园艺疗法联合皮内针在肝郁化火型广泛性焦虑障碍患者中的应用  

Application of horticultural therapy combined with intradermal acupuncture in patients with of liver-depression and fire-extinguishing type of generalized anxiety disorder

作　　者：张琬云 朱佳欣 邱晴宜 蔡冬美 颜嘉怡 陈家敏 彭玉梅[2] 钟小玲[2] 何张优 苏广[2] Zhang Wanyun;Zhu Jiaxin;Qiu Qingyi;Cai Dongmei;Yan Jiayi;Chen Jiamin;Peng Yumei;Zhong Xiaoling;He Zhangyou;Su Guang(The Seventh Clinical School of Guangzhou University of Chinese Medicine,Shenzhen 518101,China;不详)

机构地区：[1]广州中医药大学第七临床医学院,广东深圳518101 [2]深圳市宝安区中医院

出　　处：《护理学杂志》2024年第19期53-58,共6页Journal of Nursing Science

基　　金：深圳市自然科学基金项目(JCYJ20220530141402005)。

摘　　要：目的观察园艺疗法联合皮内针用于改善肝郁化火型广泛性焦虑障碍的临床效果。方法将159例肝郁化火型广泛性焦虑障碍患者随机分为园艺疗法组、皮内针组和联合组各53例。三组均给予中医情志护理,在此基础上,园艺疗法组予以传统中草药园艺治疗,皮内针组予以皮内针治疗,联合组实施园艺疗法联合皮内针治疗。三组治疗均每周1次,共8周。比较三组治疗前后汉密尔顿焦虑量表评分、中医证候积分、匹兹堡睡眠质量指数量表评分及下丘脑-垂体-肾上腺轴血清指标水平。结果园艺疗法组53例、皮内针组52例、联合组51例完成研究。治疗第8周,联合组汉密尔顿焦虑量表评分、中医证候积分、匹兹堡睡眠质量指数量表评分、下丘脑-垂体-肾上腺轴血清指标水平均优于园艺疗法组和皮内针组(均P<0.05)。结论园艺疗法联合皮内针应用于肝郁化火型广泛性焦虑障碍患者可有效改善患者的焦虑状态和中医症状,提高睡眠质量,缓解下丘脑-垂体-肾上腺轴功能过度亢进。Objective To observe the clinical effect of horticultural therapy combined with intradermal acupuncture in improving liver-depression and fire-extinguishing type of generalized anxiety disorder.Methods A total of 159 patients with generalized anxiety di-sorder were randomly divided into horticulture therapy group,intradermal acupuncture group,and combined group,53 cases each.All three groups were given traditional Chinese emotional care.On this basis,the horticulture therapy group was given conventional Chinese herbal horticulture treatment,the intradermal acupuncture group was given intradermal acupuncture treatment,and the combination group was given horticulture therapy combined with intradermal acupuncture treatment.All three groups were treated once a week for 8 weeks.Hamilton Anxiety Scale score,TCM syndrome score,Pittsburgh Sleep Quality Index score and serum indexes of the hypothalamic-pituitary-adrenal(HPA)axis were compared before and after treatment among the three groups.Results A total of 53 cases in the horticulture therapy group,52 in the intradermal acupuncture group,and 51 in the combination group completed the study.In the 8th week of treatment,the scores of the Hamilton Anxiety Scale,TCM syndrome score,Pittsburgh Sleep Quality Index scale,and serum indexes of the HAP axis in the combination group were better than those in horticulture the-rapy group and intradermal acupuncture group(all P<0.05).Conclusion Horticultural therapy combined with intradermal acupuncture can effectively improve the anxiety state and symptoms of traditional Chinese medicine,enhance the quality of sleep,and relieve hyperfunction of the HPA axis in patients with of liver-depression and fire-extinguishing type of generalized anxiety disorder.

关 键 词：广泛性焦虑障碍 肝郁化火型 皮内针 园艺疗法 睡眠质量 中医证候积分 HPA轴 

分 类 号：R47[医药卫生—护理学] R248.9[医药卫生—临床医学]