头穴丛刺呼吸补泻法治疗广泛性焦虑症临床疗效观察

Clinical Observation of Scalp Cluster Needling with Respiratory Manipulation of Reinforcing and Reducing in the Treatment of Generalized Anxiety Disorder

目的:观察头穴丛刺配合呼吸补泻治疗广泛性焦虑症的临床疗效。方法:将60例广泛性焦虑症患者完全随机分为治疗组和对照组,各30例,治疗组用头穴丛刺配合呼吸补泻治疗,对照组采用常规针刺取穴治疗,两组疗程均为6周。治疗前后采用汉密尔顿焦虑量表(HAMA)、焦虑自评量表(SAS)进行评定,并参照HAMA评定总体疗效。结果:治疗组总有效率为93.4%,显著高于对照组的73.3%(P<0.05);治疗组治疗结束后HAMA评分低于对照组(P<0.01);治疗组治疗结束后SAS评分低于对照组(P<0.05)。结论:头穴丛刺配合呼吸补泻法治疗广泛性焦虑症相对常规针刺疗效更佳。

Objective: To observe the clinical efficacy of scalp cluster needling with respiratory manipulation of reinforcing and reducing in the treatment of generalized anxiety disorder. Methods: 60 patients diagnosed as generalized anxiety disorder were randomized into the treatment group and the control group,with 30 cases in each group. The treatment group was treated with scalp cluster needling with respiratory manipulation; whereas,the control group was only treated with ordinary acupuncture. Scores of HAMA and SAS were evaluated after six weeks of the treatment to assess the total effective rate. Results: The total effective rate of the treatment group was 93. 4%,which was obviously higher than 73. 3% of the control group( P < 0. 05). Scores of HAMA and SAS were significantly lower in the treatment group than those in the control group( P < 0. 05,P < 0. 01). Conclusion: Scalp cluster needling with respiratory manipulation can produce a better therapeutic efficacy than ordinary acupuncture in treating generalized anxiety disorder.