针刺治疗心脏神经官能症的临床随机对照研究
发布时间：2018-09-18 12:00
【摘要】：目的：观察针刺和口服西药治疗心脏神经官能症的临床疗效,并比较两种方法疗效之间的差异,进一步明确针刺治疗心脏神经官能症的临床疗效。方法：本研究将符合纳入标准的130例患者,随机分成两组即治疗组(针刺组)和对照组(口服西药组),每组各65例。观察入组治疗前后及随访时两组受试者的汉密尔顿焦虑量表评分(HAMA)、焦虑程度、躯体化症状自评量表评分(SSS)、症状积分表评分的变化,比较两组组间及组内差异。结果：1.基线：治疗前两组资料基线一致,P0.05,具有可比性。2.汉密尔顿焦虑量表评分(HAMA)及焦虑等级：(1)组间比较：治疗后及随访时针刺组和口服西药组HAMA评分及焦虑等级比较,其差异均具有统计学意义(P0.05)。(2)组内比较：针刺组和口服西药组在治疗前后HAMA评分及焦虑等级比较,其差异具有统计学意义(P0.05)；随访时两组HAMA评分与治疗后相比,差异具有统计学意义(P0.05)。3.躯体化症状自评量表评分(SSS)：(1)组间比较：针刺组和口服西药组在治疗后的SSS评分比较,差异有统计学意义(P0.05)；两组在随访时SSS评分比较,差异无统计学意义(P0.05)(2)组内比较：针刺组及口服西药组治疗前后SSS评分比较,其差异均有统计学意义(P0.05)：随访时两组SSS评分与治疗后相比,差异有统计学意义(P0.05)。4.症状积分：(1)组间比较：针刺组和口服西药组治疗后及随访时的症状积分比较,差异均有统计学意义(P0.05)。 (2)组内比较：针刺组及口服西药组在治疗前后症状积分比较,其差异均有统计学意义(P0.05)；随访时症状积分与治疗后相比,差异有统计学意义(P0.05)。5.总有效率：治疗结束后,针刺组总有效率86.88%,口服西药组总有效率71.43%。6.两组依次性、安全性均较好。结论：1.针刺与口服西药对心脏神经宫能症症状均具有不同程度的改善作用,且两种治疗方法均有效,但针刺治疗的临床疗效优于口服西药。2.针刺治疗心脏神经官能症在改善患者焦虑情况和躯体化症状方面优于口服西药。针刺改善心脏神经官能症患者焦虑情况远期疗效优于口服西药。3.本试验中两组治疗方法的安全性、依从性均较好,且针刺疗法是治疗心脏神经官能症的一种安全有效的治疗方法,值得临床进一步推广和发扬。
[Abstract]:Objective: to observe the clinical efficacy of acupuncture and oral western medicine in the treatment of cardiac neurosis and compare the difference between the two methods. Methods: 130 patients were randomly divided into two groups: treatment group (acupuncture group) and control group (oral western medicine group) with 65 cases in each group. Hamilton anxiety scale (HAMA),) and somatization symptom Checklist (SSS),) were observed before and after treatment, and the differences between the two groups were compared. The result is 1: 1. Baseline: the baseline of the two groups before treatment was consistent (P 0.05) and comparable. Hamilton anxiety scale score (HAMA) and anxiety rating: (1) comparison between groups: after treatment and follow-up, HAMA score and anxiety grade were compared between acupuncture group and oral western medicine group. The differences were statistically significant (P0.05). (2) within the group: acupuncture group and oral western medicine group before and after treatment of HAMA score and anxiety grade comparison, the difference was statistically significant (P0.05); follow up between the two groups compared with after treatment HAMA score, The difference was statistically significant (P0.05). Somatization symptom Checklist score (SSS): (1): there was significant difference in SSS score between acupuncture group and oral western medicine group after treatment (P0.05). No significant difference (P0.05) (2) intragroup comparison: acupuncture group and oral western medicine group before and after treatment of SSS scores, the differences were statistically significant (P0.05): at the follow-up of the two groups compared with the treatment, the difference was statistically significant (P0.05). 4. Symptom score: (1) comparison between groups: acupuncture group and oral western medicine group after treatment and follow up the symptom score comparison, the difference was statistically significant (P0.05). (2) Intra-group comparison: the symptoms of acupuncture group and oral western medicine group before and after treatment, the differences were statistically significant (P0.05); at follow-up compared with the treatment, the difference was statistically significant (P0.05). Total effective rate: after treatment, the total effective rate of acupuncture group was 86.88 and that of oral western medicine group was 71.43.6. The safety of the two groups was better than that of the control group. Conclusion 1. Both acupuncture and oral western medicine can improve the symptoms of cardiac neurohypersensitivity in different degrees, and both of them are effective, but the clinical effect of acupuncture is better than that of oral western medicine. 2. Acupuncture is superior to oral medicine in improving anxiety and somatization of patients with cardiac neurosis. The long-term effect of acupuncture on anxiety of patients with cardiac neurosis is better than that of oral medicine. 3. In this experiment, the safety and compliance of the two treatment methods are good, and acupuncture therapy is a safe and effective method for the treatment of cardiac neurosis, which is worthy of further clinical promotion and development.
【学位授予单位】：成都中医药大学
【学位级别】：硕士
【学位授予年份】：2016
【分类号】：R246.6
本文编号：2247837
[Abstract]:Objective: to observe the clinical efficacy of acupuncture and oral western medicine in the treatment of cardiac neurosis and compare the difference between the two methods. Methods: 130 patients were randomly divided into two groups: treatment group (acupuncture group) and control group (oral western medicine group) with 65 cases in each group. Hamilton anxiety scale (HAMA),) and somatization symptom Checklist (SSS),) were observed before and after treatment, and the differences between the two groups were compared. The result is 1: 1. Baseline: the baseline of the two groups before treatment was consistent (P 0.05) and comparable. Hamilton anxiety scale score (HAMA) and anxiety rating: (1) comparison between groups: after treatment and follow-up, HAMA score and anxiety grade were compared between acupuncture group and oral western medicine group. The differences were statistically significant (P0.05). (2) within the group: acupuncture group and oral western medicine group before and after treatment of HAMA score and anxiety grade comparison, the difference was statistically significant (P0.05); follow up between the two groups compared with after treatment HAMA score, The difference was statistically significant (P0.05). Somatization symptom Checklist score (SSS): (1): there was significant difference in SSS score between acupuncture group and oral western medicine group after treatment (P0.05). No significant difference (P0.05) (2) intragroup comparison: acupuncture group and oral western medicine group before and after treatment of SSS scores, the differences were statistically significant (P0.05): at the follow-up of the two groups compared with the treatment, the difference was statistically significant (P0.05). 4. Symptom score: (1) comparison between groups: acupuncture group and oral western medicine group after treatment and follow up the symptom score comparison, the difference was statistically significant (P0.05). (2) Intra-group comparison: the symptoms of acupuncture group and oral western medicine group before and after treatment, the differences were statistically significant (P0.05); at follow-up compared with the treatment, the difference was statistically significant (P0.05). Total effective rate: after treatment, the total effective rate of acupuncture group was 86.88 and that of oral western medicine group was 71.43.6. The safety of the two groups was better than that of the control group. Conclusion 1. Both acupuncture and oral western medicine can improve the symptoms of cardiac neurohypersensitivity in different degrees, and both of them are effective, but the clinical effect of acupuncture is better than that of oral western medicine. 2. Acupuncture is superior to oral medicine in improving anxiety and somatization of patients with cardiac neurosis. The long-term effect of acupuncture on anxiety of patients with cardiac neurosis is better than that of oral medicine. 3. In this experiment, the safety and compliance of the two treatment methods are good, and acupuncture therapy is a safe and effective method for the treatment of cardiac neurosis, which is worthy of further clinical promotion and development.
【学位授予单位】：成都中医药大学
【学位级别】：硕士
【学位授予年份】：2016
【分类号】：R246.6
【参考文献】
相关期刊论文 前10条
1 黄丽;张琳;牟宗军;;针刺背部反应点治疗心脏神经症临床研究[J];上海针灸杂志;2015年09期
2 张德新;金翔;段绮云;黄惠莲;梅群利;宋祖琪;刘智宇;张微;;银丹心脑通软胶囊治疗心脏神经症疗效观察[J];中西医结合心脑血管病杂志;2015年10期
3 李可文;;益气养阴活血化瘀法治疗心脏神经官能症临床疗效[J];陕西中医;2015年06期
4 屈飞;马洪山;白如冰;;“双心医学”模式在心脏神经官能症患者中的应用[J];中西医结合心脑血管病杂志;2015年01期
5 汪瑜菡;陈立伟;;心可舒片联合氟哌噻吨美利曲新片治疗心脏神经症临床观察[J];中西医结合心脑血管病杂志;2014年03期
6 陈韬;姚祖培;;姚祖培教授从肝论治心脏神经症的经验[J];云南中医中药杂志;2013年10期
7 张祥;罗萌;;38例心血管神经症中西医结合治疗的效果分析[J];中外医学研究;2013年29期
8 李绍华;陈德俊;许宏俊;;黛力新联合大剂量谷维素治疗心血管神经症疗效分析[J];现代医药卫生;2013年14期
9 邵祺腾;杨秋莉;杜渐;;中西医结合治疗肝郁气滞型心脏神经症的研究进展[J];实用中医内科杂志;2012年18期
10 赵卉;李大主;;复心片治疗心脏神经症疗效观察[J];山东医药;2012年30期
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