Clinical Comparative Study Of Electro-acupuncture And Manual Acupuncture In Treating Depression

Objective:To observe the clinical therapeutic effect of electro-acupuncture(EA) and manual acupuncture(MA) and analyze their therapeutic features respectively.Method:144cases of patients with depression were randomly divided into three groups:medication group54cases(treated with SSRIs solely),MA group44cases(MA+SSRIs) and EA group46cases(EA+SSRIs).Hamilton Depression Rating Scale(HAMD) total scores and changes in each factor score of three groups,Self-rating Depression Scale (SDS) total scores and Rating Scale for Side Effects(SERS) total scores were observed respectively in pre-, post-treatment(1,2,4,6week) and the follow-up4th week.Result:1.Clinical Curative Effect Comparison:Compared with medication group,EA group and MA group both showed differences in total effective rate and the cure and marked effectiveness rate(p<0.05,p<0.01),while there was no difference between themself(p>0.05).2.HAMD total scores Comparison:The HAMD total scores of MA and EA group were significantly lower than medication group after1week treatment(p<0.05,p<0.01),and the advantage remained until6week after treatment.There was still difference between EA group and medication group till the follow-up4th week(p<0.01),while no difference beween EA group and MA group(p>0.05).3.HAMD factor score:Compared with medication group, EA group and MA group both showed differences the first week after treatment in four aspects of HAMD factor score,including anxiety or somatization symptom,somnipathy,recognition and blockage(p<0.05,p<0.01).From the aspect of recognition,it showed difference between MA group and medication group only in the first week(p<0.05),and EA group showed an advantage over MA group in the second week(p<0.05).There were still difference between EA group,MA group and medication group in the factor of anxiety or somatization symptom.4.Comparison with SDS total scores:EA and MA group is less than medication group after1week treatment(P＜0.05, P＜0.01); This difference continued to follow-up1months (P＜0.01). while no difference beween EA group and MA group (P＞0.05); SDS deducted rate:Compared with medication group, EA group and MA group both showed differences in6th week, followed-up4th week (P＜0.01). EA and MA compared without difference (P＞0.05).5.SERS total scores comparison:SERS total score inEA, MA1week went from drug group compared with differences (P＜0.01). Show the Acupuncture-medication combination the advantages of the drugs reduce the side effects. EA and MA SERS side effects there were no score difference (P＞0.05).Coclusion:Acupuncture-medication combination is superior to medication solely in treating depression.Compared with MA.EA shows an advantage in improving some factors score and prostecdtive efficacy,and it deserves further research.