摘要
目的 探讨柴胡加龙骨牡蛎汤联合心肾经原穴针刺治疗广泛性焦虑症(GAD)的效果。方法 选取北京王府中西医结合医院2018年1月—2020年11月收治的84例GAD患者,依据随机数字表法分成观察组和对照组,各42例。对照组采用柴胡加龙骨牡蛎汤治疗,观察组采用柴胡加龙骨牡蛎汤联合心肾经原穴针刺治疗,两组均连续治疗4周。比较两组患者的临床疗效、焦虑严重程度。结果 观察组的总有效率90.48%明显高于对照组的71.43%,差异有统计学意义(P<0.05)。两组患者治疗前的焦虑自评量表(SAS)、汉密尔顿焦虑量表(HAMA)评分对比,组间差异无统计学意义(P>0.05);治疗后,两组患者的SAS、HAMA评分均较治疗前低,且观察组的SAS(29.72±1.31)分、HAMA(7.42±1.08)分,均明显低于对照组的(33.35±1.48)分、(10.16±1.69)分,组间差异有统计学意义(P<0.05)。结论 柴胡加龙骨牡蛎汤联合心肾经原穴针刺治疗可提高GAD患者的疗效,减轻焦虑严重程度。
Objective To explore the effect of Chaihu plus Longgu Muli Decoction combined with acupuncture at source points of the heart and kidney meridian in the treatment of generalized anxiety disorder(GAD).Methods A total of 84 GAD patients admitted to Beijing Wangfu Hospital of Integrated Traditional Chinese and Western Medicine from January 2018 to November 2020 were selected and divided into an observation group and a control group according to the random number table method,with 42 cases in each group.The control group was treated with Chaihu plus Longgu Muli Decoction,while the observation group was treated with Chaihu plus Longgu Muli Decoction combined with acupuncture at source points of the heart and kidney meridian.Both groups were treated for 4 consecutive weeks.The clinical efficacy and the anxiety severity of the two groups of patients was compared.Results The total effective rate of the observation group was 90.48%,which was significantly higher than that of the control group,71.43%,and the difference was statistically significant(P<0.05).There were no significant differences in the scores of self-rating anxiety scale(SAS)and Hamilton anxiety scale(HAMA)between the two groups before treatment(P>0.05);after treatment,the SAS and HAMA scores of the two groups were lower than those before treatment,and the SAS(29.72±1.31)points and HAMA(7.42±1.08)points of the observation group were significantly lower than those of the control group(33.35±1.48)points,(10.16±1.69)points,the differences between groups were statistically significant(P<0.05).Conclusion Chaihu plus Longgu Muli Decoction combined with acupuncture at source points of the heart and kidney meridian can improve the curative effect of GAD patients and reduce the severity of anxiety.
作者
李海清
劳瑞平
LI Haiqing;LAO Ruiping(Department of General Internal Medicine,Beijing Wangfu Hospital of Integrated Traditional Chinese and Western Medicine,Beijing,102209,China)
出处
《反射疗法与康复医学》
2021年第10期147-150,共4页
Reflexology And Rehabilitation Medicine
关键词
广泛性焦虑症
柴胡加龙骨牡蛎汤
心肾经原穴针刺
焦虑程度
Generalized anxiety disorder
Chaihu plus longgumuli decoction
Acupuncture at source points of the heart and kidney meridian
Degree of anxiety
作者简介
李海清(1978-),女,河北蔚县人,本科,主治医师,研究方向:中医内科常见病的治疗。
