针灸治疗“5·12”地震后创伤后应激障碍的临床观察
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摘要
目的:探讨针灸治疗5.12地震后创伤后应激障碍的疗效。方法:将92例患者随机分为治疗组(针灸组)与对照组(帕罗西汀组),两组各46例,疗程12周,分别于治疗前和治疗6周结束时及治疗12周结束时采用PTSD临床监测量表和汉密尔顿抑郁量表、汉密尔顿焦虑量表进行评分。结果:研究显示治疗组(针灸组)对创伤后应激障碍患者临床症状的改善优于对照组(帕罗西汀组),且起效更快;治疗组(针灸组)对创伤后应激障碍患者焦虑症状的缓解也明显优于对照组(帕罗西汀组)。虽然治疗组(针灸组)对患者抑郁症状的改善整体疗效与对照组(帕罗西汀组)相似,但起效更快。结论:针灸组治疗创伤后应激障碍优于帕罗西汀组。
Objective:to discuss the therapeutic effects of acupuncture and moxibustion in treating post traumatic stress disorder(PTSD).Methods:92 cases were randomly assigned to two groups,including the treating group(46 cases,treated by acupuncture and moxibustion) and the control group(46 cases,treated by paroxetine).The period of treatment last for 12 weeks.Each case was given marks using the Clinical Administered PTSD Scale(CAPS),Hamilton Depression Rating Scale for Depression(HAMD),and Hamilton Anxiety Scale(HAMA),seperately before the treatment,at the end of six weeks'treatment and 12 weeks'treatment.Results:the treating group got a more obvious improvement of clinical symptoms and a faster onset,compared to the control group.Meanwhile,the treating group got a better relief of the anxiety symptom,compared to the control group.Although the treating group shared the similar therapeutic effects with control group in the relief of depression symptom generally,the former had a faster onset.Conclusions:acupuncture and moxibustion had a better therapeutic effect than paroxetine in treating PTSD.
Objective:to discuss the therapeutic effects of acupuncture and moxibustion in treating post traumatic stress disorder(PTSD).Methods:92 cases were randomly assigned to two groups,including the treating group(46 cases,treated by acupuncture and moxibustion) and the control group(46 cases,treated by paroxetine).The period of treatment last for 12 weeks.Each case was given marks using the Clinical Administered PTSD Scale(CAPS),Hamilton Depression Rating Scale for Depression(HAMD),and Hamilton Anxiety Scale(HAMA),seperately before the treatment,at the end of six weeks'treatment and 12 weeks'treatment.Results:the treating group got a more obvious improvement of clinical symptoms and a faster onset,compared to the control group.Meanwhile,the treating group got a better relief of the anxiety symptom,compared to the control group.Although the treating group shared the similar therapeutic effects with control group in the relief of depression symptom generally,the former had a faster onset.Conclusions:acupuncture and moxibustion had a better therapeutic effect than paroxetine in treating PTSD.
引文
[1]Barlow H.David.心理障碍临床手册.第3版[M].刘兴华,黄峥,徐凯文,等译.北京:中国轻工业出版社,2004.
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[5]Fahriye Oflaz PhD,Sevgi Hatipog lu PhD,HamdullahAydin MD.Effectiveness of psycho education interventionon post-traumatic stress disorder and coping styles of earth-quake survivors[J].Journal of Clinical Nursing,2008,17:677-687
[6]Gelpin E,Bonne O,Peri T,et al.Treatment of recenttraumasurvivors with benzodiazepines:a prospective study[J].J Clin Psychiatry,1996,57(9):390.
[7]Lenze EJ,Pollock BG,Shear MK,etal.Treatmentconsiderations for anxiety in the elderly[J].CNS Spectr,2003,8(Suppl 3):6.
[8]J Davidson JR,Weisler RH,Butterfield MI.et al.Mir-tazapine vs placebo in posttraumatic stress disorder:a pi-lot trial[J].BiolPsychiatry,2003,53(2):188.
[9]Martenyi F,Brown EB,Zhang H,et al.Fluoxetine ver-sus placebo in posttraumatic stress disorder[J].J ClinPsychiatry,2002,63(3):199.
[10]Martenyi F,Brown EB,Zhang H,et al.Fluoxetine vsplacebo in prevention of relapse in post—traumatic stressdisorder[J].Br JPsychiatry.2002,181:315.
[11]J Davidson JR,Rothbaum BO,Van der Kolk BA,etal.Muhicenter,double—blind comparison of sertralineand placebo in the treatment of posttraumatic stress disor-der[J].Arch Gen Psychiatry,2001,58(5):485.
[12]Rapapon MH,Endicott J,Clary CM.Posttraumaticstress disorder and quality of life:results across 64 weeksof sertraline treatment[J].J Clin Psychiatry,2002,63(1):591.
[13]Davidson J,Pearlstein T,Londborg P,et al.Efficacy ofsertraline in preventing relapse of posttraumatic stress disor-der:results of a 28-week double-blind.placebo-controlledstudy[J].Am J Psychiatry,2001,158(12):1974.
[14]黄泳,龚伟,邹军,等.头针治疗抑郁发作SCL-90评定结果分析[J].上海针灸杂志,2004,23(3):5-7.
[15]杜元灏,李桂平.调神疏肝针法治疗郁证的理论基础[J].中国针灸,2003,19(7):7-9.
[16]杨硕.针灸有助于创伤后应激障碍症[J].中医药国际参考,2007,11(11):22-23.
[2]J L.Memory-a century of consolidation[J].Science,2000,287:248-251.
[3]Southwich S M,Davis M,Homer B,et al.Relationshipof enhanced norepinephrine activity during memory consoli-dation to enhanced long—term memory in humans[J].Am J Psychiatry,2002,l59:1420-1422.
[4]Cailian H,Jun L,Kun W,et al.Brain responses tosymptom provocation and trauma-related short-term recallin coal mining accident survivors with acute severe PTSD[J].Brain Research,2007,1144:l65-l74.
[5]Fahriye Oflaz PhD,Sevgi Hatipog lu PhD,HamdullahAydin MD.Effectiveness of psycho education interventionon post-traumatic stress disorder and coping styles of earth-quake survivors[J].Journal of Clinical Nursing,2008,17:677-687
[6]Gelpin E,Bonne O,Peri T,et al.Treatment of recenttraumasurvivors with benzodiazepines:a prospective study[J].J Clin Psychiatry,1996,57(9):390.
[7]Lenze EJ,Pollock BG,Shear MK,etal.Treatmentconsiderations for anxiety in the elderly[J].CNS Spectr,2003,8(Suppl 3):6.
[8]J Davidson JR,Weisler RH,Butterfield MI.et al.Mir-tazapine vs placebo in posttraumatic stress disorder:a pi-lot trial[J].BiolPsychiatry,2003,53(2):188.
[9]Martenyi F,Brown EB,Zhang H,et al.Fluoxetine ver-sus placebo in posttraumatic stress disorder[J].J ClinPsychiatry,2002,63(3):199.
[10]Martenyi F,Brown EB,Zhang H,et al.Fluoxetine vsplacebo in prevention of relapse in post—traumatic stressdisorder[J].Br JPsychiatry.2002,181:315.
[11]J Davidson JR,Rothbaum BO,Van der Kolk BA,etal.Muhicenter,double—blind comparison of sertralineand placebo in the treatment of posttraumatic stress disor-der[J].Arch Gen Psychiatry,2001,58(5):485.
[12]Rapapon MH,Endicott J,Clary CM.Posttraumaticstress disorder and quality of life:results across 64 weeksof sertraline treatment[J].J Clin Psychiatry,2002,63(1):591.
[13]Davidson J,Pearlstein T,Londborg P,et al.Efficacy ofsertraline in preventing relapse of posttraumatic stress disor-der:results of a 28-week double-blind.placebo-controlledstudy[J].Am J Psychiatry,2001,158(12):1974.
[14]黄泳,龚伟,邹军,等.头针治疗抑郁发作SCL-90评定结果分析[J].上海针灸杂志,2004,23(3):5-7.
[15]杜元灏,李桂平.调神疏肝针法治疗郁证的理论基础[J].中国针灸,2003,19(7):7-9.
[16]杨硕.针灸有助于创伤后应激障碍症[J].中医药国际参考,2007,11(11):22-23.
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