本文選題：圍絕經(jīng)期抑郁癥 + 腎虛肝郁��； 參考：《黑龍江中醫(yī)藥大學(xué)》2017年碩士論文

【摘要】：目的:通過對比觀察五臟俞配補母瀉子法與常規(guī)針刺治療腎虛肝郁型圍絕經(jīng)期抑郁癥的臨床療效,為臨床治療圍絕經(jīng)期抑郁癥提供新的治療方法。方法:將60例符合標(biāo)準(zhǔn)的腎虛肝郁型圍絕經(jīng)期抑郁癥患者隨機分成治療組和對照組,其中治療組采用五臟俞配補母瀉子法治療,對照組采用常規(guī)針刺治療,兩組均每次治療30min,每日1次,連續(xù)治療6天休息1天為一個療程,共治療4個療程。通過計算漢密頓(HAMD)抑郁量表的減分率評定臨床療效,同時使用中醫(yī)證候積分表的改善率和庫珀曼(Kupperman)評分表(改良版)評判軀體癥狀的改善情況,最后進行統(tǒng)計學(xué)處理,評定五臟俞配補母瀉子法治療腎虛肝郁型圍絕經(jīng)期抑郁癥的臨床療效。結(jié)果:經(jīng)4個療程后治療組與對照組進行對比得出結(jié)論如下:1.兩組治療后總有效率分別為90.0%、80.0%,無顯著性差異(P0.05),但治療組的愈顯率高于對照組,說明兩組治療方法均能夠改善腎虛肝郁型圍絕經(jīng)期抑郁癥的臨床癥狀,且治療組效果優(yōu)于對照組。2.治療后兩組HAMD抑郁量表總分及Kupperman評分均有下降,與治療前比較差異有統(tǒng)計學(xué)意義(P0.05);治療后HAMD抑郁量表總分及Kupperman評分組間比較,有統(tǒng)計學(xué)意義,表明治療組在改善腎虛肝郁型圍絕經(jīng)期抑郁癥的癥狀方面優(yōu)于對照組。3.兩組治療前中醫(yī)證候積分的比較差異無統(tǒng)計學(xué)意義(P0.05);治療組治療后中醫(yī)證候積分較治療前降低,治療前后比較有顯著性差異(P0.05);治療組和對照組治療前后差值比較,具有顯著性差異,說明治療組在改善腎虛肝郁型圍絕經(jīng)期抑郁癥的軀體癥狀方面要優(yōu)于對照組。結(jié)論:五臟俞配補母瀉子法與普通針刺均能明顯改善腎虛肝郁型圍絕經(jīng)期抑郁癥患者的抑郁程度、軀體癥狀,五臟俞配補母瀉子法對腎虛肝郁型圍絕經(jīng)期抑郁癥的臨床療效優(yōu)于普通針刺療法。
[Abstract]:Objective: the clinical curative effect of the treatment of kidney deficiency and liver stagnation of perimenopausal depression reinforcing mother diarrhea and routine acupuncture method by comparison with five Zangshu, for the clinical treatment of perimenopausal depression and provide new treatment. Methods: 60 patients with kidney deficiency and liver stagnation of the depression in perimenopausal period were randomly divided into treatment group and control group, which the treatment group used five Zangshu therapy with reinforcing mother diarrhea, control group with routine acupuncture treatment, two groups were treated every 30min, 1 times a day, continuous treatment for 6 days to rest 1 days for a course of treatment, a total of 4 courses of treatment. By calculating the Hamilton Depression Scale (HAMD) reducing rate the clinical curative effect, while using the integral of TCM symptom improvement rate (Kupperman) and Cooperman Rating Scale (modified version) to improve the situation of somatic symptoms evaluation, finally carries on the statistical treatment, treatment of kidney deficiency and liver assessment five Zangshu filled parent purging method Clinical depression type of perimenopausal depression. Results: after 4 courses of treatment group and control group were compared and conclusions are as follows: 1. the two group after treatment, the total effective rate was 90%, 80%, no significant difference (P0.05), but the effective rate of the treatment group than the control group, said the clinical symptoms of treatment the two groups were able to improve the methods of perimenopausal depression kidney deficiency and liver stagnation, and the effect of the treatment group than the control group after.2. treatment group two HAMD Depression Scale score and Kupperman score were decreased, there was significant difference compared with before treatment (P0.05); after treatment, HAMD Depression Scale score and Kupperman score between the two groups, have statistical significance, showed that the treatment group in the improvement of kidney deficiency and liver stagnation of perimenopausal depression symptoms than the control difference between the TCM group.3. two group before treatment was not statistically significant (P0.05); the treatment group after treatment. Reduce medicine syndrome score than before treatment, with significant difference before and after treatment (P0.05); the treatment group and control group before and after treatment the difference, with significant differences, indicating somatic symptoms than the control group, the treatment group in improving kidney deficiency and liver stagnation of perimenopausal depression. Conclusion: the degree of depression, five Zangshu filled mother and son method and ordinary acupuncture can significantly improve kidney deficiency and liver stagnation of perimenopausal depression with somatic symptoms, five Zangshu filled mother purging method of kidney deficiency and liver stagnation of perimenopausal depression clinical curative effect is better than ordinary acupuncture therapy.

【學(xué)位授予單位】：黑龍江中醫(yī)藥大學(xué)
【學(xué)位級別】：碩士
【學(xué)位授予年份】：2017
【分類號】：R246.6

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