Objective To investigate clinical therapeutic effects of acupuncture combined with ear point embedding for treating sleep disorder in depression. Methods Seventy-six patients suffering from sleep disorder in depression were randomly divided into an observation group （39 cases） and a control group （37 cases）. In observation group, acupuncture at Baihui （百会 GV 20）, Shangxing （上星 GV 23）, Shenting （神庭 GV 24）, Fengchi （风池 GB 20） and Shenmen （神门 HT 7）, etc., which was combined with ear point embedding, and in control group, Fluoxetine Hydrochloride Dispersible tablet （Prozac） was orally given. Four weeks of treatments were given as a therapeutic course in both groups. Comparison of changes in scores of HAMD and PSQI was made between the two groups. Results After treatment, HAMD scores were obviously lowered in both groups （both P〈0.01）, and the reduction in HAMD score was more obvious in observation group than that in control group （P〈0.05）. After treatment, the reduction in PSQI score was more obvious in observation group （P〈0.01）, it was more significantly decreased than that in control group. Conclusion Acupuncture combined with ear point embedding provids remarkable therapeutic effects in treating sleep disorder in depression, which is superior to those provided by Fluoxetine Hydrochloride Dispersible Fablet orally given.
目的探讨帕罗西汀联合认知行为疗法治疗抑郁症的临床疗效。方法选取82例抑郁症患者,将其随机分为观察组和对照组,每组各41例。对照组患者每日口服帕罗西汀片20 mg;观察组患者在每日给予帕罗西汀片20 mg的基础上进行认知行为治疗,每次30 m in,每周2次,两组均连续治疗8周。分别于治疗前、治疗第4周末、治疗第8周末采用汉密尔顿抑郁量表(HAMD)评定抑郁症状,比较两组间的差异以及临床疗效。结果两组患者治疗第4周末、第8周末的HAMD评分均较治疗前明显减轻(P<0.05,P<0.01),并且以观察组的下降幅度相对较显著,组间比较,差异具有统计学意义(P<0.05)。观察组的有效率为92.7%,对照组有效率为73.2%,差异有统计学意义(P<0.05)。结论帕罗西汀联合认知行为疗法能有效改善抑郁症患者的抑郁状态,提高疗效。
