中文摘要：

目的：观察针刺优化方案治疗强迫症的临床疗效。方法：采用随机单盲对照试验,将70例符合CCMD-3诊断以及耶鲁-布朗强迫量表（Y-BOCS）大于16分的患者按1：1随机分为常规方案组（对照组）和优化方案组（治疗组）。患者每周治疗2次,疗程为10周。疗程结束后以汉密尔顿抑郁量表（HAMD）和Y-BOCS评价两组方案治疗强迫症的临床疗效。结果：70例患者中,5例患者未能完成治疗,其中剔除1例,脱落4例。治疗结束后,两组HAMD和Y-BOCS评分均较治疗前下降,治疗组较对照组下降明显,差异有统计学意义（P〈0.05）。结论：常规方案与优化方案均对强迫症有较好的临床疗效,优化方案在改善强迫症上优于常规方案。

英文摘要：

Objective： To evaluate its clinical efficacy of an optimized acupuncture formula for obsessive compulsive disorder. Methods： This was a randomized, subject-and assessor-blind, parallel-group trial. 70 subjects who met the CCMD-3 diagnosed criteria, defined as a Yale-Brown Obsessive Compulsive Scale （Y-BOCS） score 〉 16 were randomly assigned to either conventional acupuncture formula group （control group） or optimized acupuncture formula group （treatment group） in ratio of 1：1. Curative effects were evaluated by using Hamilton rating scale （HAMD） and Y-BOCS. Participants received two sessions weekly for ten weeks. Results： Of the 70 subjects, 5 subjects didn＇t complete the study, while 1 were withdrew and 4 dropped out. There was significant reduction in Y-BOCS score from base line to the end of treatment in both groups. Patients who received optimized acupuncture experienced a greater rate of decrease in Y-BOCS （P〈0.05） compared with the conventional acupuncture. As to HAMD score, They also had significantly greater response rate of reduction （P〈0.05） compared with the conventional acupuncture. Conclusion： Our study suggested that both conventional acupuncture formula optimized acupuncture formula were effective for obsessive compulsive disorder. The optimized acupuncture formula had better effect on treating obsessive compulsive disorder.