耳穴贴压联合渐进性肌肉放松操治疗广泛性焦虑障碍患者临床疗效观察  

Clinical observation on auricular point sticking and pressing combined with progressive muscle relaxation exercise in the treatment of patients with generalized anxiety disorder

作　　者：李欣[1,2] 林锦 高雅 沈莉[1,2] LI Xin;LIN Jin;GAO Ya;SHEN Li(Psychosomatic Department,First Teaching Hospital of Tianjin University of Traditional Chinese Medicine,Tianjin 300381,China;National Clinical Research Center for Chinese Medicine Acupuncture and Moxibustion,Tianjin 300381,China)

机构地区：[1]天津中医药大学第一附属医院心身科,天津300381 [2]国家中医针灸临床医学研究中心,天津300381

出　　处：《天津中医药》2024年第5期617-621,共5页Tianjin Journal of Traditional Chinese Medicine

基　　金：天津市科技计划项目科技重大专项及工程慢性病防治科技重大专项研究(17ZXMFSY00100)。

摘　　要：[目的]探讨耳穴贴压联合渐进性肌肉放松操治疗对广泛性焦虑障碍患者疗效观察。[方法]选取2021年6月—2022年5月三甲医院心身科住院患者140例为研究对象,随机分为对照组和观察组各70例。对照组采用三位一体加中医内科护理常规,观察组在三位一体治疗加中医护理常规的基础上配合采用耳穴贴压技术结合渐进性肌肉放松操,观察两组广泛性焦虑障碍患者治疗效果。[结果]分别比较观察组和对照组患者治疗前后焦虑自评量表(SAS)、抑郁自评量表(SDS)、汉密尔顿焦虑量表(HAMA)、汉密尔顿抑郁量表(HAMD)评分,观察组治疗后所有评分均下降,且观察组SAS评分小于对照组,差异有统计学意义(P<0.01),同时治疗前后中医证候积分比较,观察组低于对照组(P<0.05)。[结论]将中医耳穴贴压联合渐进性肌肉放松操两者结合,以特有的中西医结合互补模式,降低了患者对西药治疗的抗拒与恐惧,其操作易于接受,提高了治疗的依从性,取得了良好效果,值得在临床心身疾病中广泛使用。[Objective]To investigate the therapeutic effect of auricular point sticking and pressing combined with progressive muscle relaxation exercise on patients with generalized anxiety disorder.[Methods]The 140 inpatients in the psychosomatic department of the Third Class A Hospital from June 2021 to May 2022 were selected as the research objects,and randomly divided into the control group and the observation group with 70 patients in each group.The control group was treated with trinity plus traditional Chinese medicine(TCM)internal medicine nursing routine,while the observation group was treated with trinity plus TCM nursing routine combined with auricular point sticking and pressing technology combined with gradual relaxation to compare the improvement of generalized anxiety disorder symptoms of the two groups.[Results]Compared with the SAS score and HAMA score before and after treatment,the SAS score in the observation group was lower than that in the control group after treatment,and the difference was statistically significant(P<0.01).At the same time,by comparing the scores of traditional Chinese medicine syndromes before and after treatment,the observation group had lower scores than the control group(P<0.05).[Conclusion]The combination of traditional Chinese medicine ear acupoint pressing and progressive muscle relaxation exercises adopted a unique complementary mode of combining traditional Chinese and Western medicine,which reduced the patient’s resistance and fear of Western medicine treatment.The operation was easy for patients to accept,improved treatment compliance,and achieved good treatment results.It is worthy of widespread use in clinical psychosomatic diseases.

关 键 词：耳穴贴压 渐进性肌肉放松操 广泛性焦虑障碍 

分 类 号：R749.72[医药卫生—神经病学与精神病学]