针灸治疗_5_12_地震后创伤后应激障碍临床观察_.pdfVIP

2010 年 3 月第 33卷第 1期 成都中医药大学学报 Mar.2010, Vo.l33, No.1 JournalofChengduUniversityofTCM ·21· “5 ·12” 1 2 3 1 1 1 张虹 　冉连辉 　袁秀丽 　王罡 　胡中平 　杨洁 (1. , 　6 10075;2., 　62 1700;3., 　62 1000 　　　::探讨针灸治疗 5 ·12 地震后创伤后应激障碍的疗 。:将 92例患者随机分为治 疗组 (针灸组 与对照组 (帕罗西汀组 , 两组各 46例, 疗程 12周, 分别于治疗前和治疗 6 周结束时及 治疗 12 周结束时采用 PTSD临床监测量表和汉密尔顿抑郁量表、 汉密尔顿焦虑量表进行评分。:研 究显示治疗组 (针灸组 对创伤后应激障碍患者临床症状的改善优于对照组 (帕罗西汀组 , 且起 更 快;治疗组 (针灸组 对创伤后应激障碍患者焦虑症状的缓解也明显优于对照组 (帕罗西汀组 。虽然治 疗组 (针灸组 对患者抑郁症状的改善整体疗 与对照组 (帕罗西汀组 相似, 但起 更快。:针 灸组治疗创伤后应激障碍优于帕罗西汀组。 :创伤后应激障碍;电针;头穴;灸法 :R24 5;R24 6.6　　　　:A　　　:1004 -0668 (2010 01-0021-04 ClinicalObservationonAcupunctureandMoxibustioninTreating PostTraumaticStressDisorderafterEarthquake ZHANGHong, RANLian-hu,iYUANXiu-l,ietal (ChengduUniversityofTraditionalChineseMedicine, Sichuan, Chengdu, 6 10075 [ Abstract] Objective:todiscussthetherapeuticeffectsofacupunctureandmoxibustionintreatingposttraumaticstressdisorder (PTSD .Methods:92 caseswererandomlyassignedtotwogroup,sincludingthetreatinggroup(46 case,streatedbyacupuncture andmoxibustion andthecontrolgroup(4 6 case,s treatedbyparoxetine.Theperiodoftreatmentlastfor12 weeks.Eachcasewas givenmarksusingtheClinicalAdministeredPTSDScale(CAPS, HamiltonDepressionRatingScaleforDepression(HAMD, and HamiltonAnxietyScale(HAMA, seperatelybeforethetreamten,t attheendofsixweeks treamtentand12 weeks treatment.Results: thetreatinggroupgotamoreobviousimprovementofclinicalsymptomsandafasteronse,tcomparedtothecontrol group.Meanwhil,ethetreatinggroupgotabetterreliefoftheanxietysymptom, comparedtothecontrolgroup.Althoughthetreating groupsharedthesimilartherapeuticeffectswithcontrolgroupinthereliefofdepressionsymptomgenerally, theformerhadafasteron- set.Conclusions: acupunctureandmoxibustionhadabettertherapeuticeffectthanparoxetineintreatingPTSD.