本文選題：醒腦開竅針刺法 + 腦中風后焦慮障礙�。� 參考：《時珍國醫(yī)國藥》2017年01期

【摘要】：目的觀察"醒腦開竅針刺法"治療腦中風后焦慮障礙(PSAD)的臨床療效。方法針刺組采用"醒腦開竅針刺法"進行針刺干預治療,西藥組采用帕羅西汀進行藥物干預治療。針刺組選取內(nèi)關、水溝、百會、印堂、三陰交穴,每穴留針30min,每天治療1次。以患者治療前后的電生理學指標及臨床癥狀為指標衡量療效,分別在治療前與治療8周后檢測兩組患者的皮膚交感神經(jīng)反應(SSR)的潛伏期與波幅,同時結合觀察治療前后兩組患者漢密爾頓焦慮量表(HAMA)、焦慮自評量表(SAS)的改善情況。結果針刺組、西藥組SSR潛伏期、波幅均較治療前自身有所改善,改善情況治療組優(yōu)于對照組(P0.05);兩組患者治療后均較治療前HAMA、SAS評分有所改善,組間HAMA、SAS評分改善方面兩組患者并無差異(P0.05)。結論 "醒腦開竅針刺法"對PSAD患者焦慮狀態(tài)改善方面具有較好的臨床效果。
[Abstract]:Objective to observe the clinical effect of "Xingnao Kaiqiao acupuncture" on post-stroke anxiety disorder (PSAD). Methods Acupuncture intervention was performed in the acupuncture group and paroxetine in the western medicine group. The acupuncture group selected Neiguan, Shuigou, Baihui, Yantang, Sanyinjiao, each point for 30 minutes, treated once a day. The latency and amplitude of skin sympathetic nerve response (SSR) were measured before and after treatment with electrophysiological indexes and clinical symptoms before and after treatment. The improvement of Hamilton anxiety scale (Hama) and self-rating anxiety scale (SAS) were observed before and after treatment. Results the latent period and amplitude of SSR in acupuncture group and western medicine group were improved compared with those before treatment, and the improvement condition in treatment group was better than that in control group (P0.05). There was no difference in the improvement of SAS score between the two groups (P0.05). Conclusion "Xingnao Kaiqiao Acupuncture" has better clinical effect on anxiety state improvement of PSAD patients.
【作者單位】： 天津中醫(yī)藥大學第一附屬醫(yī)院;天津市中醫(yī)藥研究院附屬醫(yī)院;天津市第三中心醫(yī)院;天津醫(yī)科大學總醫(yī)院;天津權健國際腫瘤醫(yī)院;
【分類號】：R246.6

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