摘要
目的探讨腕踝针、腹针等不同针法治疗肝火扰心型焦虑症失眠患者的临床疗效。方法选择2021年1月—2022年12月间在佛山市南海区人民医院中医科诊断为肝火扰心型焦虑症失眠患者96例为研究对象,采用随机数表法分为对照组(口服阿普唑仑片)、治疗组1(腕踝针治疗组)、治疗组2(腹针治疗组),每组32例。治疗前后分别针对3组汉密尔顿焦虑量表(Hamilton Anxiety Scale,HAMA)、焦虑自评量表(Self-Rating Anxiety Scale,SAS)、贝壳焦虑量表(Beck Anxiety Inventory,BAI)、匹兹堡睡眠质量指数(Pittsburgh Sleep Qual⁃ity Index,PSQI)、中医证候评分等指标进行评估。结果与治疗前比较,3组治疗后HAMA、SAS、BAI、PSQI和中医证候评分均显示提升,差异有统计学意义(P均<0.05)。且治疗后,腕踝针治疗组与腹针治疗组的HAMA、SAS、BAI、PSQI和中医证候评分均优于对照组,差异有统计学意义(P均<0.05)。治疗前后,腕踝针治疗组与腹针治疗组HAMA、SAS、BAI、PSQI和中医证候评分差值比较,差异无统计学意义(P均>0.05)。与腹针治疗组比较,腕踝针治疗组治疗后SAS评分显著降低,差异有统计学意义(P<0.05)。结论腕踝针和腹针治疗肝火扰心型焦虑症失眠患者疗效显著,能显著降低患者的HAMA、SAS、BAI、PSQI和中医证候评分,两种针法各有优势,相比较单纯口服阿普唑仑改善睡眠,腕踝针和腹针具有更好治疗失眠的效果。
Objective To explore the clinical efficacy of different needling methods,such as wrist and ankle needling and abdominal needling,for the treatment of insomnia patients with liver-fire disturbing heart type anxiety disorder.Methods A total of 96 patients diagnosed with cardiotype anxiety disorder caused by liver fire and insomnia in the De⁃partment of Traditional Chinese Medicine of Nanhai District People's Hospital of Foshan City from January 2021 to December 2022 were selected as the study objects,and were divided into control group(oral alprazolam tablets),treat⁃ment group 1(wrist and ankle acupuncture treatment group)and treatment group 2(abdominal acupuncture treatment group)by random number table method,with 32 cases in each group.Before and after treatment,three groups of indicators were evaluated,including the Hamilton Anxiety Scale(HAMA),Self Rating Anxiety Scale(SAS),Beck Anxiety Inventory(BAI),Pittsburgh Sleep Quality Index(PSQI),and Traditional Chinese Medicine(CTAM)Syndrome Score.Results Compared with before treatment,HAMA,SAS,BAI,PSQI and TCM syndrome scores of the 3 groups showed improvement after treatment,the differences were statistically significant(all P<0.05).After treatment,HAMA,SAS,BAI,PSQI and TCM syndrome scores in the wrist-ankle acupuncture treatment group and abdominal acupuncture treatment group were better than those in the control group,the differences were statistically significant(all P<0.05).Before and after treatment,there was no significant difference in the D-value of HAMA,SAS,BAI,PSQI and TCM syndrome scores between the wrist-ankle acupuncture treatment group and the abdominal acupuncture treatment group(all P>0.05).Compared with the abdominal acupuncture treatment group,the wrist ankle acupuncture treatment group showed a significant decrease in SAS score after treatment,and the difference was statistically significant(P<0.05).Conclusion The wrist ankle acupuncture and abdominal acupuncture have significant therapeutic effects on pa⁃tients with liver fire disturbance ty
作者
杨大坚
潘志鹏
叶卫国
陆寒婵
YANG Dajian;PAN Zhipeng;YE Weiguo;LU Hanchan(Department of Traditional Chinese Medicine,Foshan Nanhai District People's Hospital,Foshan,Guangdong Prov-ince,528200 China;Department of Nephrology,Guangdong Hospital of Integrative Medicine,Foshan,Guangdong Province,528200 China)
出处
《系统医学》
2024年第3期16-19,共4页
Systems Medicine
基金
佛山市医学科技攻关项目(2020001005170)。
关键词
腕踝针
腹针
失眠
Wrist and ankle acupuncture
Abdominal acupuncture
Insomnia
