疏肝调神针法治疗广泛性焦虑症临床研究

Clinical Study on Shugan Tiaoshen Needling Method for Generalized Anxiety

目的:观察中医疏肝调针法治疗广泛性焦虑症的临床疗效。方法:将广泛性焦虑症患者84例,按随机数字表法分为观察组与对照组各42例,对照组给予西药帕罗西汀治疗,观察组采取针刺疏肝调神针法治疗,疗程结束后评估2组临床疗效。结果:观察组治疗后临床总有效率为90.48%,优于对照组的71.43%,2组比较,差异有统计学意义(P<0.05)。治疗前,2组汉密顿焦虑量表(HAMA)评分、焦虑自评量表(SAS)评分比较,差异无统计学意义(P>0.05)。治疗1周、2周、4周后,2组HAMA、SAS评分较治疗前均不同程度降低(P<0.05),观察组1周、2周、4周后的HAMA、SAS评分均低于对照组(P<0.05)。治疗前,2组生活质量评价量表(SF-36)各维度评分及总分比较,差异无统计学意义(P>0.05);治疗后,2组SF-36各维度评分及总分较治疗前明显上升,观察组上升幅度明显优于对照组(P<0.05)。结论:针对广泛性焦虑症患者采取针刺疏肝调神针法治疗疗效满意,有利于缓解患者焦虑症状,可提高患者生活质量。

Objective:To observe the clinical effect of Shugan Tiaoshen needling method of acupuncture for generalized anxiety.Methods:A total of 84 cases of patients with generalized anxiety were divided into the observation group and the control group according to the random number table method,42 cases in each group.The control group was given western medicine,which was paroxetine.The observation group was given acupuncture of Shugan Tiaoshen needling method.After treatment,the clinical effect was evaluated in the two groups.Results:After treatment,the total clinical effective rate was 90.48%in the observation group,better than that of 71.43%in the control group,the difference being significant(P<0.05).Before treatment,when compared scores of Hamilton Anxiety Scale(HAMA)and Self-rating Anxiety Scale(SAS)between the two groups,there was no significance being found in the difference(P>0.05).After one-week,two-week,and four-week treatment,scores of HAMA and SAS in the two groups were decreased in different degrees when compared with those before treatment(P<0.05),and the two scores in the observation group were lower than those in the control group(P<0.05).Before treatment,when compared the scores of all dimensions in SF-36 and the total score between the two groups,there was no significance being found in the difference(P>0.05).After treatment,the scores of all dimensions in SF-36 and the total score in the two groups were significantly increased,and the increase in the observation group was significantly better than that in the control group(P<0.05).Conclusion:Acupuncture of Shugan Tiaoshen needling method has satisfactory curative effect on generalized anxiety,which conduces to relieving anxiety symptoms and improving quality of life.