推拿对广泛性焦虑障碍影响.pdfVIP

摘要 目的：比较研究推拿疗法与西药(帕罗西汀)疗法在治疗广泛性焦虑症的临 床疗效。方法：将60例广泛性焦虑症患者随机分为推拿组和西药组，各30例， 患者一般信息差异不显著，并设置30名正常对照组。实验前对患者进行汉密顿焦 虑量表(HAMA)测验、血浆5-HT水平测验。推拿组使用中医推拿手法进行治疗， 西药组口服盐酸帕罗西汀片进行治疗。实验后，对患者进行汉密顿焦虑量表(乩气MA) 测验、血浆5-HT水平测验和治疗副反应量表(TESS)评定。结果：推拿组临床治疗 效果总有效率为93．3％，西药对照组总有效率为96．7％，两组比较差异不显著 (P)O．05)。治疗后两组患者血浆5-HT水平较治疗前均有所下降，且差异显著(推 拿组：P(O．05，西药组：PO．05)：治疗后组间差异不显著(P)O．05)治疗后，推拿组 患者血浆5-HT水平与正常组的差异边缘显著(P=0．0726)，西药组患者血浆5-HT 水平与正常组的差异显著(PO．05)。治疗后两组患者HAMA分数显著低于治疗前 (P(O．05)，治疗后组间差异不显著(P)0．05)。推拿组的复诊分数显著低于西药组 (PO．05)。推拿组患者治疗后TESS分数显著低于西药组(P(O．05)。推拿组副反应 发生率显著低于西药组(PO．05)。结论：第一，推拿可以有效较低广泛性焦虑患 者血浆5-HT水平，但是短时间内还没有达到治愈水平，而且短时间内西药的疗效 要好于推拿的疗效。第二，推拿法治疗广泛性焦虑症的副反应率要低于西药疗法。 第三，推拿疗法的长期效果优于西药疗法。 关键词：广泛性焦虑症、推拿疗法、西药疗法、5羟色胺 Abstract Objective：To compare the clinical efficacy of massage therapy and medicine(Paxii) therapy in the treatment of clinical treatment of generalized anxiety disorder．Methods： 60 patients with generalized anxiety disorder were randomly divided into the massage group and western medicine group，30 cases in each group，patients are generally not significantly different in personal information，and set 30 normal controls．Before the experiment，each patient was tested with the Hamilton Anxiety Scale(HAMA)test and assaied with plasma levels of 5-HT quiz．Massage group uses traditional massage treatment，western medicine group took paroxetine hydrochloride tablets for treatment． After the experiment，each patient was tested with the Hamilton Anxiety Scale(HAMA) test and treatment side effects scale(TESS)assessment and assaied with plasma levels of 5-HT quiz．Results：The clinical therapeutic effects of massage group total effective rate was 93。3％and in the western medicine group it was 96。7％．the difference was not significant(P0．05)．After treatment，the plasma levels of 5-HT decreased in both two groups of patients comparing with pre—treatment，and the difference was significant (massage group：P0．05，WM group：P0．001)；between treatment groups was not significant(P0．05)after treatment，the difference bet