水沟穴治疗广泛性焦虑症疗效观察

Therapeutic Observation of Shuigou(GV26) for Generalized Anxiety Disorder

目的通过观察应用水沟穴和未用水沟穴针刺治疗广泛性焦虑症的疗效差异,扩大水沟穴的应用范围,优化针灸治疗方案。方法将48例广泛性焦虑症患者随机分为治疗组(应用水沟穴组)和对照组(未用水沟穴组),两组均取百会、四神聪、太阳、风池、内关、神门,施捻转提插泻法,治疗组在此基础上加水沟穴,两组均每日治疗1次,4星期为1个疗程,采用HAMA焦虑量表评价两组疗效。结果治疗组愈显率为75.0%(18/24),优于对照组的45.8%(11/24)(P<0.05);两组患者治疗后HAMA评分较治疗前均明显降低(P<0.05);治疗组HAMA评分下降的幅度显著大于对照组(P<0.05)。结论针刺水沟穴能明显提高针灸治疗焦虑症的疗效,说明水沟穴具有抗焦虑作用。

Objective To observe the difference in therapeutic efficacy between acupuncture by using and without using Shuigou（GV26） in treating generalized anxiety disorder, to extend the indications of this acupoint, and to optimize the treatment protocol of acupuncture-moxibustion. Method Forty-eight patients with generalized anxiety disorder were randomized into a treatment group（using Shuigou） and a control group（without using Shuigou）. In addition to acupuncture at Baihui（GV20）, Sishencong（EX-HN1）, Taiyang（EX-HN5）, Fengchi（GB20）, Neiguan（PC6）, and Shenmen（HT7）, all with twirling lifting-thrusting reducing manipulations for both groups, Shuigou was added to the intervention for the treatment group. The treatment was given once daily in the two groups, 4 weeks as a treatment course. Hamilton Anxiety Scale（HAMA） was used to evaluate the therapeutic efficacy of the two groups. Result The recovery-markedly-effective rate was 75.0%（18/24） in the treatment group, significantly higher than 45.8%（11/24） in the control group（P〈0.05）; the HAMA scores dropped significantly in both groups after intervention（P〈0.05）; the decrease of HAMA score was more significant in the treatment group than that in the control group（P〈0.05）. Conclusion Acupuncture at Shuigou can significantly enhance the therapeutic efficacy of acupuncture in treating generalized anxiety disorder, suggesting that Shuigou functions to anti-anxiety.