电针治疗广泛性焦虑障碍疗效观察.docVIP

电针治疗广泛性焦虑障碍疗效观察［摘要］目的：探讨电针治疗焦虑症的疗效。方法：依据CCMD-2诊断标准选择26例女性广泛性焦虑障碍患者，在采用电针治疗前后实施了4次焦虑状态/特质量表(STAI)的测定；取百会、上星、内关、神门、足三里、三阴交、太冲穴进行电针治疗，10天为一疗程，共进行3个疗程。结果：治疗结束时有效率80.8%，状态焦虑分值(S-AI)和特质焦虑分值(T-AI)较治疗前明显下降(P0.01)，尤以痊愈和好转患者焦虑分值的下降明显(P0.01和P0.05)。结论：电针治疗广泛性焦虑障碍有较好的疗效，可以避免患者对抗焦虑药物的依赖。 ［主题词］电针；焦虑症/针灸疗法 Observation on Therapeutic Effect of Electroacupuncture on Extensive Anxiety Neurosis Hai Rihan, Chen Xizhen, Geng Jianhong (Department of Acup-Moxibustion, The Third Hospital Affiliated to Zhongshan Medical University, Guangzhou 510630, China) ［Abstract］Purpose To probe into therapeutic effect of electroacupuncture on anxiety neurosis. Methods 26 women of extensive anxiety neurosis were selected according to the diagnotic criteria CCMD-2 and 4 times of detection by anxiety state/special constitution scale (STAI) before and after acupuncture treatment were carried out; electroacupuncture was given at Baihui (GV 20),Shangxing (GV 23), Neiguan (PC 6), Shenmen (HT 7), Zusanli (ST 36), Sanyinjiao (SP 6)and Taichong (LR 3) for 3 courses, 10 days constituting one course. Results The effective rate was 80.8%, state anxiety score (S-AI) and special constitution anxiety score (T-AI) decreased significantly as compared with that before treatment (P0.01). Particularly, in the cured and improved patients anxiety score decreased significantly (P0.01 and P0.05). Conclusion Electroacupuncture has a better therapeutic effect on extensive anxiety disorders and avoids dependence of antianxiety agents. ［Keywords］Electroa cupuncture;Anxiety Disorders/acup ther 焦虑是常见的情绪体验，青年女性焦虑状态多于同龄期男性。一般而言，适度的焦虑可唤起体内积极因素，以利于应付应激事件。但持续而严重的焦虑容易发展为焦虑性障碍，构成影响身心健康的心理问题［1］。目前对焦虑的治疗，主要有药物治疗和心理疗法。近来采用传统医学方法治疗焦虑症亦时有报道［2，3］。为探讨针灸对焦虑症的疗效，笔者结合焦虑测评指标对26例青年女性广泛性焦虑障碍患者进行了电针治疗分析。1临床资料 1.1一般资料 依据中国精神疾病分类和诊断标准(CCMD-2-R)［4］由医院门诊诊断筛检26例广泛焦虑障碍女性患者；年龄19～35岁，平均26.6岁；病程半年～1年。无其他躯体性疾病，亦排除癔症性发作。 1.2精神检查入组患者均有不同程度焦虑症状，且伴有明显的自主神经活动亢进表现。其中17例在服用抗焦虑药物多虑平(50mg/d)，工作和生活均受到不同程度影响。对26例患者第1次就诊时作焦虑状态/特质量表(STAI)测评［5］，该量表由状态