浮针疗法对持续性躯体形式疼痛障碍患者疼痛和生活质量的影响.docVIP

浮针疗法对持续性躯体形式疼痛障碍患者疼痛和生活 质量的影响 ［摘耍］日的探讨浮针疗法对持续性躯体形式疼痛障碍患者疼痛和 生活质量的影响。方法 将108例患者随机分为三组(A组、B组和C组), A组接受浮针治疗并服用安慰剂，B组服用度洛西汀并接受模拟浮针治疗, C组服用安慰剂并接受模拟浮针治疗，比较治疗前和治疗后6周末简易 McGill疼痛量表(SF-MPQ).健康状况调查问卷(SF-12),评定疼痛疗效 和生活质量。结果治疗后三组SF-MPQ各项评分均有所下降，与治疗前 相比差异有统计学意义(P0. 05)；治疗后三组SF-12评分显示，三组生理 总评分(PCS)和心理总评分(MCS)均有所上升，与治疗前相比差异有统 计学意义(P0.05)。结论 浮针疗法与度洛西汀治疗持续性躯体形式疼痛 障碍疗效相当，能较好地缓解疼痛并提高患者的牛活质量。 ［关键词］浮针疗法；度洛西汀；持续性躯体形式疼痛障碍；生活质 hk ［中图分类号］R749. 7 ［文献标识码］B ［文章编号］1673-9701 (2014) 33-0058-04 ［Abstract］ Objective To explore the cl ini cal effectiveness of floating needle therapy to the pain in treatment of persistent somatoform pain disorder (PSPD) and its effect to the quantity of life of the patie nts. Met hods Totally 108 patients with PSPD were randomly divided into 3 groups (group A, group B, group C), group A received floating needle therapy and placebo, group B received duloxetine and imitated floating needle therapy, and group C received the placebo and imitated floating needle therapy. Al 1 the patients were evaluated using the simple McGill pain scale (SF-MPQ) and health questionnaire (SF-12 Chinese version) to assess the efficacy for pain relief and the quality of life of the patients before and after the 6th weekend of the treatment. Results Compared with the pre-treatment SF-MPQ scores, the post-treatment ones significantly decreased, and there was significant difference among all groups (PO. 05)； Physical compo nent scale (PCS) and men Lal component scale (MCS) of SF-12 in all groups increased after treatment, and the significant difference was found among three groups ( PO.05 ) ? Conelusion Both floating needle therapy and duloxetine have similar effect in pain relief and improving the quality of life in the treatment of patient with persistent somatoform pain disorder. [Key words] Floating needle therapy； Duloxetine； Persistent somatoform pain disorder； Quality of 1 ife 持续性躯体形式疼痛障碍(persistent somatoform pain disorder, PSPD)是神经症中躯体形式障碍中的一种疾病，其临床表现多为持续而严 重的疼痛，且无法用生理过程或躯体障碍给予解释。该病在各