腕踝针缓解考前紧张综合征的随机对照研究  

Relieving pre-exam anxiety syndrome with wrist-ankle acupuncture:a randomized controlled trial

作　　者：舒适[1] 李同明[1] 方凡夫[1] 何厚罗[1] 周庆辉[2] 顾伟[1] 周爽[1] 

机构地区：[1]第二军医大学中医系,上海200433 [2]第二军医大学长海医院中医科,上海200433

出　　处：《中西医结合学报》2011年第6期605-610,共6页Journal of Chinese Integrative Medicine

基　　金：军队中医药科研专项课题(No.10ZYZ225)

摘　　要：背景:考前紧张综合征在考前学生中常见,直接影响他们的考试成绩和生活状态。腕踝针被认为在精神紧张相关病症的治疗中有效。目的:评价腕踝针对考前紧张综合征的缓解作用。设计、场所、对象和干预措施:将符合纳入标准的上海某高校60名考前紧张综合征学员随机分为观察组和对照组,每组30例。观察组采用腕踝针疗法,针刺双侧上1针刺点;对照组用不刺入皮肤的假针刺法。两组均分别于考试前1周开始接受治疗,每次留针30min,隔日1次,共治疗3次。主要结局指标:比较两组疗效,观察治疗前后Sarason考试焦虑量表(Test Anxiety Scale,TAS)以及预期和治疗信任度问卷(Expectation and Treat ment Credibility Scale,ETCS)的评分变化情况。结果:腕踝针针刺治疗组患者的疗效优于假针刺对照组患者(P<0.05)。两组治疗前TAS和ETCS评分比较,差异无统计学意义。与治疗前相比,治疗组和对照组治疗后的TAS评分下降(P<0.05,P<0.01);治疗组TAS绝对差值和相对差值高于对照组(P=0.008,P=0.02)。治疗后与对照组比较,治疗组ETCS各项的评分较高(P<0.05,P<0.01)。两组均未出现不良反应。结论:腕踝针能显著缓解考前紧张综合征症状,该疗法具有很高的安全性。Background：Pre-exam anxiety syndrome is a common condition occurring in pre-exam students and directly affects their examination performance and physical state.Wrist-ankle acupuncture has significant therapeutic effects in treating mental disorders and may also relieve the symptoms of pre-exam anxiety syndrome.Objective：To assess the therapeutic effect of wrist-ankle acupuncture on pre-exam anxiety syndrome.Design,setting,participants and interventions：A total of 60 students who met the inclusion criteria of pre-exam anxiety syndrome were enrolled from a university in Shanghai and they were randomly divided into treatment group and control group.There were 30 cases in each group,and no case failed to follow-up.In the treatment group,wrist-ankle acupuncture was adopted to point upper 1 bilaterally（impression between flexor carpi ulnaris tendon and ulnar margin）,and there was no requirement for Deqi（arrival of qi）.In the control group,sham acupuncture was adopted.The treatment was applied 3 times totally in both groups one week before the exam,once every other day,each time with the needles retained for 30 min.Main outcome measures：The therapeutic effects were compared between two groups.Before and after 3 treatments,Sarason Test Anxiety Scale（TAS）and Expectation and Treatment Credibility Scale（ETCS）were measured and evaluated.Results：The therapeutic effect experienced by the treatment group was better than that of the control group（P0.05）.There were no statistically significant differences in TAS and ETCS before treatment between the two groups.The scores of TAS after treatment in two groups were higher than those before treatment（P0.05,P0.01）.There were statistical differences in TAS absolute difference and TAS relative difference between the two groups and the treatment group had better results（P0.05,P0.01）.After treatment,patients in the treatment group had higher scores in ETCS than those in the control group（P0.05,P0.01）.No adverse reaction was reported.Conclusion：W

关 键 词：考前紧张综合征 腕踝针 针灸疗法 随机对照试验 

分 类 号：R246[医药卫生—针灸推拿学]