摘要
目的观察针灸治疗抑郁症患者的疗效及对血清细胞因子的影响,探讨其作用机理。方法采用随机对照法,将入选的100例抑郁症患者分为针刺组和药物组(各50例)。针刺组给予针刺内关、三阴交、风池、百会,每日1次,每次20min;药物组给予阿米替林,第一星期每次25mg,3次/d,根据疗效与患者出现药物不良反应情况酌情增减药量,平均日量150mg。2组均以4周为1个观察周期,观察2组患者治疗前后汉密顿抑郁量表(HAMD)评分及血清细胞因子白细胞介素(IL)-1β、IL-2、IL-6、肿瘤坏死因子-α(TNF-α)的变化。结果针刺组治疗第2周能使抑郁症患者的HAMD总分明显减少;治疗4周时针刺组的HAMD因子分析改善优于药物组(P<0.05)。针刺组能明显降低IL-1β、IL-2、IL-6、TNF-α的高表达水平。结论针刺治疗可以有效改善抑郁症患者的HAMD评分,通过调节血清细胞因子水平而发挥治疗抑郁症的作用。
Objective To investigate the mechanism of acupuncture in anti-depression. Methods 100 depressive patients were randomly divided into acupuncture group and Amitriptyline group, 50 cases in each group. They were respectively treated by acupuncture at Neiguan （PC6）, Sanyinjiao （SP6）, Baihui （DU20）, Fengchi （GB20）, and oral western meicine. The needles were manipulated once every 20 minutes and treatment was given once a day. HAMD score and levels of serum cell factors of two groups were observed. Results Serum levels of interleukin 1β （IL-1β）, interleukin-6 （IL-6） interleukin-2 （IL-2） and tumor necorsis factor-α （TNF-α） in depressive subjects before treatment were significanly higher than that of nomal subjects （all P〈0.05） and can be lower after acupuncture treatment. There were decreases in total HAMD score and in each facor-scores of HAMD after anti-depression treatment. Conclusion Acupuncture treatment can improve the HAMD score effectively by regulating the serum cell factors, thus treating depression.
出处
《中国中医药信息杂志》
CAS
CSCD
2007年第6期15-17,共3页
Chinese Journal of Information on Traditional Chinese Medicine
