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ID:35108158
大小:45.00 KB
页数:7页
时间:2019-03-18
《氟伏沙明-针灸-强迫症》由会员上传分享,免费在线阅读,更多相关内容在应用文档-天天文库。
1、清心除烦针灸疗法合并氟伏沙明治疗强迫症张旺赵安全马建华李志猛李亚忠摘要:目的:探讨清心除烦针灸疗法合并氟伏沙明对强迫症的治疗作用及安全性。方法:将68例强迫症患者随机分为两组,每组各34例,研究组采用清心除烦针灸疗法合并氟伏沙明治疗,对照组单用氟伏沙明,采用Yale-Brown强迫量表(Y-BOCS)、焦虑自评量表(SAS)及治疗中出现的症状量表(TESS)分别于治疗前、治疗第4周、第8周和第12周进行评定,两组间比较分析。结果:治疗第4周及第8周,研究组Y-BOCS及SAS评分均显著低于对照组(P<0.05或P<0.01);治疗第12周Y-BOCS及S
2、AS评分两组间无显著差异(P>0.05)。两组间TESS评分差异无显著性。结论:清心除烦针灸疗法合并氟伏沙明治疗强迫症起效快,疗效稳定,安全性高,更能够快速缓解强迫症患者的焦虑症状,不良反应轻微。关键词清心除烦;针灸;氟伏沙明;强迫症Theclinicalobservationoftreatingobsessive-compulsivedisorderwithQingxinchufanacupuncturetherapyandfluvoxaminecombinedZhangWang,zhaoanquan,majianhua,LiZhimeng,liyaz
3、hongAbstract:Objective:tostudytheeffectsandsafetyoftreatingobsessive-compulsivedisorderusingQingxinchufanacupuncturetherapyandfluvoxaminecombined.Method:select68obsessive-compulsivedisorderpatientsanddividethemrandomlyintotwogroups,ie,theresearchgroupandthecontrolgroup.Eachgrouph
4、as34patients.TreattheresearchgroupwithQingxinchufanacupuncturetherapyandfluvoxaminecombinedwhiletreatthecontrolgroupwithonlyfluvoxamine.Assessthetwogroupsofpatientsrespectivelybeforethetreatment,inthefourth,theeighthandtwelfthweekofthetreatmentwithY-BOCS,SASandTESSandcomparethere
5、sults.Results:inthefourthandeighthweeks,thescoresofY-BOCSandSASoftheresearchgroupwereobviouslylowerthenthoseofthecontrolgroup(P<0.05orP<0.01);inthetwelfthweek,nosignificantdifferencewasfoundbetweenthescoresofthetwogroups.NosignificantdifferenceswerefoundinthescoreofTESSbetweentwo
6、groups.Conclusion:Treatingobsessive-compulsivedisorderwithQingxinchufanacupuncturetherapyandfluvoxaminecombinedworksfast,hasastableeffectandishighlysafe.Itcaneasetheanxietyofobsessive-compulsivedisorderpatientsmorequicklywithmildadversereactions.Keywords:Qingxinchufan;acupuncture
7、;fluvoxamine;obsessive-compulsivedisorder;强迫症是以强迫思维、强迫动作等症状为主要表现的一种神经症,常伴有明显的焦虑和痛苦体验,其治疗方案多以三环类抗抑郁药(TCAs)和选择性5-羟色胺再摄取抑制剂(SSRIs)等药物以及心理治疗为主,但长期以来一致认为该病具有治疗周期长、药物剂量高、病程持续波动,短期效果不佳等特点。而中医认为,人的精神活动中谋虑、决断是由肝合胆主管的,若发生肝盛、胆盛,则表现多虑、犹豫不决,盲目多谋虑,得不出肯定的决断的[1]表现,即所谓的强迫性症状。以日本山下刚利穴位调控法为基础结合临床经验
8、,我们创立了清心除烦针法,具有一定调节大脑功能,缓解紧张、焦虑之功效。我们以该针
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