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Acupuncture for cervical dystonia associated with anxiety and depression: A case report
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作者 Ya-Ting Zhang Jin-Jing Zhang +4 位作者 Bi-Xiang Zha Yin-Qiu Fan Yuan-Bo Xu Jun Yang Qing-Ping Zhang 《World Journal of Clinical Cases》 SCIE 2024年第1期204-209,共6页
BACKGROUND Cervical dystonia(CD)is a type of muscle tone disorder that usually occurs in the neck muscles.Due to the intermittent or continuous involuntary contraction of the neck muscles,the head and neck are twisted... BACKGROUND Cervical dystonia(CD)is a type of muscle tone disorder that usually occurs in the neck muscles.Due to the intermittent or continuous involuntary contraction of the neck muscles,the head and neck are twisted and skewed and some postural abnormalities occur.Long-term abnormal posture or pain can cause negative emotions in patients,which can affect their quality of life.CASE SUMMARY This case report included a 37-year-old woman who was diagnosed with CD associated with anxiety and depression;the accompanying symptoms were head and neck tilt of approximately 90°to the right and mental abnormality.After two courses of acupuncture treatment,the patient’s head and neck can be maintained in a normal position,and the negative emotions can be relieved.CONCLUSION This case indicates that acupuncture can effectively improve CD and the emotional state and quality of life of patients,making it an effective alternative treatment for the condition. 展开更多
关键词 Cervical dystonia anxiety and depression Neurological disease acupuncture Case report
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Effects of electro-acupuncture on brain tissue norepinephrine contents in a morphine withdrawal anxiety mouse model 被引量:2
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作者 Qizhi Zhou Yuxing Liu Xuguang Liu Jiaolu Wei Yong Tang Junmei Wu Yi Pu 《Neural Regeneration Research》 SCIE CAS CSCD 2008年第4期402-405,共4页
BACKGROUND: Following morphine withdrawal, anxiety is associated with abnormal norepinephrine content change. However, increasing blood lactic acid content can induce anxiety or panic in patients with anxiety disorde... BACKGROUND: Following morphine withdrawal, anxiety is associated with abnormal norepinephrine content change. However, increasing blood lactic acid content can induce anxiety or panic in patients with anxiety disorder or endogenous opioid peptide functional disorder. OBJECTIVE: This study was designed to observe the effects of electro-acupuncture, at the "Sanyinjiao" point (SP 6), on brain tissue norepinephrine and blood lactic acid content in anxiety-model mice after morphine withdrawal. DESIGN: A randomized controlled animal experiment. SETTING: This study was performed in the Laboratory of Acupuncture, Electro-acupuncture & Tuina College, Chengdu University of Traditional Chinese Medicine, from June to September 2001. MATERIALS: A total of 50 healthy Kunming male mice were provided by the Laboratory Animal Center of Chengdu University of Traditional Chinese Medicine. The protocol was performed in accordance with ethical guidelines stated in the Guide for the use and care of laboratory animals, approved by the Committee on the Care and Use of Laboratory Animals of the Institute of Laboratory Animal Resources Commission on Life Sciences, National Research Council, China (1985). Experimental reagents and equipment used were as follows: morphine hydrochloride (Lot No. 930503, Shenyang No.1 Pharmaceutical Factory, China), norepinephrine (Sigma Chemical Company, USA), fluorospectrophotometer (RF-510, Shimadzu Corporation, Japan), Han electro-acupuncture apparatus (WQ 1002, No. zun (91)-227270-588, Beijing Anlong Photoelectricity-Technique Company, China), and T-maze (self-made). METHODS: A total of 50 mice were randomly divided into 5 groups, with 10 mice in each group: blank control, T-maze, model, model + electro-acupuncture, and electro-acupuncture groups. Establishment of anxiety model after morphine withdrawal: the mouse hot plate assay was used to detect the activity of morphine. The median effective dose of morphine, 2.95 mg/kg, was defined as the base. Mice were subcutaneously administered morphine, 3 times a day, for 4 days successively (initially 2.95 mg/kg, then increased day by day, as described below). Interventions: In the model + electro-acupuncture group, after model induction, mice were subjected electro-acupuncture at bilateral "Sanyinjiao" (SP6) points using a Han electro-acupuncture apparatus with sparse-dense waves and frequency of 2-100 Hz, once a day, for 6 days. In the model group, after anxiety-model induction, mice were subjected to fixation as same as model + electro-acupuncture group within 6 days of model induction. In the electro-acupuncture group, the anxiety model was not induced and mice were subjected to fixation, electro-acupuncture and the T-maze test. In the T-maze group, the anxiety model was not induced and mice were subjected to fixation. The T-maze test was performed in the 4 groups after experiment. In the blank control group, the anxiety model was not induced and mice were subjected to fixation only. MAIN OUTCOME MEASURES: Brain tissue norepinephrine content of morphine-withdrawal anxiety mice was detected by fluorospectrophotometry after 6 days of electro-acupuncture. Blood lactic acid content was detected by visible spectrophotometry. RESULTS: A total of 50 mice were included in the final analysis. Brain norepinephrine content was significantly greater in the model group compared to the T-maze, blank control, electro-acupuncture and model + electro-acupuncture groups, (P 〈 0.05-0.01). Brain norepinephrine content was similar between the model + electro-acupuncture and the blank control groups (P 〉 0.05). There was no significant difference in blood lactic acid content among the groups (P 〉 0.05). CONCLUSION: Electro-acupuncture lowers brain norepinephrine content but does not influence peripheral blood lactic acid content in morphine-withdrawn, anxiety-modeled mice. These results demonstrate that anxiety-inhibiting effects of electro-acupuncture, after morphine withdrawal, might be related to regulation of norepinephrine release. 展开更多
关键词 morphine withdrawal anxiety NOREPINEPHRINE lactic acid acupuncture
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Evaluation of Clinical Efficacy of Combined Use of Acupuncture and Medicine in Treating Sleep Disorder in Patients with Anxiety Disorder 被引量:1
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作者 Xiangpu LIU Jingping MU +3 位作者 Xinhua YU Shun ZENG Nannan LIU Xiaohu ZHU 《Medicinal Plant》 CAS 2021年第3期91-93,共3页
[Objectives]To evaluate the clinical efficacy of combined acupuncture and medicine in the treatment of sleep disorders in patients with anxiety disorders.[Methods]A total of 300 anxiety patients with sleep disorders w... [Objectives]To evaluate the clinical efficacy of combined acupuncture and medicine in the treatment of sleep disorders in patients with anxiety disorders.[Methods]A total of 300 anxiety patients with sleep disorders were randomly selected and divided into a research group and a control group,with 150 cases in each group.The control group was administered with western medicine,and the research group was treated with acupuncture and medicine to compare their clinical treatment effects.[Results]The total effective rate of treatment in the research group was significantly higher than that in the control group;after treatment,both the PSQI and SAS scores of the two groups were significantly reduced,and the reduction degree of the research group was higher than that of the control group,the difference was statistically significant(P<0.05).[Conclusions]Combined use of acupuncture and medicine to treat sleep disorders in patients with anxiety disorders has better curative effect and fewer adverse reactions,so it has high clinical application value. 展开更多
关键词 Combined use of acupuncture and medicine anxiety disorder Sleep disorder
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Acupuncture Treatment for 157 Cases of Anxiety Neurosis
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作者 张洪 曾征 +1 位作者 邓鸿 王友京 《Journal of Traditional Chinese Medicine》 SCIE CAS CSCD 2003年第1期55-56,共2页
Anxiety neurosis, a mental disorder characterized mainly by extensive anxiety or paroxysmal panic, is often seen in females in their 40s.
关键词 acupuncture Points acupuncture Therapy ADOLESCENT Adult Aged anxiety Disorders Drugs Chinese Herbal Female Humans INJECTIONS Male Middle Aged PHYTOTHERAPY
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ACUPUNCTURE COMBINED WITH INHALATION OF OXYGEN FOR TREATMENT OF 60 CASES OF EXTENSIVE ANXIETY
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作者 都弘 《World Journal of Acupuncture-Moxibustion》 2005年第4期40-41,共2页
Objective: To observe the therapeutic effects and adverse effects of "channel-oxygen therapy" for extensive anxiety. Methods: Sixty cases of extensive anxiety patients were treated with "channel-oxygen ... Objective: To observe the therapeutic effects and adverse effects of "channel-oxygen therapy" for extensive anxiety. Methods: Sixty cases of extensive anxiety patients were treated with "channel-oxygen therapy" once daily and continuously for 4 weeks. Neiguan(内关PC 6) and Zusanli(足三里ST 36) were needled in combination with nasal inhalation of oxygen, 30 min each session. The therapeutic effects were assessed by Hamilton Anxiety Scale (HAMA) and the adverse effects by Treatment Emergent Symptom Scale (TESS). Results: Of the 60 cases, 35 were cured, 13 improved and 12 were ineffective, with the effective rate being 80.0% and the cured rate 58.3%. No evident adverse effects were found. Conclusion: The "channel-oxygen therapy" is safe and effective for extensive anxiety. 展开更多
关键词 Extensive anxiety acupuncture “Channel-oxygen therapy”
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Acupuncture/electroacupuncture enhances antidepressant effect of Seroxat:the Symptom Checklist-90 scores 被引量:5
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作者 Junqi Chen Weirong Lin +6 位作者 Shengxu Wang Chongqi Wang Ganlong Li Shanshan Qu Yong Huang Zhangjin Zhang Wei Xiao 《Neural Regeneration Research》 SCIE CAS CSCD 2014年第2期213-222,共10页
One hundred and five patients with primary unipolar depression were randomly divided into three groups: drug group (Seroxat administration), acupuncture group (Seroxat plus acupunc- ture), and electroacupuncture ... One hundred and five patients with primary unipolar depression were randomly divided into three groups: drug group (Seroxat administration), acupuncture group (Seroxat plus acupunc- ture), and electroacupuncture group (Seroxat plus acupuncture plus electroacupuncture). Patients' symptoms were evaluated using a psychometric questionnaire, the Symptom Check- list-90, before intervention and after 2, 4, 6 and 10 weeks of treatment. The individual factor scores and the total score from the Symptom Checldist-90 reduced in all three groups as treat- ment progressed. In the acupuncture and electroacupuncture groups, the total score and the factor scores for obsessive-compulsive symptoms, depression, and anxiety were significantly lower than those in the drug group. There was no significant difference in the factor scores or total scores between the acupuncture and electroacupuncture groups. Some factor scores in the electroacupuncture group, such as somatization, depression, hostility, and phobic anxiety, were increased at 10 weeks compared with the respective score immediately after the course of electroacupuncture at 6 weeks. Our findings indicate that administration of Seroxat alone or in combination with acupuncture/electroacupuncture can produce a significant effect in patients with primary unipolar depression. Furthermore, acupuncture/electroacupuncture has a rapid onset of therapeutic effect and produces a noticeable improvement in obsessive-compulsive, de- pressive and anxiety symptoms. 展开更多
关键词 nerve regeneration acupuncture and moxibustion ELECTROacupuncture selective sero-tonin reuptake inhibitor SEROXAT primary unipolar depression Symptom Checklist-90 anxiety NSFC grant neural regeneration
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Use of specific acupuncture techniques in lingering nummular eczema:A case report 被引量:1
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作者 Junxiang Wang Liangxiao Ma +1 位作者 Mohammad Reza Afshari Fard Ali Mohammadi 《Journal of Traditional Chinese Medical Sciences》 2021年第2期166-170,共5页
Background:Nummular eczema(NE)is an inflammatory skin disease characterized by pruritic coinshaped lesions and a long-lasting and easy-relapsing course,which severely decreases patients’quality of life.This case was ... Background:Nummular eczema(NE)is an inflammatory skin disease characterized by pruritic coinshaped lesions and a long-lasting and easy-relapsing course,which severely decreases patients’quality of life.This case was designed to observe the effects of specific acupuncture techniques on pruritic NE management.Case presentation:A 22-year-old female was first diagnosed with pruritic NE three years earlier.No allergies were found in the patch test;while emotional stress would trigger and aggravate the NE.External application of 0.1%tacrolimus failed to reverse this condition over a long period of treatment.Treatment&outcomes:An individualized acupuncture treatment protocol was identified.Half needling and encircling needling were applied at local eczematous lesions,with routine needling at meridian points,once per week,for 12 treatment sessions.All outcome measures,including the Eczema Area and Severity Index,Visual Analogue Scale score for pruritus,Self-Rating Anxiety Score,and Dermatology Quality Life Index,substantially improved over 6 months from pre-treatment to 3 months posttreatment.Conclusion:Acupuncture might be a promising non-pharmacological treatment method for patients with NE,especially for those with emotional stress.A randomized controlled trial with an adequate sample size and rigorous study design is required to verify the results of the study. 展开更多
关键词 Nummular eczema PRURITUS anxiety acupuncture techniques Half needling(Banci) Encircling needling(Weici)
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针刺联合安神定志汤加减治疗失眠心胆气虚证临床研究 被引量:1
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作者 徐欢欢 黎斌 +2 位作者 陈克龙 张妤婷 陈凌 《新中医》 CAS 2024年第3期155-159,共5页
目的:观察针刺联合安神定志汤加减治疗失眠心胆气虚证的临床疗效。方法:采用随机数字表法将94例失眠心胆气虚证患者分为观察组、对照组各47例。对照组给予安神定志汤加减治疗,观察组在对照组基础上配合针刺治疗,2组连续治疗4周。比较2... 目的:观察针刺联合安神定志汤加减治疗失眠心胆气虚证的临床疗效。方法:采用随机数字表法将94例失眠心胆气虚证患者分为观察组、对照组各47例。对照组给予安神定志汤加减治疗,观察组在对照组基础上配合针刺治疗,2组连续治疗4周。比较2组治疗前后中医证候积分、睡眠质量;比较2组治疗前后焦虑、抑郁评分及神经递质水平,并评估2组临床疗效及治疗安全性。结果:观察组总有效率91.49%,高于对照组76.60%(P<0.05)。治疗后,2组匹兹堡睡眠质量指数(PSQI)评分、睡眠状况自评量表(SRSS)评分、焦虑自评量表(SAS)评分、抑郁自评量表(SDS)评分、中医证候积分及多巴胺(DA)水平均较治疗前降低(P<0.05),5-羟色胺(5-HT)水平升高(P<0.05);观察组治疗后PSQI评分、SRSS评分、SAS评分、SDS评分、中医证候积分及DA水平低于对照组(P<0.05),5-HT水平高于对照组(P<0.05)。2组均未发生严重不良反应。结论:针刺联合安神定志汤加减治疗失眠心胆气虚证效果显著,能改善患者睡眠质量,缓解焦虑、抑郁等负面情绪,平衡神经递质水平,安全性较高。 展开更多
关键词 失眠 心胆气虚 针刺 安神定志汤 焦虑 抑郁 神经递质
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腹针导气法联合奥美拉唑治疗咽喉反流性疾病的疗效观察及对焦虑抑郁状态的影响
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作者 张艳艳 熊高云 +2 位作者 戈言平 谢晓兴 林炜 《上海针灸杂志》 CSCD 2024年第8期855-859,共5页
目的观察腹针导气法联合奥美拉唑治疗肝胃不和型咽喉反流性疾病的临床疗效及对患者焦虑抑郁状态的影响。方法选取90例肝胃不和型咽喉反流性疾病患者作为研究对象,分为观察组和对照组,每组45例。两组均予以口服奥美拉唑肠溶胶囊治疗,观... 目的观察腹针导气法联合奥美拉唑治疗肝胃不和型咽喉反流性疾病的临床疗效及对患者焦虑抑郁状态的影响。方法选取90例肝胃不和型咽喉反流性疾病患者作为研究对象,分为观察组和对照组,每组45例。两组均予以口服奥美拉唑肠溶胶囊治疗,观察组另予腹针导气法治疗。比较两组临床疗效,观察两组治疗前后反流症状指数(reflux symptom index,RSI)评分、反流体征评分(reflux finding score,RFS)和医院焦虑抑郁量表(hospital anxiety and depression scale,HADS)评分的变化,比较两组不良反应发生情况。结果观察组总有效率高于对照组,差异具有统计学意义(P<0.05)。治疗后,两组RSI和RFS各单项评分及HADS评分均较治疗前降低(P<0.05),且观察组上述各项评分均低于对照组(P<0.05)。两组均未见明显不良反应事件。结论腹针导气法联合奥美拉唑治疗肝胃不和型咽喉反流性疾病的疗效优于单一奥美拉唑治疗,可促进患者症状与体征恢复,改善焦虑抑郁情绪。 展开更多
关键词 针刺疗法 腹针 针药并用 咽喉反流性疾病 焦虑 抑郁
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针刺联合生物反馈治疗中风后便秘的疗效观察及对胃肠激素的影响
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作者 王慈 周丽芳 +2 位作者 万文婷 丁邦友 张广渊 《上海针灸杂志》 CSCD 2024年第11期1229-1233,共5页
目的观察“调枢通腑”针刺联合生物反馈治疗中风后便秘的临床疗效及对胃肠激素的影响。方法将120例中风后便秘患者随机分为对照组和联合组,每组60例。对照组采用常规生物反馈治疗法,联合组在对照组基础上采用“调枢通腑”针刺治疗。比... 目的观察“调枢通腑”针刺联合生物反馈治疗中风后便秘的临床疗效及对胃肠激素的影响。方法将120例中风后便秘患者随机分为对照组和联合组,每组60例。对照组采用常规生物反馈治疗法,联合组在对照组基础上采用“调枢通腑”针刺治疗。比较两组治疗前后血清胃动素(motilin,MTL)、血管活性肠肽(vasoactive intestinal polypeptide,VIP)和神经降压素(neurotensin,NT)水平,比较两组治疗前后Bristol粪便性状、便秘患者症状自评量表(patient assessment of constipation symptoms,PAC-SYM)、焦虑自评量表(self-rating anxiety scale,SAS)和抑郁自评量表(self-rating depression scale,SDS)评分,并比较两组临床疗效。结果联合组总有效率(91.7%)明显高于对照组(76.7%)(P<0.05)。治疗后,两组Bristol粪便性状评分均降低(P<0.05),且联合组低于对照组(P<0.05)。治疗后,两组血清MTL、VIP、NT水平均改善(P<0.05);且联合组血清MTL水平明显高于对照组(P<0.05),血清VIP、NT水平低于对照组(P<0.05)。治疗后,两组PAC-SYM评分均降低(P<0.05),且联合组低于对照组(P<0.05)。治疗后,两组SAS与SDS评分均降低(P<0.05),且联合组低于对照组(P<0.05)。结论“调枢通腑”针刺联合生物反馈治疗对中风后便秘患者临床疗效确切,有助于优化大便性状,降低PAC-SYM评分,改善负性心态。 展开更多
关键词 针刺疗法 中风 便秘 胃肠激素 便秘患者症状自评量表 焦虑 抑郁
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针刺治疗广泛性焦虑障碍疗效和安全性的Meta分析
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作者 杨茜 张捷 +3 位作者 肖萱 刘元媛 满增琪 张涛 《中国现代医生》 2024年第14期37-45,共9页
目的应用Meta分析评价针刺治疗广泛性焦虑障碍临床疗效及安全性。方法检索自建库至2022年5月1日的中英文数据库中关于针刺治疗广泛性焦虑障碍的随机对照试验,进行筛选、纳入及文献风险评估。应用Stata 16、Review Manager 5.4软件对不... 目的应用Meta分析评价针刺治疗广泛性焦虑障碍临床疗效及安全性。方法检索自建库至2022年5月1日的中英文数据库中关于针刺治疗广泛性焦虑障碍的随机对照试验,进行筛选、纳入及文献风险评估。应用Stata 16、Review Manager 5.4软件对不同结局指标和(或)干预措施进行Meta分析及亚组分析。结果最终纳入20篇随机对照试验文献,包含病例数1661例,4种干预措施(针刺+电针、针刺、电针、西药)。Meta分析结果提示采用随机效应模型,针刺组对比西药组治疗在汉密尔顿焦虑量表(Hamiltonanxiety scale,HAMA)、焦虑自评量表(self-ratinganxiety scale,SAS)评分差异均有统计学意义(P<0.05)。亚组分析结果显示:针刺组较阿普唑仑在HAMA评分差异有统计学意义;针刺组较单纯帕罗西汀、丁螺环酮、氯羟去甲安定/谷维素/心得安在SAS评分差异有统计学意义。在不良反应量表评定上,针刺(包括电针)组较西药组差异有统计学意义(P<0.01)。结论针刺(包括电针)可以有效改善焦虑情绪及症状,疗效不亚于西药,且具有不良反应少、安全性较高等优势。但纳入文献的数量不足、质量不高,仍需多中心、大样本、高质量的随机对照研究进一步印证以上结论。 展开更多
关键词 广泛性焦虑障碍 META分析 针刺 电针 系统评价
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辨体辨病辨证模式指导下针刺与普通针刺联合文拉法辛治疗首发广泛性焦虑障碍的效果研究
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作者 刘海凤 乔德峰 +6 位作者 赵刘乐 焦建玮 杨鑫蕊 眭朝平 谷丛欣 王彦辉 张石勋 《临床误诊误治》 CAS 2024年第17期74-78,共5页
目的探讨辨体辨病辨证模式指导下针刺与普通针刺联合文拉法辛治疗首发广泛性焦虑障碍(GAD)的效果。方法纳入2021年1月至2024年1月收治150例GAD,采用随机数字表法分为观察组75例和对照组75例,观察组给予辨体辨病辨证模式指导下针刺联合... 目的探讨辨体辨病辨证模式指导下针刺与普通针刺联合文拉法辛治疗首发广泛性焦虑障碍(GAD)的效果。方法纳入2021年1月至2024年1月收治150例GAD,采用随机数字表法分为观察组75例和对照组75例,观察组给予辨体辨病辨证模式指导下针刺联合文拉法辛治疗,对照组给予普通针刺联合文拉法辛治疗,治疗时间均为8周。治疗结束后进行疗效评价,比较2组治疗前、治疗4周后和治疗8周后汉密尔顿焦虑量表(HAMA)与焦虑自评量表(SAS)评分,比较2组治疗前、治疗8周后血清5-羟色胺、去甲肾上腺素(NE)和多巴胺水平,并记录文拉法辛治疗期间2组不良反应情况。结果治疗后,观察组总有效率为93.33%高于对照组的80.00%(P<0.05)。治疗4、8周后2组HAMA评分、SAS评分均较治疗前降低,且治疗8周后比治疗4周后低(P<0.05);观察组治疗4周后、治疗8周后HAMA评分、SAS评分均低于对照组(P<0.01)。治疗8周后2组5-羟色胺、NE和多巴胺水平均较治疗前降低,且观察组低于对照组(P<0.05,P<0.01)。2组文拉法辛治疗期间不良反应比较差异无统计学意义(P>0.05)。结论辨体辨病辨证模式指导下针刺联合文拉法辛治疗首发GAD效果确切,可以改善患者焦虑症状及中枢神经递质水平。 展开更多
关键词 广泛性焦虑障碍 首发 辨体辨病辨证模式 针刺 文拉法辛 5-羟色胺 去甲肾上腺素 多巴胺
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基于“调神”理论针刺治疗慢性疲劳综合征的临床疗效及对外周血辅助性T细胞1/辅助性T细胞2平衡的影响
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作者 万敏 周林 《河北中医》 2024年第2期283-286,291,共5页
目的观察基于“调神”理论指导的针刺治疗慢性疲劳综合征(CFS)患者的疗效及对外周血辅助性T细胞1(Th1)/Th2平衡的影响。方法将90例CFS患者按照随机数字表法分为2组,对照组45例予常规针刺法进行治疗,治疗组45例采用基于“调神”理论指导... 目的观察基于“调神”理论指导的针刺治疗慢性疲劳综合征(CFS)患者的疗效及对外周血辅助性T细胞1(Th1)/Th2平衡的影响。方法将90例CFS患者按照随机数字表法分为2组,对照组45例予常规针刺法进行治疗,治疗组45例采用基于“调神”理论指导的针刺法治疗。2组均治疗4周。比较2组治疗前后疲劳量表-14(FS-14)、疲劳评定量表(FAI)、汉密尔顿焦虑量表(HAMA)评分及血清干扰素γ(IFN-γ)、白细胞介素4(IL-4)水平,并统计2组总有效率。结果治疗组总有效率93.33%(42/45),对照组总有效率77.78%(35/45),治疗组临床疗效优于对照组(P<0.05)。2组治疗后FS-14躯体疲劳评分、脑力疲劳评分及总分均较本组治疗前降低(P<0.05),且治疗组治疗后均低于对照组(P<0.05)。2组治疗后FAI、HAMA评分均较本组治疗前降低(P<0.05),且治疗组治疗后均低于对照组(P<0.05)。2组治疗后血清IFN-γ水平及IFN-γ/IL-4均较本组治疗前升高(P<0.05),且治疗组治疗后均高于对照组(P<0.05),2组治疗后IL-4水平均降低(P<0.05),且治疗组治疗后低于对照组(P<0.05)。结论基于“调神”理论指导的针刺治疗CFS患者疗效显著,能够改善患者疲劳、焦虑状态,促进Th1/Th2平衡。 展开更多
关键词 慢性疲劳综合征 针刺疗法 调神法 焦虑
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柴胡疏肝散合半夏厚朴汤联合五行针灸对脑卒中后焦虑抑郁的神经调控作用及对免疫炎症反应、认知功能损害和HPG、HPT的影响
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作者 王珊珊 薛秀娟 +5 位作者 王文刚 相希 赵鑫 王亚静 陈爱霞 董文静 《中国医院用药评价与分析》 2024年第3期303-307,共5页
目的:观察柴胡疏肝散合半夏厚朴汤联合五行针灸对脑卒中后焦虑抑郁患者的神经调控作用及对免疫炎症反应、认知功能损害和下丘脑-垂体-性腺轴(HPG)、下丘脑-垂体-甲状腺轴(HPT)的影响。方法:选择2021年3月至2023年5月于该院治疗的脑卒中... 目的:观察柴胡疏肝散合半夏厚朴汤联合五行针灸对脑卒中后焦虑抑郁患者的神经调控作用及对免疫炎症反应、认知功能损害和下丘脑-垂体-性腺轴(HPG)、下丘脑-垂体-甲状腺轴(HPT)的影响。方法:选择2021年3月至2023年5月于该院治疗的脑卒中后焦虑抑郁患者102例,根据随机数字表法分组,其中五行针灸组51例(脱落2例,最终纳入49例),方剂联合组51例(脱落2例,最终纳入49例)。两组患者同时给予常规西医基础治疗,五行针灸组患者在常规西医基础治疗的基础上给予五行针灸治疗,方剂联合组患者在五行针灸组的基础上给予柴胡疏肝散合半夏厚朴汤治疗。观察两组患者的临床疗效,比较患者治疗前后的中医证候评分、简易精神状态量表(MMSE)评分、广泛性焦虑障碍量表(GAD-7)评分、汉密顿抑郁量表(HAMD)评分和简明幸福与生活质量满意度问卷(Q-LES-Q-SF)评分,检测患者治疗前后血清神经生长因子(NGF)、白细胞介素1β(IL-1β)、胶质纤维酸性蛋白(GFAP)、白细胞介素17a(IL-17a)、促甲状腺激素(TSH)、5-羟色胺(5-HT)和雌二醇(E2)水平。结果:方剂联合组患者的总有效率为97.96%(48/49),高于五行针灸组的81.63%(40/49),差异有统计学意义(P<0.05)。治疗后,方剂联合组患者精神焦虑抑郁、脘痞、胸胁作胀、善太息和嗳气频作等中医证候评分较五行针灸组降低,HAMD、GAD-7评分较五行针灸组降低,MMSE、Q-LES-Q-SF评分较五行针灸组升高,差异均有统计学意义(P<0.05)。治疗后,方剂联合组患者的IL-1β、IL-17a和GFAP水平较五行针灸组降低,NGF水平较五行针灸组升高,5-HT、E2和TSH水平较五行针灸组升高,差异均有统计学意义(P<0.05)。结论:柴胡疏肝散合半夏厚朴汤联合五行针灸治疗脑卒中后焦虑抑郁患者,可减少免疫炎症反应,减少神经及认知功能损害,调节HPG、HPT,改善焦虑及抑郁情绪,缓解病情,提高生活质量及临床疗效。 展开更多
关键词 柴胡疏肝散合半夏厚朴汤 五行针灸 脑卒中后焦虑抑郁 免疫炎症反应 下丘脑-垂体-性腺轴 下丘脑-垂体-甲状腺轴
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微砭耳针联合A型肉毒毒素治疗伴焦虑抑郁症的特发性眼睑痉挛的疗效观察
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作者 杨雪艳 张学颖 《中国中医眼科杂志》 2024年第10期936-941,共6页
目的观察微砭耳针联合A型肉毒毒素(BTX-A)治疗特发性眼睑痉挛(BEB合并焦虑抑郁的临床疗效。方法纳入2021年12月—2022年12月佛山市中医院眼科和神经内科门诊诊治的BEB合并焦虑抑郁的患者63例(126只眼)。采用随机数字表法分为肉毒素组、... 目的观察微砭耳针联合A型肉毒毒素(BTX-A)治疗特发性眼睑痉挛(BEB合并焦虑抑郁的临床疗效。方法纳入2021年12月—2022年12月佛山市中医院眼科和神经内科门诊诊治的BEB合并焦虑抑郁的患者63例(126只眼)。采用随机数字表法分为肉毒素组、耳针组和联合组,每组21例(42只眼),依次予BTX-A、微砭耳针、微砭耳针联合BTX-A治疗。3组均观察6个月。记录3组患者的起效时间和疗效持续时间,治疗前后分别检测患者的焦虑自评量表(SAS)和抑郁自评量表(SDS)得分,记录数据进行统计分析。结果(1)BEB的起效时间及疗效持续时间:3组起效时间比较,差异有统计学意义(F=5.058,P=0.012)。与耳针组比较,肉毒素组、联合组起效时间均提前,差异均有统计学意义(t肉毒素=3.193,P=0.003;t联合组=3.835,P=0.000)。联合组与肉毒素组起效时间比较,差异无统计学意义(P>0.05)。3组疗效持续时间比较,差异有统计学意义(F=29.079,P=0.000)。与耳针组比较,肉毒素组和联合组疗效持续时间均延长,差异均有统计学意义(t_(肉毒素)=4.391、t_(联合组)=7.729,均P=0.000)。与肉毒素组比较,联合组疗效持续时间延长,差异有统计学意义(t=2.638,P=0.012)。(2)SDS评分:3组治疗后SDS评分均较治疗前降低,差异均有统计学意义(t_(耳针组)=4.498、t_(肉毒素组)=5.758、t_(联合组)=11.489,均P=0.000)。治疗后3组间比较,差异有统计学意义(F=5.343,P=0.007)。联合组SDS评分低于耳针组和肉毒素组,差异均有统计学意义(t_(耳针组)=3.284,P=0.002;t_(肉毒素组)=2.253,P=0.030),肉毒素组和耳针组SDS评分比较,差异无统计学意义(P>0.05)。(3)SAS评分:3组治疗后SAS评分均较治疗前降低,差异均有统计学意义(t_(耳针组)=4.603、t_(肉毒素组)=7.617、t_(联合组)=10.585,均P=0.000)。治疗后3组间比较,差异有统计学意义(F=14.845,P=0.000)。肉毒素组和联合组治疗后SAS评分均低于耳针组,差异均有统计学意义(t_(肉毒素组)=2.351,P=0.024;t_(联合组)=5.446,P=0.000)。联合组治疗后SAS评分低于肉毒素组,差异有统计学意义(t=3.070,P=0.004)。(4)BEB临床疗效:耳针组、肉毒素组、联合组的总有效率依次为66.7%、76.2%和95.2%,3组总有效率比较,差异有统计学意义(χ^(2)=10.855,P=0.004)。肉毒素组总有效率与耳针组比较,差异无统计学意义(P>0.05),联合组总有效率高于耳针组和肉毒素组,差异有统计学意义(χ_(耳针组)^(2)=11.118,P=0.001;χ_(肉毒素组)^(2)=6.222,P=0.013)。(5)不良反应发生率:3组不良反应率比较,差异无统计学意义(P>0.05)。结论微砭耳针联合BTX-A注射治疗BEB起效快,疗效维持时间长,不良反应少,并能明显改善抑郁焦虑症状,值得临床推广。 展开更多
关键词 特发性眼睑痉挛 A型肉毒毒素 眼轮匝肌 微砭耳针 焦虑抑郁
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玉屏风散加减颗粒联合分时间针刺治疗体外受精-胚胎移植反复移植失败的临床研究 被引量:1
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作者 陈艳花 董煜 +4 位作者 张雪洛 张一帆 张四平 范俊梅 武学清 《中华中医药学刊》 CAS 北大核心 2024年第5期182-185,共4页
目的分析玉屏风散加减颗粒联合分时间针刺治疗体外受精-胚胎移植(in vitro fertilization-embryo transfer,IVF-ET)胚胎植入前遗传学筛查(Pre-implantation Genetic Screening,PGS)反复失败(recurrent implantation failure,RIF)患者的... 目的分析玉屏风散加减颗粒联合分时间针刺治疗体外受精-胚胎移植(in vitro fertilization-embryo transfer,IVF-ET)胚胎植入前遗传学筛查(Pre-implantation Genetic Screening,PGS)反复失败(recurrent implantation failure,RIF)患者的临床治疗价值。方法选取2020年1月—2022年1月就诊于医院的RIF患者173例,采用随机数表法分为对照组(常规治疗)41例,观察组1(玉屏风散+常规治疗组)37例,观察组2(分时间针刺+常规治疗组)44例,观察组3(玉屏风散+分时间针刺+常规治疗)51例。对各组患者治疗前后子宫内膜容受性[子宫内膜厚度、血管化血流指数(vascu⁃larization-flow index,VFI)、血管化指数(vascularization index,VI)及血流指数(flow index,FI)]、汉密尔顿焦虑评量表-焦虑自评量表(Hamilton Anxiety Scale-Self-Rating Anxiety Scale,HAMA-SAS)评分及汉密尔顿抑郁量表(Hamilton de⁃pression scale,HAMD)评分和治疗后生化妊娠率、临床妊娠率、早期流产率、异位妊娠率及活产率结果进行分析。结果治疗后观察组3子宫内膜厚度、VFI、VI及FI高于对照组(P<0.05);各观察组HAMA-SAS及HAMD评分均低于对照组(P<0.05);观察组3生化妊娠率及临床妊娠率高于对照组,且各观察组产活率均高于对照组(P<0.05),但各观察组早期流产率与异位妊娠率与对照组相比差异无统计学意义(P>0.05)。结论玉屏风散加减颗粒联合分时间针刺治疗能显著提高RIF患者生化妊娠率、临床妊娠率及产活率,其作用机理可能是改善内膜厚度,增加子宫血流动力学参数,促进内膜生长,提高子宫内膜容受性且减低患者移植失败的焦虑抑郁情绪,调节舒畅情志,从而改善RIF患者妊娠结局。 展开更多
关键词 反复移植失败 玉屏风散 针灸 子宫内膜容受性 焦虑 抑郁
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矩阵针灸对颈肩肌筋膜炎患者疼痛、焦虑及抑郁评分的影响 被引量:1
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作者 王锋 王立平 金钰钧 《西部中医药》 2024年第1期28-30,共3页
目的:观察矩阵针灸对颈肩肌筋膜炎患者疼痛、焦虑、抑郁评分的影响。方法:将70例颈肩肌筋膜炎患者随机分为矩阵针刺组和常规针刺组,各35例,两组患者按规定方法针刺后留针40 min,共治疗10次。于针刺第0、2、4、8周分别评价患者视觉模拟评... 目的:观察矩阵针灸对颈肩肌筋膜炎患者疼痛、焦虑、抑郁评分的影响。方法:将70例颈肩肌筋膜炎患者随机分为矩阵针刺组和常规针刺组,各35例,两组患者按规定方法针刺后留针40 min,共治疗10次。于针刺第0、2、4、8周分别评价患者视觉模拟评分(visual analogue scale,VAS)、弥漫性疼痛指数(widespread pain index,WPI)及中文版贝克焦虑量表(Beck anxiety inventory,BAI)和中文版贝克抑郁量表(Beck depression inventory,BDI)评分。结果:治疗2周后,矩阵针刺组WPI和BAI评分较常规针刺组改善明显(P<0.05),治疗4周后,矩阵针刺组BDI评分较常规针刺组改善明显(P<0.05)。结论:矩阵针灸能有效改善颈肩肌筋膜炎患者疼痛、焦虑和抑郁症状。 展开更多
关键词 颈肩肌筋膜炎 疼痛 焦虑 抑郁 矩阵针灸
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疏肝调神针法联合耳穴揿针在腰椎间盘术前焦虑患者情绪与睡眠改善中的应用
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作者 袁佩雯 阮波 +1 位作者 李秀兰 罗树雄 《天津中医药》 CAS 2024年第10期1241-1245,共5页
[目的]探讨疏肝调神针法联合耳穴揿针对腰椎间盘突出症术前焦虑患者不良情绪以及睡眠状态的影响。[方法]选择2022年1月—2024年1月广州中医药大学东莞医院收治的120例拟行择期手术治疗的腰椎间盘突出症患者,随机数字表法将患者分为两组... [目的]探讨疏肝调神针法联合耳穴揿针对腰椎间盘突出症术前焦虑患者不良情绪以及睡眠状态的影响。[方法]选择2022年1月—2024年1月广州中医药大学东莞医院收治的120例拟行择期手术治疗的腰椎间盘突出症患者,随机数字表法将患者分为两组。对照组(60例)术前采用疏肝调神针法治疗,观察组(60例)术前采用疏肝调神针法联合耳穴揿针治疗。观察两组焦虑状态、睡眠质量以及神经递质、神经内分泌指标。[结果]两组治疗后焦虑自评量表(SAS)、汉密尔顿焦虑量表(HAMA)、术前焦虑量表(PAS-7)、匹兹堡睡眠质量指数量表(PSQI)评分,血清促肾上腺皮质激素(ACTH)、皮质醇(CORT)、去甲肾上腺素(NE)水平较治疗前降低(P<0.05),血清5-羟色胺(5-HT)、5-羟基吲哚乙酸(5-HIAA)、γ-氨基丁酸(GABA)水平较治疗前增高(P<0.05)。观察组治疗后SAS、HAMA、PAS-7、PSQI评分,血清ACTH、CORT、NE水平低于对照组(P<0.05),血清5-HT、5-HIAA、GABA水平高于对照组(P<0.05)。[结论]疏肝调神针法联合耳穴揿针可有效调节神经内分泌功能和神经递质平衡,缓解腰椎间盘突出症患者焦虑程度,改善睡眠质量。 展开更多
关键词 腰椎间盘突出症 疏肝调神针法 耳穴揿针 术前焦虑 睡眠状态 神经内分泌 神经递质
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电针干预对慢性睡眠剥夺大鼠伏隔核ANXA1、IL-1β表达的影响
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作者 康晓娜 沈巍 +4 位作者 黄禄宇 冉彬艳 吴琼 李佳欣 孙曌 《针灸临床杂志》 2024年第5期75-81,共7页
目的:观察电针对慢性睡眠剥夺(CSD)大鼠伏隔核(NAc)膜联蛋白A1(ANXA1)、白细胞介素1β(IL-1β)炎症因子的调节作用,分析电针改善睡眠及焦虑样行为的可能机制。方法:48只雄性SD大鼠随机分为空白组、模型组、电针组与假针刺组4组,每组12... 目的:观察电针对慢性睡眠剥夺(CSD)大鼠伏隔核(NAc)膜联蛋白A1(ANXA1)、白细胞介素1β(IL-1β)炎症因子的调节作用,分析电针改善睡眠及焦虑样行为的可能机制。方法:48只雄性SD大鼠随机分为空白组、模型组、电针组与假针刺组4组,每组12只。采用改良多平台水环境法(MMPM)建立CSD大鼠模型。电针组选用单日“百会”“神门”和双日双侧“内关”“太冲”电针干预21 d。实验过程中观察大鼠一般情况及体质量变化;旷场实验观察大鼠自主活动能力,评价焦虑程度;实时荧光定量PCR检测大鼠NAc脑区ANXA1、IL-1βmRNA表达水平,蛋白免疫印记(WB)检测NAc中ANXA1、IL-1β蛋白表达水平。结果:21 d造模后,与空白组比较,其余3组大鼠毛发干枯无光泽,体质量增长缓慢(P<0.01);大鼠在旷场中运动总距离及平均速度增加(P<0.05或P<0.01)、中央区停留时间减少(P<0.01)。21 d干预后,与同时段空白组比较,模型组大鼠体质量依旧增长缓慢(P<0.01),旷场实验中大鼠运动总距离及平均速度增加(P<0.01)、中央区停留时间减少(P<0.05),IL-1βmRNA和蛋白表达水平均明显降低(P<0.01)、ANXA1升高(P<0.01);与模型组比较,电针组大鼠体质量开始逐渐上升(P<0.01),精神状态良好,大鼠运动总距离、平均速度降低(P<0.05或P<0.01),中央区停留时间增加(P<0.05),IL-1β在mRNA和蛋白表达水平上均显著升高、ANXA1明显降低(P<0.01);假针刺组与模型组比较,差异均无统计学意义(P>0.05)。结论:电针可有效改善CSD大鼠睡眠及焦虑状态,其机制可能与升高CSD大鼠NAc脑区IL-1β、降低ANXA1炎症因子的表达有关。 展开更多
关键词 电针 慢性睡眠剥夺 焦虑 伏隔核 炎症因子
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温胆汤联合针刺治疗乳腺癌术后焦虑抑郁临床研究 被引量:2
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作者 郑美媛 梁军霞 唐贺利 《山东中医杂志》 2024年第2期139-144,共6页
目的:观察温胆汤联合针刺治疗乳腺癌术后焦虑抑郁的临床疗效。方法:选取乳腺癌术后焦虑抑郁患者130例,采用信封法随机分为对照组(32例)、针刺组(31例)、温胆汤组(35例)和联合组(32例)。各组均给予常规西药治疗,针刺组在此基础上给予针... 目的:观察温胆汤联合针刺治疗乳腺癌术后焦虑抑郁的临床疗效。方法:选取乳腺癌术后焦虑抑郁患者130例,采用信封法随机分为对照组(32例)、针刺组(31例)、温胆汤组(35例)和联合组(32例)。各组均给予常规西药治疗,针刺组在此基础上给予针刺治疗,温胆汤组在此基础上给予温胆汤治疗,联合组在此基础上给予针刺治疗和温胆汤治疗,四组均于治疗12周后进行疗效评价。治疗前、治疗4周后和治疗12周后,分别以汉密尔顿焦虑量表(HAMA)、汉密尔顿抑郁量表(HAMD)、焦虑自评量表(SAS)及抑郁自评量表(SDS)评估各组患者的焦虑抑郁程度。治疗前后检测四组患者的血清5-羟色胺(5-HT)、多巴胺(DA)、脑源性神经营养因子(BDNF)及神经肽Y(NPY)水平。结果:治疗后,联合组总有效率高于对照组、针刺组、温胆汤组(P<0.05)。四组治疗后各时间点各量表评分均低于治疗前(P<0.05);治疗4周和治疗12周后,联合组HAMD、HAMA、SAS、SDS评分均低于其他三组(P<0.05),针刺组和温胆汤组HAMD、HAMA、SAS、SDS评分均低于对照组(P<0.05)。重复测量方差分析显示,治疗方法与治疗时间对HAMD、HAMA、SAS、SDS评分存在交互作用(P<0.05),且二者均为HAMD、HAMA、SAS、SDS评分的主效应(P<0.05),实际效应量(η2)为0.53~0.97。治疗后,四组BDNF、NPY、DA、5-HT水平均较治疗前升高(P<0.05),针刺组、温胆汤组、联合组BDNF、NPY、DA、5-HT水平均高于对照组,联合组BDNF、NPY、DA、5-HT水平高于针刺组、温胆汤组(P<0.05)。结论:温胆汤联合针刺治疗乳腺癌术后焦虑抑郁疗效确切,能有效减轻患者焦虑抑郁程度,改善外周血神经递质水平。 展开更多
关键词 乳腺癌 术后 焦虑 抑郁 温胆汤 针刺 神经递质
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