单纯生物反馈及其联合中医辨证论治对广泛性焦虑症的近远期疗效比较

发布时间：2018-04-30 11:04

本文选题：广泛性焦虑症 + 生物反馈　；参考：《中华中医药学刊》2017年02期

【摘要】：目的:比较单纯生物反馈及其联合中医辨证方案治疗广泛性焦虑症的近远期疗效。方法:选取2011年1月—2015年2月医院收治的86例广泛性焦虑症患者作为研究对象,均作中医辨证分型,分为心脾两虚、肝气郁结、痰气郁结组,各辨证分型患者每组均分为A(1-3)、B(1-3)组,A(1-3)组仅接受生物反馈治疗,B(1-3)组则给予中药辨证干预,各组分别于治疗前、治疗每间隔2周后进行汉密顿焦虑量表(HAMA)评分,应用匹兹堡睡眠质量评定表(PSQI)评定患者睡眠质量,并采用生活质量评价量表(SF-36)评定不同时间各组生活质量的改善情况,观察各组近远期疗效的改善情况。结果:治疗前,各组HAMA、PSQI评分对比差异无统计学意义(P0.05),治疗2周、4周、8周,不同证型各组患者HAMA、PSQI评分均下降,与治疗前对比差异有统计学意义(P0.05),B1、B2、B3组HAMA、PSQI评分降低幅度高于A1、A2、A3组(P0.05);治疗前,各组SF-36量表评分对比差异无统计学意义(P0.05),治疗8周、治疗6个月后,不同证型各组SF-36均明显上升,与治疗前对比差异有统计学意义(P0.05),B1、B2、B3组生活质量评分上升幅度均高于A1、A2、A3组(P0.05);治疗8周、治疗6个月后A1、A2、A3组治疗总有效率均高于B1、B2、B3组,但仅治疗6个后,B2、A2组总有效率对比差异有统计学意义(P0.05)。结论:采用生物反馈联合中医辨证方案治疗心脾两虚、肝气郁结、痰气郁结型广泛性焦虑症患者,可明显改善患者焦虑、睡眠质量及生活质量评分,提升近远期疗效。
[Abstract]:Objective: to compare the short-and long-term efficacy of biofeedback and TCM syndrome differentiation in the treatment of generalized anxiety disorder. Methods: 86 patients with generalized anxiety disorder admitted in our hospital from January 2011 to February 2015 were divided into two groups: deficiency of heart and spleen, stagnation of liver qi and stagnation of phlegm and qi. Each group of syndrome differentiation patients was divided into two groups: group A (1 3) and group A (1 3) received only biofeedback therapy. The patients in each group were treated with traditional Chinese medicine (TCM) differentiation intervention. The patients in each group were evaluated with Hamilton anxiety scale (Hamma) after 2 weeks of treatment before and after treatment. Pittsburgh Sleep quality Assessment (PSQI) was used to evaluate the patients' sleep quality, and the quality of Life scale (SF-36) was used to evaluate the improvement of quality of life (QOL) in different time groups. Results: before treatment, there was no significant difference in Hama PSQI scores in each group (P 0.05), but in 2 weeks, 4 weeks and 8 weeks after treatment, the scores of Hama and PSQI were all decreased in all groups with different syndromes. There was significant difference between before treatment and before treatment. The decrease of PSQI score was higher in group A than that in group A 1, P 0. 05. Before treatment, there was no significant difference in the scores of SF-36 scale in each group (P 0. 05%). After 8 weeks of treatment, SF-36 of different syndromes increased significantly in each group after 6 months of treatment, and there was no significant difference between the two groups before and after treatment for 8 weeks, and after 6 months of treatment, SF-36 of different syndromes increased significantly in each group, and there was no significant difference between the two groups before and after treatment. There was significant difference between the two groups before and after treatment. The quality of life scores in group P0.05 were significantly higher than those in group A1A2A3, and the total effective rate of group A1OA2A3 was higher than that of group B1B2B3 after 8 weeks and 6 months of treatment. But the total effective rate of B _ 2 A _ 2 group was significantly higher than that of B _ 2 A _ 2 group (P 0.05). Conclusion: biofeedback combined with TCM syndrome differentiation can significantly improve anxiety, sleep quality and quality of life in patients with generalized anxiety disorder of deficiency of heart and spleen, stagnation of liver qi and stagnation of phlegm and qi.
【作者单位】：绍兴市第七人民医院心身二科;
【分类号】：R749.72

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