醒脑开窍针刺法治疗中风后焦虑障碍的临床疗效观察

发布时间：2018-06-30 03:52

本文选题：醒脑开窍针刺法 + 脑中风后焦虑障碍　；参考：《时珍国医国药》2017年01期

【摘要】：目的观察"醒脑开窍针刺法"治疗脑中风后焦虑障碍(PSAD)的临床疗效。方法针刺组采用"醒脑开窍针刺法"进行针刺干预治疗,西药组采用帕罗西汀进行药物干预治疗。针刺组选取内关、水沟、百会、印堂、三阴交穴,每穴留针30min,每天治疗1次。以患者治疗前后的电生理学指标及临床症状为指标衡量疗效,分别在治疗前与治疗8周后检测两组患者的皮肤交感神经反应(SSR)的潜伏期与波幅,同时结合观察治疗前后两组患者汉密尔顿焦虑量表(HAMA)、焦虑自评量表(SAS)的改善情况。结果针刺组、西药组SSR潜伏期、波幅均较治疗前自身有所改善,改善情况治疗组优于对照组(P0.05);两组患者治疗后均较治疗前HAMA、SAS评分有所改善,组间HAMA、SAS评分改善方面两组患者并无差异(P0.05)。结论 "醒脑开窍针刺法"对PSAD患者焦虑状态改善方面具有较好的临床效果。
[Abstract]:Objective to observe the clinical effect of "Xingnao Kaiqiao acupuncture" on post-stroke anxiety disorder (PSAD). Methods Acupuncture intervention was performed in the acupuncture group and paroxetine in the western medicine group. The acupuncture group selected Neiguan, Shuigou, Baihui, Yantang, Sanyinjiao, each point for 30 minutes, treated once a day. The latency and amplitude of skin sympathetic nerve response (SSR) were measured before and after treatment with electrophysiological indexes and clinical symptoms before and after treatment. The improvement of Hamilton anxiety scale (Hama) and self-rating anxiety scale (SAS) were observed before and after treatment. Results the latent period and amplitude of SSR in acupuncture group and western medicine group were improved compared with those before treatment, and the improvement condition in treatment group was better than that in control group (P0.05). There was no difference in the improvement of SAS score between the two groups (P0.05). Conclusion "Xingnao Kaiqiao Acupuncture" has better clinical effect on anxiety state improvement of PSAD patients.
【作者单位】：天津中医药大学第一附属医院;天津市中医药研究院附属医院;天津市第三中心医院;天津医科大学总医院;天津权健国际肿瘤医院;
【分类号】：R246.6

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