浮针疗法治疗老年躯体形式疼痛障碍的临床效果  

Clinical effect of floating needle therapy in the treatment of somatoform pain disorders in the elderly

作　　者：翟向男 王丽 王晓环 马占平 ZHAI Xiangnan;WANG Li;WANG Xiaohuan;MA Zhanping(Department of Psychiatry,the Seventh People’s Hospital of Hengshui City,Hebei Province,Hengshui 053800,China;Department of Psychology,the Seventh People’s Hospital of Hengshui City,Hebei Province,Hengshui 053800,China)

机构地区：[1]河北省衡水市第七人民医院精神科,河北衡水053800 [2]河北省衡水市第七人民医院心理科,河北衡水053800

出　　处：《中国医药导报》2022年第18期106-109,共4页China Medical Herald

基　　金：河北省中医药管理局科研计划项目(2020541)。

摘　　要：目的研究浮针疗法治疗老年躯体形式疼痛障碍的临床效果。方法选取2020年1月至12月河北省衡水市第七人民医院收治的100例老年躯体形式疼痛障碍患者为研究对象,按照随机数字表法分为观察组和对照组,每组各50例。对照组给予度洛西汀及常规针刺疗法治疗,观察组给予度洛西汀及浮针疗法治疗。连续治疗8周后,比较两组治疗前后简化McGill疼痛问卷(SF-MPQ)评分、血清皮质醇水平、睡眠质量[匹兹堡睡眠质量指数(PSQI)]及生活质量。结果治疗后,两组SF-MPQ评分较治疗前降低(P<0.05),且观察组低于对照组(P<0.05)。治疗后,观察组血清皮质醇水平较治疗前降低,且观察组低于对照组(P<0.05)。治疗后,两组PSQI评分较治疗前降低,且观察组低于对照组(P<0.05)。治疗后,两组生理功能、心理功能、社会关系、周围环境评分均较治疗前升高,且观察组高于对照组(P<0.05)。结论浮针疗法联合度洛西汀治疗老年躯体形式疼痛障碍患者能够缓解疼痛,降低血清皮质醇水平,改善患者睡眠质量及生活质量,值得临床推广应用。Objective To study the clinical effect of floating needle therapy in the treatment of somatoform pain disorders in the elderly.Methods A total of 100 elderly patients with somatoform pain disorders admitted to the Seventh People’s Hospital of Hengshui City,Hebei Province from January to December 2020 were selected as the research objects.According to the random number table method,they were divided into the observation group and the control group,with 50 cases in each group.The control group was treated with Duloxetine and conventional acupuncture therapy,and the observation group was treated with Duloxetine and floating needle therapy.After 8 weeks of continuous treatment,the short-form McGill pain questionnaire(SF-MPQ)score,serum cortisol level,sleep quality(Pittsburgh sleep quality index[PSQI])and quality of life were compared between the two groups before and after treatment.Results After treatment,the SF-MPQ scores in both groups were lower than those before treatment(P<0.05),and that in the observation group was lower than that in the control group(P<0.05).After treatment,the serum cortisol level of the observation group was lower than that before treatment,and that in the observation group was lower than that in the control group(P<0.05).After treatment,PSQI scores in both groups were lower than those before treatment,and that in the observation group was lower than that in the control group(P<0.05).After treatment,the scores of physiological function,psychological function,social relationship,and surrounding environment in both groups were higher than those before treatment,and those in the observation group were higher than those in the control group(P<0.05).Conclusion Floating needle therapy combined with Duloxetine in the treatment of elderly patients with somatoform pain disorders can relieve pain,reduce serum cortisol level,and improve the quality of sleep and the quality of life of patients.It is worthy of clinical application.

关 键 词：浮针疗法 度洛西汀 老年躯体形式疼痛障碍 简化McGill疼痛问卷 血清皮质醇 睡眠质量 

分 类 号：R592[医药卫生—老年医学]