耳穴贴敷联合放松训练治疗焦虑症临床研究
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R277.7

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Clinical Study on Auricular Point Application Combined with Relaxation Training for Anxiety
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    摘要:

    目的:观察耳穴贴敷联合放松训练治疗焦虑症的临床疗效。方法:将120 例焦虑症患者按随机数字表法分为观察组和对照组,每组60 例。2 组均给予盐酸帕罗西汀治疗,对照组在此基础上采用放松训练治疗,观察组在对照组基础上给予耳穴贴敷治疗,2 组均治疗8 周。比较2 组临床疗效;比较2 组治疗前后睡眠质量、焦虑程度及神经肽Y(NPY)、皮质醇(CS)、前列腺素E2 (PGE2) 水平。结果:观察组总有效率95.00%,高于对照组81.67% (P<0.05)。治疗后,2 组匹兹堡睡眠质量指数(PSQI)、汉密尔顿焦虑量表(HAMA) 评分均较治疗前降低(P<0.05),观察组PSQI、HAMA 评分均低于对照组(P<0.05)。治疗后,2 组NPY、CS、PGE2 水平均较治疗前降低(P<0.05),观察组NPY、CS、PGE2 水平均低于对照组(P<0.05)。结论:耳穴贴敷联合放松训练治疗焦虑症,可缓解患者的焦虑程度,改善其睡眠质量,调节NPY、CS、PGE2 水平。

    Abstract:

    Abstract: Objective: To observe the clinical effect of auricular point application combined with relaxation training for anxiety. Methods:A total of 120 cases of patients with anxiety were divided into the observation group and the control group according to the random number table method, with 60 cases in each group. Both groups were treated with paroxetine hydrochloride;the control group was additionally treated with relaxation training,and the observation group was additionally treated with auricular point application based on the treatment of the control group. Both groups were treated for eight weeks. Sleep quality,anxiety degree and levels of neuropeptide Y(NPY),cortisol(CS) and prostaglandin E2(PGE2) before and after treatment as well as clinical effects were compared between the two groups. Results:The total effective rate was 95.00% in the observation group,higher than that of 81.67% in the control group(P<0.05). After treatment,scores of Pittsburgh Sleep Quality Index(PSQI) and Hamilton Anxiety Scale(HAMA) in the two groups were decreased when compared with those before treatment(P<0.05),and the two scores in the observation group were lower than those in the control group(P<0.05). After treatment,levels of NPY,CS and PGE2 in the two groups were decreased when compared with those before treatment(P< 0.05), and the three levels in the observation group were lower than those in the control group(P<0.05). Conclusion: Auricular point application combined with relaxation training in the treatment of anxiety can relieve anxiety degree of patients, improve their sleep quality and regulate levels of NPY,CS and PGE2.

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黄燕.耳穴贴敷联合放松训练治疗焦虑症临床研究[J].新中医,2022,54(4):147-150

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  • 在线发布日期: 2022-02-24
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