Therapeutic effect of holographic ear copper needle scraping combined with ear acupressure on adolescent depression and its impact on non-suicidal self-injury behavior
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摘要:
目的 探讨全息耳部铜砭刮痧联合耳穴压豆治疗青少年抑郁症的疗效及对非自杀性自伤(NSSI)行为的影响, 旨在为临床治疗提供借鉴。 方法 选择2024年1-12月绍兴市第七人民医院收治的160例门诊及住院青少年抑郁症患者, 采用随机数表法分成对照组(A组)、耳穴压豆组(B组)、全息耳部铜砭刮痧组(C组)、全息耳部铜砭刮痧联合耳穴压豆组(D组), 每组40例。干预8周, 观察4组患者的抑郁症状[汉密尔顿抑郁量表(HAMD-17)评分]、NSSI行为发生情况[渥太华自我伤害调查表(OSI)评分]、抑郁中医证候评分、临床疗效。 结果 B组、C组、D组治疗后HAMD-17评分降低(P < 0.05), D组治疗后HAMD-17评分低于A组、B组、C组(P < 0.05)。B组、C组、D组治疗后OSI评分降低(P < 0.05), D组治疗后OSI评分低于A组、B组、C组(P < 0.05)。B组、C组、D组治疗后抑郁中医证候评分降低(P < 0.05), D组治疗后抑郁中医证候评分低于A组、B组、C组(P < 0.05)。A组、B组、C组、D组总有效率分别为20.00%(8/40)、80.00%(32/40)、77.50%(31/40)、95.00%(38/40), B组、C组、D组的总有效率均高于A组(P < 0.008), D组与B组、C组比较差异无统计学意义(P>0.008)。 结论 全息耳部铜砭刮痧联合耳穴压豆治疗青少年抑郁症的疗效较好, 可减轻患者的抑郁症状, 改善NSSI行为。 Abstract:Objective To investigate the therapeutic effect of holographic ear copper needle scraping combined with ear acupressure on adolescent depression and its impact on non-suicidal self-injury (NSSI) behavior, aiming to provide reference for clinical treatment. Methods A total of 160 outpatient and inpatient adolescent depression patients from Shaoxing Seventh People's Hospital from January to December 2024 were randomly divided into a control group (group A), an ear acupressure group (group B), a holographic ear copper needle scraping group (group C), and a holographic ear copper needle scraping combined with ear acupressure group (group D), with 40 cases in each group.Intervention for 8 weeks, the depressive symptoms[17-item Hamilton depression rating scale (HAMD-17) score], NSSI behavior occurrence[Ottawa self-injury inventory (OSI) score], depression TCM syndrome score, and clinical efficacy were observed. Results The HAMD-17 scores of groups B, C, and D decreased after treatment (P < 0.05), and the HAMD-17 score of group D was lower than that of group A, B, and C after treatment (P < 0.05).The OSI scores of groups B, C, and D decreased after treatment (P < 0.05), and the OSI score of group D was lower than that of group A, B, and C after treatment (P < 0.05).The TCM syndrome scores of depression in groups B, C, and D decreased after treatment (P < 0.05), while the TCM syndrome scores of depression in group D were lower than those in groups A, B, and C after treatment (P < 0.05).The total effective rates of groups A, B, C, and D were 20.00%(8/40), 80.00%(32/40), 77.50%(31/40) and 95.00%(38/40), the overall efficacy rates of Group B, Group C, and Group D were all higher than that of Group A (P < 0.008), with no statistically significant difference observed between Group D and Groups B and C (P>0.008). Conclusion The combination of holographic ear copper needle scraping and ear acupressure has a good therapeutic effect on adolescent depression, which can alleviate patients'depressive symptoms and improve NSSI behavior. -
表 1 4组青少年抑郁症患者治疗前后抑郁症状比较(x±s，分)
Table 1. Comparison of depressive symptoms in four groups of adolescents with depression (x±s, points)
组别 例数 HAMD-17评分 治疗前 治疗后 A组 40 20.55±3.72 19.92±3.68a B组 40 20.58±3.75 11.05±3.09ab C组 40 20.60±3.70 11.14±3.04ab D组 40 20.57±3.77 8.21±2.53b F值 0.002 60.254 P值 0.998 ＜0.001 注：与D组治疗后比较，aP＜0.05；与同组治疗前比较，bP＜0.05。 
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表 2 4组青少年抑郁症患者治疗前后NSSI行为发生情况比较(x±s，分)
Table 2. Comparison of NSSI behavior among four groups of adolescents with depression (x±s, points)
组别 例数 OSI评分 治疗前 治疗后 A组 40 27.71±4.50 27.59±4.51a B组 40 27.73±4.52 20.60±4.13ab C组 40 27.78±4.53 19.98±4.10ab D组 40 27.74±4.57 13.97±3.63b F值 0.003 58.927 P值 0.997 ＜0.001 注：与D组治疗后比较，aP＜0.05；与同组治疗前比较，bP＜0.05。
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表 3 4组青少年抑郁症患者治疗前后抑郁中医证候评分比较(x±s，分)
Table 3. Comparison of depression TCM syndrome scores in four groups of adolescent depression patients (x±s, points)
组别 例数 治疗前 治疗后 A组 40 35.82±6.17 35.24±6.20a B组 40 35.87±6.13 19.10±4.87ab C组 40 35.85±6.11 19.28±4.81ab D组 40 35.89±6.10 11.21±2.34b F值 0.002 76.589 P值 0.998 ＜0.001 注：与D组治疗后比较，aP＜0.05；与同组治疗前比较，bP＜0.05。
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表 4 4组青少年抑郁症患者临床总有效率比较
Table 4. Comparison of clinical efficacy among four groups of adolescents with depression
组别 例数 治愈
(例)显效
(例)有效
(例)无效
(例)总有效
[例(%)]A组 40 0 2 6 32 8(20.00) B组 40 8 12 12 8 32(80.00)a C组 40 7 13 11 9 31(77.50)a D组 40 10 15 13 2 38(95.00)a 注：4组总有效率比较，χ2=60.183，P＜0.001。与A组比较，aP < 0.008；B组与C组比较，P>0.008，差异无统计学意义。
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