Clinical Observation on the Warming-Needle Moxibustion at Back-Shu Points Combined with Blood-Letting Puncture in Treating Postpartum Depression of Liver Stagnation and Spleen Deficiency Type
10.13359/j.cnki.gzxbtcm.2024.11.014
- VernacularTitle:背俞穴温针灸联合刺络放血治疗肝郁脾虚型产后抑郁症的临床观察
- Author:
Sheng-Li LI
1
;
Zhen LI
;
Feng-Hua FENG
Author Information
1. 武警广东总队医院康复医学与理疗科,广东 广州 510507
- Keywords:
back-shu points;
warming-needle moxibustion;
blood-letting puncture;
liver stagnation and spleen deficiency type;
postpartum depression;
quality of sleep;
quality of survival;
clinical observation
- From:
Journal of Guangzhou University of Traditional Chinese Medicine
2024;41(11):2918-2923
- CountryChina
- Language:Chinese
-
Abstract:
Objective To observe the clinical efficacy of warming-needle moxibustion at back-shu points combined with blood-letting puncture in the treatment of postpartum depression(PPD)of liver stagnation and spleen deficiency type.Methods Ninety-eight patients with PPD of liver stagnation and spleen deficiency type were randomly divided into observation group and control group,49 patients in each group,and Sertraline Hydrochloride Tablets were given to the control group orally,while the observation group was given the combination use of warming-needle moxibustion with blood-letting puncture at back-shu points based on the treatment of the control group.Both groups were treated for two months.After two months of treatment,the clinical efficacy of the two groups was evaluated,and the changes of Hamilton Depression Scale(HAMD)and Edinburgh Postnatal Depression Scale(EPDS),as well as Pittsburgh Sleep Quality Index(PSQI)and World Health Organization Quality of Life Scale(WHOQOL)-BREF of the two groups of patients before and after treatment were observed.Changes in serum 5-hydroxytryptamine(5-HT),norepinephrine(NE),and dopamine(DA)levels,as well as levels of the sex hormones estradiol(E2)and progesterone(P)before and after treatment were compared between the two groups.Results(1)The total effective rate was 93.88%(46/49)in the observation group and 75.51%(37/49)in the control group.The efficacy of the observation group was superior to that of the control group,and the difference was statistically significant(P＜0.05).(2)After treatment,the scores of HAMD and EPDS of the patients in the two groups were improved significantly(P＜0.05),and the improvement in the observation group was significantly superior to that in the control group,and the difference was statistically significant(P＜0.05).(3)After treatment,the scores of PSQI and WHOQOL-BREF of patients in the two groups were improved significantly(P＜0.05),and the improvement in the observation group was significantly superior to that in the control group,with statistically significant differences(P＜0.05).(4)After treatment,the serum levels of 5-HT,NE,DA,E2,and P of the two groups of patients were significantly improved(P＜0.05),and the improvement in the observation group was significantly superior to that in the control group,and the difference was statistically significant(P＜0.05).Conclusion Warming-needle moxibustion at back-shu points combined with blood-letting puncture in the treatment of PPD of liver stagnation and spleen deficiency type can help to alleviate the clinical symptoms of the patients,improve the serum neurotransmitter and sex hormone levels of the patients,and improve whose quality of sleep and quality of survival,so as to improve the quality of life of the patients,with remarkable clinical efficacy.
