艾灸特定穴位对老年慢性精神分裂症患者精神心理躯体状态及社会功能的影响  

Effect of Moxibustion at Specific Acupoints on the Mental,Psychological,Physical,and Social Functions of Elderly Patients with Chronic Schizophrenia

作　　者：曾奕彬 黄俊东[1] 卢林生 郑兴[1] ZENG Yibin;HUANG Jundong;LU Linsheng;ZHENG Xing(Department of Chronic Diseases,Affiliated Brain Hospital of Guangzhou Medical University,Guangzhou 510370,China;不详)

机构地区：[1]广州医科大学附属脑科医院慢性病科,广东广州510370

出　　处：《中国医学创新》2025年第6期134-139,共6页Medical Innovation of China

基　　金：广州市中医药和中西医结合科技项目(20222A010040)。

摘　　要：目的:探讨艾灸特定穴位对老年慢性精神分裂症患者精神心理躯体状态及社会功能的影响。方法:选取2022年3月—2023年3月广州医科大学附属脑科医院收治的90例老年慢性精神分裂症患者,按照随机数字表法分为观察1组、观察2组、空白对照组,各30例,在常规治疗基础上,观察1组给予艾灸双侧肾俞治疗,观察2组给予艾灸双侧足三里治疗,空白对照组不给予艾灸治疗。比较三组临床指标、精神心理躯体状态及社会功能、生活质量和药物副作用发生情况。结果:干预前、干预12周后,三组体重、体脂率、腰围、体重指数(BMI)、舒张压比较,差异均无统计学意义(P>0.05);干预12周后,观察1组、观察2组心率均低于干预前及空白对照组,收缩压均低于空白对照组,差异均有统计学意义(P<0.05)。干预前,三组阳性与阴性症状量表(PANSS)、简明精神病评定量表(BPRS)、社会功能缺陷筛选量表(SDSS)、精神分裂症患者生活质量量表(SQLS)、药物副作用量表(TESS)评分比较,差异均无统计学意义(P>0.05);干预12周后,三组PANSS、BPRS、SDSS、SQLS评分均低于干预前,且观察1组、观察2组均低于空白对照组,差异均有统计学意义(P<0.05);干预12周后,三组TESS评分比较,差异无统计学意义(P>0.05)。结论:对老年慢性精神分裂症患者双侧肾俞或双侧足三里进行艾灸,可降低心率,稳定血压,改善精神心理躯体状态,提高社会功能和生活质量。Objective:To investigate the effect of moxibustion at specific acupoints on mental,psychological and physical state and social function of elderly patients with chronic schizophrenia.Method:A total of 90 elderly patients with chronic schizophrenia in the Affiliated Brain Hospital of Guangzhou Medical University from March 2022 to March 2023 were selected and divided into observation group 1,observation group 2 and blank control group according to random number table method,with 30 cases in each group.On the basis of routine treatment,observation group 1 was given moxibustion bilateral Shenshu treatment,and observation group 2 was given moxibustion bilateral Zusanli treatment.The blank control group was not given moxibustion treatment.The clinical indexes,psychosomatic state and social function,quality of life and drug side effects among the three groups were compared.Result:Before intervention and 12 weeks after intervention,there were no significant differences in body weight,body fat percentage,waist circumference,body mass index(BMI)and diastolic blood pressure among three groups(P>0.05).At 12 weeks after intervention,the heart rate of observation group 1 and observation group 2 were lower than those before intervention and blank control group,systolic blood pressure of observation group 1 and observation group 2 was lower than that in blank control group,the differences were statistically significant(P<0.05).Before intervention,there were no significant differences in the scores of positive and negative symptom scale(PANSS),brief psychiatric rating scale(BPRS),social dysfunction screening scale(SDSS),schizophrenia quality of life scale(SQLS)and treatment emergent symptom scale(TESS)among the three groups(P>0.05).At 12 weeks after intervention,the scores of PANSS,BPRS,SDSS and SQLS in three groups were lower than those before intervention,and those in observation group 1 and observation group 2 were lower than those in blank control group,the differences were statistically significant(P<0.05).At 12 weeks after

关 键 词：艾灸 老年慢性精神分裂症 肾俞 足三里 精神心理躯体状态 社会功能 

分 类 号：R246.6[医药卫生—针灸推拿学]