目的:观察聪脑通络针法对酒精相关性慢性胃炎伴抑郁症的临床疗效。方法:选择酒精相关性慢性胃炎伴抑郁症患者92例,采用随机数字信封法分为观察组和对照组,每组46例。观察组予以聪脑通络针法治疗,头穴取神庭、囟会、前顶、百会、承光、通天和络却;体穴取内关、足三里、中脘、公孙、神门、大陵、期门、心俞和太冲。对照组仅选用与观察组相同的体穴针刺治疗。两组均每日治疗1次,每次留针30 min,治疗10次为1个疗程,2个疗程间休息2 d,治疗3个疗程后观察疗效。结果:治疗3个疗程后,观察组临床症状及胃镜下组织形态的改善情况均优于对照组;观察组临床疗效、焦虑自评量表(SAS)评分与抑郁自评量表(SDS)评分均优于对照组(均P〈0.05)。结论:聪脑通络针法能明显改善酒精相关性慢性胃炎伴抑郁症患者的临床症状,对胃镜下组织形态及焦虑、抑郁症状也有明显改善作用。
Objective: To observe the clinical efficacy of brain-benefiting and collateral-unblocking needling technique for chronic alcoholic gastritis complicated with depression. Methods: A total of 92 cases with chronic alcoholic gastritis complicated with depression were included in this trial. They were randomly allocated into an observation group(n=46) and a control group(n=46) by random number(envelope) method. Patients in the observation group received the brain-benefiting and collateral-unblocking needling technique. Scalp points included Shenting(GV 24), Xinhui(GV 22), Qianding(GV 23), Baihui(GV 20), Chengguang(BL 6), Tongtian(BL 7) and Luoque(BL 8). Body points included Neiguan(PC 6), Zusanli(ST 36), Zhongwan(CV 12), Gongsun(SP 4), Shenmen(HT 7), Daling(PC 7), Qimen(LR 14), Xinshu(BL 15) and Taichong(LR 3). The control group only received the same body acupuncture as the observation group. The treatment was conducted once a day, 30 min for each treatment, and 10 times made up a course of treatment. The efficacy was observed after 3 courses of treatment, and there was a 2-d interval between two courses. Results: After 3 courses of treatment, the clinical symptoms and gastroscopic features were significantly improved in the observation group than that in the control group. The clinical efficacy, self-rating anxiety scale(SAS) and self-rating depression scale(SDS) were significantly better than those in the control group(all P〈0.05). Conclusion: The brain-benefiting and collateral-unblocking needling technique can significantly improve clinical symptoms in patients with chronic alcoholic gastritis complicated with depression and substantially alleviate their gastroscopic features, anxiety and depression.