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1、2010年3月第33卷第1期成都中医药大学学报Mar.2010,Vol.33,No.1JournalofChengduUniversityofTCM·21·针灸治疗“5·12”地震后创伤后应激障碍的临床观察123111张虹冉连辉袁秀丽王罡胡中平杨洁(1.成都中医药大学针灸推拿学院,四川成都610075;2.江油市中医院,四川江油621700;3.绵阳市中医院,四川绵阳621000)摘要:目的:探讨针灸治疗5·12地震后创伤后应激障碍的疗效。方法: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PT
2、SD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。结果: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),且起效更快;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效与对照组(帕罗西汀组)相似,但起效更快。结论:针灸组治疗创伤后应激障碍优于帕罗西汀组。关键词:创伤后应激障碍;电针;头穴;灸法中图分类号:R245;R246.6文献标识码:A文章编号:1004-0668(2010)01-0021-04ClinicalObservationonAcupunctur
3、eandMoxibustioninTreatingPostTraumaticStressDisorderafterEarthquakeZHANGHong,RANLian-hui,YUANXiu-li,etal(ChengduUniversityofTraditionalChineseMedicine,Sichuan,Chengdu,610075)[Abstract]Objective:todiscussthetherapeuticeffectsofacupunctureandmoxibustionintreatingposttraumaticstressdisorder(PTSD).
4、Methods:92caseswererandomlyassignedtotwogroups,includingthetreatinggroup(46cases,treatedbyacupunctureandmoxibustion)andthecontrolgroup(46cases,treatedbyparoxetine).Theperiodoftreatmentlastfor12weeks.EachcasewasgivenmarksusingtheClinicalAdministeredPTSDScale(CAPS),HamiltonDepressionRatingScalefo
5、rDepression(HAMD),andHamiltonAnxietyScale(HAMA),seperatelybeforethetreatment,attheendofsixweeks'treatmentand12weeks'treatment.Results:thetreatinggroupgotamoreobviousimprovementofclinicalsymptomsandafasteronset,comparedtothecontrolgroup.Meanwhile,thetreatinggroupgotabetterreliefoftheanxietysympt
6、om,comparedtothecontrolgroup.Althoughthetreatinggroupsharedthesimilartherapeuticeffectswithcontrolgroupinthereliefofdepressionsymptomgenerally,theformerhadafasteron-set.Conclusions:acupunctureandmoxibustionhadabettertherapeuticeffectthanparoxetineintreatingPTSD.[Keywords]:posttraumaticstressdis
7、order;electroacupuncture;scalpacupoints;moxibustion创伤后应激障碍(PTSD),其定义始见于激惹、注意力、惊觉);③持续的回避:避免回1980第3版的《美国精神障碍诊断与统计手册》想;回避相似情景、人和物;交往减少,待人冷(DSM—Ⅲ),是指由异常威胁性或灾难性心理创淡;兴趣减少变窄;对创伤的选择性遗忘;对未来伤导致延迟出现和长期持续的精神障碍。其症状多失去信心。目前传统药物治疗主要是以三环类抗抑表现为:①
