针刺五俞穴联合常规西药治疗心脏神经官能症临床研究

Clinical Study on Acupuncture at Five Shu Acupoints Combined with Routine Western Medicine for Cardiac Neurosis

目的:观察针刺五俞穴联合常规西药治疗心脏神经官能症的临床疗效。方法:将100例心脏神经官能症患者随机分为针药组与西药组,每组50例。西药组予谷维素、维生素B1、地西泮片及普奈洛尔治疗,针药组采用针刺五俞穴(心俞、肺俞、脾俞、肝俞、肾俞)联合常规西药治疗。2组均以10天为1疗程,共治疗3疗程。治疗后观察2组中医症状的改善情况,比较汉密尔顿焦虑量表(HAMA)及汉密尔顿抑郁量表(HAMD)评分,评估2组临床疗效。结果:治疗后,2组中医症状评分均较治疗前下降(P<0.01),针药组中医症状评分低于西药组(P<0.01)。针药组总有效率88.0%,西药组总有效率74.0%,2组比较,差异有统计学意义(P<0.05)。治疗后,2组HAMA、HAMD评分均较治疗前下降(P<0.01),针药组HAMA、HAMD评分均低于西药组(P<0.01)。结论:针刺五俞穴联合常规西药治疗心脏神经官能症,能有效改善患者的临床症状,减轻焦虑和抑郁程度,提高治疗效果。

Objective：To observe the clinical effect of acupuncture at five Shu acupoints combined with routine western medicine for cardiac neurosis. Methods：Divided 100 cases of patients with cardiac neurosis into the acupuncture-medicine group and the western medicine group randomly, 50 cases in each group. The western medicine group was given oryzanol, vitamin B1, diazepam and propranolol for treatment,while the acupuncture-medicine group received the acupuncture at five shu acupoints（Xinshu,Feishu,Pishu,Ganshu,Shenshu） combined with routine western medicine. The two groups both took 3 courses of treatment in total,10 days as one course. After treatment,observed the improvements of Chinese medicine symptoms in both groups,compared the scores of Hamilton anxiety scale（HAMA） and Hamilton depression scale（HAMD）, and evaluated the clinical effect in both groups. Results： After treatment,the scores of Chinese medicine symptoms in both groups were lower than those before treatment（P〈0.01）,and the scores of Chinese medicine symptoms in the acupuncture-medicine group were lower than those in the western medicine group（P〈0.01）. The total effective rate was 88.0% in the acupuncture-medicine group and 74.0% in the western medicine group,difference being significant（P〈0.05）. After treatment, the scores of HAMA and HAMD in both groups were lower than those before treatment（P〈0.01）, and the scores of HAMA and HAMD in the acupuncture-medicine group were lower than those in the western medicine group（P〈0.01）.Conclusion：Acupuncture at five shu acupoints combined with routine western medicine in treating patients with cardiac neurosis can promote the clinical effect,improve the clinical symptoms and alleviate the degree of anxiety and depression.