穴位埋线加西药治疗儿童广泛性焦虑症

Treatment of child extensive anxiety disorder with catgut implantation of point plus western medicine

目的:比较穴位埋线加文拉法辛(博乐欣)与单用文拉法辛的疗效和不良反应。方法:将70例患儿随机分为治疗组和对照组各35例。治疗组选①肝俞、膻中,②大椎、中脘,③肾俞、章门,3组穴位交替埋线,2周1次,3次为一疗程,配合口服文拉法辛。对照组单纯口服文拉法辛。两组均治疗6周,观察两组患者临床疗效及汉密尔顿焦虑量表(HAMD)评分改善情况。结果:治疗组愈显率74·3%,对照组60·0%,两组比较,P<0·05。两组治疗6周HAMD评分均显著低于治疗前。随访结果比较,治疗组远期疗效较巩固,比对照组用药剂量小、副反应少。结论:穴位埋线加小剂量的文拉法辛是儿童广泛性焦虑症的一种较理想的治疗方法。

Objective To compare therapeutic effects and adverse effects between catgut implantation of point plus Wenlafaxin and simple Wenlafaxin on child extensive anxiety disorder. Methods Seventy cases were randomly divided into a treatment group and a control group, 35 cases in each group. The treatment group were treated with catgut implantation of points, once 2 weeks, 3 sessions constituting one course, with the 3 groups of points, （1） Ganshu （BL 18） and Danzhong （CV 17）, （2） Dazhui （CV 14） and Zhongwan （CV 12）, （3） Shenshu （BL 23） and Zhangmen （LR 13） alternated, in combination with oral administration of Wenlafaxin. The control group were treated with simple oral administration of Wenlafaxin. All of them were treated for 6 weeks. Results The cured and markedly effective rate was 74.3% in the treatment group and 60. 0% in the control group, with a significant difference between the two groups （P〈0.05）. After treatment for 6 weeks, the HAMD score was significantly lower than that before treatment in the two groups. The following survey showed that the long-term therapeutic effect in the treatment group was better, with smaller dose and less adverse effects. Conclusion Catgut implantation of point plus small dose of Wenlafaxin is a more ideal therapy for child extensive anxiety disorder.