“头八针”对精神分裂症患者生存质量影响的随机对照研究

发布时间：2018-03-23 17:01

本文选题：头八针　切入点：精神分裂症　出处：《辽宁中医杂志》2017年09期

【摘要】：目的:探讨秦氏"头八针"对长期口服抗精神病药物的精神分裂症患者生存质量的影响。方法:将精神分裂症患者70例,随机分为"头八针"治疗组和对照组各35例。"头八针"治疗组在均维持原有抗精神分裂症药物品种与剂量不变的情况下去,以"头八针"治疗干预,每周3次,共观察4周。治疗前、后对所有病例分别采用世界卫生组织生存质量量表(WHOQOL-100)、副反应量表(TESS)、汉密尔顿焦虑量表(HAMA)、匹茨堡睡眠质量指数量表(PSQI)评定治疗前、后患者精神及身体各项症状的严重程度。结果:治疗前,两组患者各量表分的差异均无统计学意义(P0.05)。治疗后,除QOL-100量表中的独立性领域、社会关系领域、环境领域外,两组病人的其他各量表得分的差异均有统计学意义(P0.05)。治疗后,"头八针"治疗组在WHQOL-100量表中的生理领域、心理领域、精神支柱领域及一般健康状况和生存质量有显著的变化及改善(P0.05)。在其他量表中,"头八针"治疗组患者得分的差异均有统计学意义(P0.05)。对照组病人各量表分的差异均无统计学意义(P0.05)。结论:秦氏"头八针"可以明显改善精神分裂症患者的生活质量及健康状态,并在很大程度上缓解药物所带来的不良反应,重塑患者良好心理上的健康感受,对患者身心康复起到了非常肯定的帮助。
[Abstract]:Objective: to investigate the effect of Qin's "first eight Acupuncture" on the quality of life of patients with schizophrenia treated with oral antipsychotics for a long time. They were randomly divided into the "first eight acupuncture" treatment group and the control group (35 cases each). The "first eight acupuncture" treatment group maintained the same variety and dosage of the original anti-schizophrenia drugs, and treated with "first eight acupuncture" for three times a week. Before and after treatment, all patients were assessed with WHO quality of Life scale (WHOQOL-100), side effects scale (TESS), Hamilton anxiety scale (Hamilton anxiety scale) and Pittsburgh Sleep quality Index (PSQI) before treatment. Results: before treatment, there was no significant difference in the scores of each scale between the two groups. After treatment, there was no significant difference in the scores between the two groups. After treatment, except for the independent field, social relationship field and environment field in the QOL-100 scale, there was no significant difference between the two groups. There were significant differences in the scores of other scales between the two groups (P 0.05). After treatment, the physiological and psychological fields of the "first eight Needle" group in the WHQOL-100 scale, There were significant changes in mental support area, general health status and quality of life. In other scales, there were significant differences in scores of patients in the "first eight acupuncture" treatment group (P 0.05). In the control group, the scores of each scale were all different. Conclusion: Qin's "first eight Acupuncture" can obviously improve the quality of life and health status of schizophrenic patients. To a great extent, it can alleviate the adverse reactions caused by drugs and reconstruct the good psychological health feeling of the patients, which plays a very positive role in the patients' physical and psychological recovery.
【作者单位】：上海中医药大学附属龙华医院;上海市精神卫生中心;
【基金】：上海市卫生局科研课题(20134315)
【分类号】：R246.6

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