C组为91.7%,C组与A组、C组与B组比较差异有统计学意义(P<0.05)。B组和C组在改善躯体症状方面有显著疗效,且C组氟西汀的不良反应少于A组。

结论

电针可显著改善躯体症状,减轻氟西汀的不良反应。电针联合氟西汀治疗伴有轻中度躯体症状的抑郁症疗效更佳,不良反应更少。

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