| Object:The clinical study of acupuncture as an effective treatment for depression disease research in effective basis moxibustion treatment of depression revealed on the use of quality of life evaluation and neuropsychological testing methods, quality observed before and after acupuncture interventions to improve patient characteristics and survival conditions and changes in cognitive impairment and to explore the clinical symptoms of depression, correlation and college depressive disorder characterized by cognitive function of different dimensions of quality of life.Method:A prospective study, a total of80cases of all college students with depression met the inclusion criteria were randomly divided into two groups:moxibustion combined with ear auricular acupressure group and ear auricular acupressure group.Scale using PHQ-9as a screening tool, HAMD-17item as diagnosis, efficacy and severity assessment tools, that is, before treatment,2weeks,4weeks,6weeks using four time points HAMD evaluation before treatment, the first six weeks of two time points MoCA, SF-36index evaluation related quality of life of patients and cognitive function. After completion of the treatment groups, the two groups were evaluated intervention in depressed patients, before and after differences in cognitive function as well as the relevance and quality of life of patients characteristics.Result:(1) The total efficiency:Moxibustion combined with auricular total effective rate was81.08%, auricular acupressure group, the total effective rate was67.64%, significantly better than the ear moxibustion combined with auricular acupressure group, the difference was statistically significant (P<0.05).(2) HAMD total score and factor scoresAfter repeated measures analysis of variance data, combined with moxibustion group and ear auricular pressure difference between the groups with very significant statistical significance (p<0.01); different at different times of measurement efficacy of group difference was statistically significant (p<0.05). (3) SF-36scoreSF-36score were statistically significant difference between the longitudinal (P <0.05);, and SF-36score horizontal comparison before and after treatment, there were significant differences (P<0.05). Both groups were higher than baseline scores, in addition to the physiological functions of the treatment group, and the remaining differences were statistically significant (P<0.05).(4) MoCA scoreTwo baseline MoCA score were low, but higher than the cut-off value of26points, score between the two groups was not statistically significant (P>0.05).(5) Depressive symptoms and quality of life relevanceHAMD baseline score and physical function, bodily pain, social functioning was significantly negatively correlated; anxiety/somatization and physical function was significantly negatively correlated (P<0.01); cognitive impairment and physical function and mental health were positively correlated (P<0.01); cognitive impairment and emotional functions of the SF-36showed a significant negative correlation; depression arrest and bodily pain, general health and social functioning was significantly negatively correlated (P<0.01); sleep disorders and emotional factors of SF-36were a significant positive correlation function (P<0.01); among other factors had no significant correlation.Baseline scores and six weeks after treatment compared:the baseline scores and social functioning was significantly negatively correlated; anxiety/somatization and physiological functions, energy was a significant negative correlation (P<0.01); cognitive impairment and physical pain was a significant positive correlation (P <0.01); depression and physiology arrest was a significant positive correlation (P <0.01);, depression and physiological functions of the arrest was a significant negative correlation (P<0.01); among other factors had no significant correlation.(6) Cognitive impairment and cognitive function correlation analysisTwo groups ofpatients before treatment with cognitive impairment scores MoCA score almost no correlation (P>0.05); cognitive disorders and MoCA score showed a significant negative correlation,after the difference was statistically significant (P>0.05).Conclusion:1. Moxibustion combined with ear auricular acupressure group and auricular acupressure therapy can significantly improve depressive symptoms and quality of life in patients with mild to moderate depression, and moxibustion combined with ear auricular acupressure group is better than using auricular acupressure treatment.2. The different severity of depressive symptoms and quality of life may affect different latitudes. With the change of time, the degree of improvement in depressive symptoms also simultaneously improve the level of quality of life of patients. Improve sleep disorders may be beneficial in patients with energy recovery and improvement.3. Cognitive function scores of college students with depression are more than the cutoff value. |
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