近10年国内外针刺治疗焦虑症研究进展
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摘要
焦虑症严重影响患者身体健康与生活质量,目前关于针刺治疗焦虑症的有效性已在诸多临床研究中得到认证。文章收集近10年来关于针刺治疗焦虑症的临床研究文献,主要从国内外对本病的针刺治疗手段的总结及两者之间的对比展开论述。结果表明,相对于单纯的运用药物或针刺疗法,针刺、电针联合药物、心理、耳穴按压等其它疗法研究更广,效果更优;此外国内外研究在研究基础、涉及病种、研究方法、干预措施、评价指标等方面都存在差异,且国内外研究侧重点不一样,国内研究文献重视某个穴位或某种针刺方法治疗焦虑症效,而国外研究重点是针刺是否有效。
Anxiety disorder seriously affects the health and quality of life of patients. At present, the effectiveness of acupuncture in the treatment of anxiety has been certified in many clinical studies. The clinical research literature on acupuncture treatment of anxiety disorder in recent 10 years was collected, and the summary of the treatment methods of acupuncture at home and abroad and the comparison between the two were discussed. The results showed that: Compared with the simple use of drugs or acupuncture therapy, other therapies such as acupuncture, electro-acupuncture combined with drugs, psychology,and ear acupoint pressing have been studied more widely, and the effect is better. In addition, there are differences in research basis, disease types, research methods, intervention measures and evaluation indicators between domestic and foreign research.And there are different research emphases at home and abroad. Domestic research literature pays attention to the effects of a certain acupoint or a certain acupuncture method in the treatment of anxiety disorder, while foreign research focuses on whether acupuncture is effective.
Anxiety disorder seriously affects the health and quality of life of patients. At present, the effectiveness of acupuncture in the treatment of anxiety has been certified in many clinical studies. The clinical research literature on acupuncture treatment of anxiety disorder in recent 10 years was collected, and the summary of the treatment methods of acupuncture at home and abroad and the comparison between the two were discussed. The results showed that: Compared with the simple use of drugs or acupuncture therapy, other therapies such as acupuncture, electro-acupuncture combined with drugs, psychology,and ear acupoint pressing have been studied more widely, and the effect is better. In addition, there are differences in research basis, disease types, research methods, intervention measures and evaluation indicators between domestic and foreign research.And there are different research emphases at home and abroad. Domestic research literature pays attention to the effects of a certain acupoint or a certain acupuncture method in the treatment of anxiety disorder, while foreign research focuses on whether acupuncture is effective.
引文
[1]中华医学会精神科分会.中国精神障碍分类与诊断标准.3版,济南:山东科学技术出版社,2001:103
[2]孙文军,曲淼,徐向青,等.焦虑障碍中医临床诊疗指南释义.北京中医药,2018,37(2):105-110
[3]朱冬梅.针药结合治疗焦虑症临床研究.中医学报,2013,28(4):611-611
[4]刘洋,李华南,张玮,等.非药物治疗广泛性焦虑症的研究进展.时珍国医国药,2016,27(11):2722-2724
[5]刘金鹏,孟莉,于新茜,等.安神清脑针灸法治疗焦虑症随机平行对照研究.实用中医内科杂志,2015,29(8):152-153
[6]赵岩,邹伟,滕伟,等.通督调神针刺法治疗广泛性焦虑症的临床研究.针灸临床杂志,2014,30(11):24-26
[7]赵瑞珍,秦丽娜,赵爽.“安神解虑”针刺法治疗广泛性焦虑障碍疗效观察.北京中医药,2018,37(2):122-124
[8]沈莉,颜红,冯辉.针药结合治疗广泛性焦虑症临床观察.上海针灸杂志,2007,26(3):3-4
[9]隋爱民.帕罗西汀联合针刺治疗焦虑症38例疗效观察.福建中医药,2010,41(3):24,26
[10]房艳艳,周伟,袁燕亭,等.电针合并药物治疗广泛性焦虑症的临床研究.中国民康医学,2014,26(9):13-15
[11]郑蔚,刘海静,祁静,等.针刺配合音乐疗法治疗广泛性焦虑症疗效观察.上海针灸杂志,2013,32(11):897-898
[12]郑新杰,代静,龚晓涛.针刺配合催眠疗法治疗焦虑症78例.上海针灸杂志,2010,29(8):529
[13]张静.心理疗法结合电针治疗焦虑性神经症的研究.中国实用医药,2010,5(31):238-240
[14]张洪,邓鸿.针刺配合穴位注射治疗地震后广泛性焦虑症疗效观察.上海针灸杂志,2010,29(9):576-577
[15]任建宁.针刺背俞穴配合耳压治疗焦虑症临床观察.四川中医,2011,29(9):123-124
[16]马艳,刘俊昌,梁晓鹰,等.推拿配合针刺治疗广泛性焦虑症睡眠障碍的临床研究.中华中医药杂志,2016,31(11):4863-4865
[17]高雅,沈莉.针刺结合生物反馈双联疗法治疗焦虑症的疗效评价.世界中医药学会联合会神志病专业委员会成立大会,中华中医药学会神志病分会换届大会暨2013年神志病专业学术年会论文,2013:205-211
[18]尤红,田园,黄永芳,等.智能电针联合康复训练对焦虑症病人疗效的影响.护理研究,2015,29(34):4314-4315
[19]盛国滨,李辉,唐英.电针夹脊穴配合头针治疗广泛性焦虑症的临床疗效观察.针灸临床杂志,2015,31(5):42-43
[20]Klausenitz C,Hacker H,Hesse T,et al.Auricular acupuncturefor exam anxiety in medical students:randomized crossoverinvestigation.PLo S,2016,11(12):e0168338
[21]Bae H,Bae H,Min B I,et al.Efficacy of Acupuncture inreducing preoperative anxiety:A Meta-analysis.Evidence-based Complementary and Alternative Medicine:eCAM.2014;2014:850367
[22]Wang S M,Kain Z N.Auricular acupuncture:a potential treatmentfor anxiety.Anesth Analq,2001,92(2):548-553
[23]Carvalho F,Weires K,Ebling M,et al.Effects of acupuncture onthe symptoms of anxiety and depression caused by premenstrualdysphoric disorder.Acupuncture in Medicine,2013,31:358-363
[2]孙文军,曲淼,徐向青,等.焦虑障碍中医临床诊疗指南释义.北京中医药,2018,37(2):105-110
[3]朱冬梅.针药结合治疗焦虑症临床研究.中医学报,2013,28(4):611-611
[4]刘洋,李华南,张玮,等.非药物治疗广泛性焦虑症的研究进展.时珍国医国药,2016,27(11):2722-2724
[5]刘金鹏,孟莉,于新茜,等.安神清脑针灸法治疗焦虑症随机平行对照研究.实用中医内科杂志,2015,29(8):152-153
[6]赵岩,邹伟,滕伟,等.通督调神针刺法治疗广泛性焦虑症的临床研究.针灸临床杂志,2014,30(11):24-26
[7]赵瑞珍,秦丽娜,赵爽.“安神解虑”针刺法治疗广泛性焦虑障碍疗效观察.北京中医药,2018,37(2):122-124
[8]沈莉,颜红,冯辉.针药结合治疗广泛性焦虑症临床观察.上海针灸杂志,2007,26(3):3-4
[9]隋爱民.帕罗西汀联合针刺治疗焦虑症38例疗效观察.福建中医药,2010,41(3):24,26
[10]房艳艳,周伟,袁燕亭,等.电针合并药物治疗广泛性焦虑症的临床研究.中国民康医学,2014,26(9):13-15
[11]郑蔚,刘海静,祁静,等.针刺配合音乐疗法治疗广泛性焦虑症疗效观察.上海针灸杂志,2013,32(11):897-898
[12]郑新杰,代静,龚晓涛.针刺配合催眠疗法治疗焦虑症78例.上海针灸杂志,2010,29(8):529
[13]张静.心理疗法结合电针治疗焦虑性神经症的研究.中国实用医药,2010,5(31):238-240
[14]张洪,邓鸿.针刺配合穴位注射治疗地震后广泛性焦虑症疗效观察.上海针灸杂志,2010,29(9):576-577
[15]任建宁.针刺背俞穴配合耳压治疗焦虑症临床观察.四川中医,2011,29(9):123-124
[16]马艳,刘俊昌,梁晓鹰,等.推拿配合针刺治疗广泛性焦虑症睡眠障碍的临床研究.中华中医药杂志,2016,31(11):4863-4865
[17]高雅,沈莉.针刺结合生物反馈双联疗法治疗焦虑症的疗效评价.世界中医药学会联合会神志病专业委员会成立大会,中华中医药学会神志病分会换届大会暨2013年神志病专业学术年会论文,2013:205-211
[18]尤红,田园,黄永芳,等.智能电针联合康复训练对焦虑症病人疗效的影响.护理研究,2015,29(34):4314-4315
[19]盛国滨,李辉,唐英.电针夹脊穴配合头针治疗广泛性焦虑症的临床疗效观察.针灸临床杂志,2015,31(5):42-43
[20]Klausenitz C,Hacker H,Hesse T,et al.Auricular acupuncturefor exam anxiety in medical students:randomized crossoverinvestigation.PLo S,2016,11(12):e0168338
[21]Bae H,Bae H,Min B I,et al.Efficacy of Acupuncture inreducing preoperative anxiety:A Meta-analysis.Evidence-based Complementary and Alternative Medicine:eCAM.2014;2014:850367
[22]Wang S M,Kain Z N.Auricular acupuncture:a potential treatmentfor anxiety.Anesth Analq,2001,92(2):548-553
[23]Carvalho F,Weires K,Ebling M,et al.Effects of acupuncture onthe symptoms of anxiety and depression caused by premenstrualdysphoric disorder.Acupuncture in Medicine,2013,31:358-363