[1]徐玉芹,赵宏,丰逸轩,等.产后抑郁症针灸诊疗特点文献分析[J].西部中医药,2024,37(03):39-43.[doi:10.12174/j.issn.2096-9600.2024.03.08]
　XU Yuqin,ZHAO Hong,FENG Yixuan,et al.Literature Analysis on the Characteristics of Acupuncture Diagnosis and Treatment for Postpartum Depression[J].Western Journal of Traditional Chinese Medicine,2024,37(03):39-43.[doi:10.12174/j.issn.2096-9600.2024.03.08]
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产后抑郁症针灸诊疗特点文献分析
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《西部中医药》[ISSN:2096-9600/CN:62-1204/R]

卷:
37
期数:
2024年03期
页码:
39-43
栏目:
二次研究
出版日期:
2024-03-15

文章信息/Info

Title:
Literature Analysis on the Characteristics of Acupuncture Diagnosis and Treatment for Postpartum Depression
作者:
徐玉芹1, 赵宏1,2, 丰逸轩1, 范琦1, 崔硕1
1.中国中医科学院针灸研究所，北京 100007
2.深圳市罗湖区中医院，广东 深圳 518004
Author(s):
XU Yuqin1, ZHAO Hong1,2, FENG Yixuan1, FAN Qi1, CUI Shuo1
1.Institute of Acupuncture and Moxibustion, China Academy of Chinese Medical Sciences, Beijing 100007, China
2.Shenzhen Luohu District Hospital of Traditional Chinese Medicine, Shenzhen 518004, China
关键词:
抑郁症; 产后; 针灸疗法; 诊疗特点; 文献分析
Keywords:
depression;  postpartum; acupuncture therapy; diagnostic and therapeutic characteristics; literature analysis
分类号:
R246
DOI:
10.12174/j.issn.2096-9600.2024.03.08
文献标志码:
A
摘要:
目的探讨针灸治疗产后抑郁症（postpartum depression，PPD）的诊疗特点和规律。 方法检索中国知网（1999—2020年）、维普（1999—2020年）、万方数据知识服务平台（1999—2020年）、PubMed（1999—2020年）、Google Scholar（1999—2020年）数据库中针灸治疗PPD的文献，分析总结常用诊断标准、疾病程度分级、针灸干预措施、辨证及选穴特点、治疗频次、总疗程、近期疗效、随访及安全性。 结果共纳入37篇文献，其中诊断标准使用美国精神病学会1994年出版的《精神疾病的诊断与统计手册（DSM-IV）》占45.95%（17/37），《中国精神障碍分类与诊断标准》第三版（CCMD-3）占32.43%（12/37）；纳入患者抑郁程度分级不明确占72.97%（27/37）；治疗最常采用针灸联合心理治疗占24.32%（9/37），其次为针灸联合中药治疗占21.62%（8/37）；多采用标准化方案占75.68%（28/37）；最常见证型为肝郁型占13.51%（5/37）；11个常用穴位依次为百会穴、太冲、足三里、内关、三阴交、神门、期门、四神聪、心俞、脾俞、关元；针灸治疗频次多为每日1次占45.95%（17/37）；总疗程为6周占45.95%（17/37）；有效率为76.9%～97.6%；随访率不高，仅占5.41%（2/37）；评估了安全性的研究占40.54%（15/37）。 结论目前针灸治疗PPD多采用标准化针灸方案，以针刺联合心理干预常见，选穴原则以调神与调和气血为主，治疗频次多为每日1次；针灸缓解PPD症状可能有效。
Abstract:
ObjectiveTo discuss the characteristics of acupuncture diagnosis and treatment for postpartum depression (PPD) and the laws. MethodsThe literature about treating PPD with acupuncture were searched from CNKI, VIP, Wanfang, PubMed and Google Scholar from 1999 to 2020, to analyze and sum up the commonly-used diagnostic standard, the classification of the disease degree, acupuncture intervention measures, the characteristics of syndrome differentiation and acupoint selection, frequency, total courses, short-term clinical effects, follow-up and the safety. ResultsAmong 37 included papers, 45.95% (17/37) adopted the Diagnostic and Statistical Manual of Mental Disorders (DSM-IV) published by the American Psychiatric Association in 1994, and 32.43% (12/37) used the third Edition of The Chinese Classification and Diagnostic Criteria for mental Disorders (CCMD-3); 72.97% (27/37) of the included literature were ambiguous at the classification of depression; 24.32% (9/37) of the therapy commonly used acupuncture and psychological therapy, the next, 21.62% (8/37) adopted acupuncture and herbs; 75.68% (28/37) adopted standardized regimen mostly; the common syndrome was liver stagnation pattern, occupying 13.51% (5/37); 11 commonly used acupoints were Baihui (DU20), Taichong (LR3), Zusanli (ST36), Neiguan (PC6), Sanyinjiao (SP6), Shenmen (HT7), Qimen (LR14), Sishencong, Xinshu (BL15), Pishu (BL49) and Guanyuan (CV4); 45.95% (17/37) of literature performed acupuncture therapy mostly once each day; total course of the treatment was six weeks, reaching 45.95% (17/37); the effective rate was between 76.9% and 97.6%; the follow-up rate was not high, only holding 5.41% (2/37); 40.54% (15/37) of the studies evaluated the safety. ConclusionAt present, acupuncture therapy for PPD mostly adopt standardized acupuncture regimen, commonly acupuncture combined with psychological intervention, regulating the mind, harmonizing Qi and blood as acupoint selection principle, once each day; acupuncture might be effective in alleviating PPD symptoms.

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备注/Memo

备注/Memo:
徐玉芹（1994—），女，硕士学位。研究方向：针刺治疗精神类疾病的疗效与机制研究。国家重点研发计划（中医药现代化研究项目）（2017YFC1703606）。
更新日期/Last Update: 2024-03-15