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针刺治疗经皮冠状动脉介入术后焦虑症患者的效果

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目的:观察针刺治疗经皮冠状动脉介入术(PCI)后焦虑症患者的效果.方法:选取2022年11月至2023年11月该院收治的100例PCI术后焦虑症患者进行前瞻性研究,按照随机数字表法将其分为对照组和观察组各50例.对照组给予氟哌噻吨美利曲辛治疗,研究组在对照组基础上给予针刺治疗,比较两组临床疗效,治疗前后中医证候积分、焦虑程度[汉密顿焦虑量表(HAMA)]评分、睡眠质量[匹兹堡睡眠质量指数量表(PSQI)]评分,以及不良反应发生率.结果:研究组治疗总有效率为94.00%(47/50),高于对照组的80.00%(80/50),差异有统计学意义(P<0.05);治疗后,两组精神抑郁、胸胁作胀、烦躁易怒等中医证候积分均低于治疗前,且研究组低于对照组,差异有统计学意义(P<0.05);两组HAMA、PSQI评分均低于治疗前,且研究组低于对照组,差异有统计学意义(P<0.05);两组不良反应发生率比较,差异无统计学意义(P>0.05).结论:针刺治疗PCI术后焦虑症患者,可提高临床疗效,降低中医证候积分,减轻焦虑情绪,改善睡眠质量,效果优于单纯氟哌噻吨美利曲辛治疗.
Effects of acupuncture on anxiety patients after percutaneous coronary intervention
Objective:To observe effects of acupuncture on anxiety patients after percutaneous coronary intervention (PCI). Methods:A prospective study was conducted on 100 patients with anxiety disorder after PCI who were admitted to the hospital from November 2022 to November 2023. According to the random number table method,they were divided into control group and observation group,50 cases in each group. The control group was treated with Flupentixol and Melitracen,while the study group was treated with acupuncture on the basis of that of the control group. The clinical efficacy,the TCM syndrome score,the anxiety degree[Hamilton anxiety scale (HAMA)]score and the sleep quality[Pittsburgh sleep quality index (PSQI)]score before and after the treatment,and the incidence of adverse reactions were compared between the two groups. Results:The total effective rate of the study group was 94.00% (47/50),which was higher than 80.00% (80/50) of the control group,and the difference was statistically significant (P<0.05). After the treatment,the scores of TCM syndromes such as mental depression,chest and hypochondrium distension,and irritability in the two groups were lower than those before the treatment,and those in the study group were lower than the control group,the differences were statistically significant (P<0.05). The HAMA and PSQI scores of the two groups were lower than those before the treatment,those in the study group were lower than those in the control group,and the differences were statistically significant (P<0.05). However,there was no significant difference in the incidence of adverse reactions between the two groups (P>0.05). Conclusions:Acupuncture in the treatment of the patients with anxiety after PCI can improve the clinical efficacy,reduce the TCM syndrome scores,reduce the anxiety,and improve the sleep quality. Moreover,it is superior to simple Flupentixol and Melitracen treatment.

Percutaneous coronary interventionAcupunctureFlupentixol and MelitracenAnxietyTCM syndrome score

李涛、张进进

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济南市章丘区中医医院急诊内科,山东 济南 250200

经皮冠状动脉介入术 针刺 氟哌噻吨美利曲辛 焦虑症 中医证候积分

2024

中国民康医学
中国社会工作协会

中国民康医学

影响因子:0.649
ISSN:1672-0369
年,卷(期):2024.36(23)