氟西汀联合理气通络针法治疗躯体化障碍患者的临床观察

Observation on Effect of Fluoxetine Combined with Liqi Tongluo Acupuncture for Treatment of Somatization Disorders

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DOI
刊名
Journal of International Psychiatry
年,卷(期) 2023, 50(3)
作者
作者单位

甘肃省天水市第三人民医院 ;

摘要
【摘要】观察氟西汀联合理气通络针法治疗躯体化障碍的临床疗效,为临床治疗躯体化障碍提供参考。方法 将130例躯体化障碍患者按就诊顺序随机分为研究组(n=62例)与对照组(n=68例),两组患者均给予氟西汀20-40mg/d饭后顿服,研究组在氟西汀治疗基础上配合中医理气通络针法治疗,主穴:百会、神庭、心俞、肝俞、内关、神门、期门、太冲、三阴交、足三里,取配穴1-2个,用平补平泻法,1次/d,20min/次,5次/w。观察期6周。采用症状自评量表(SCL-90)评分评定病情严重程度及疗效,SCL-90中各因子分为次要观察指标。结果 两组患者治疗后SCL-90 总评分及躯体化、抑郁和焦虑因子分均较治疗前明显下降,研究组下降更显著(P<0.01或0.05);从治疗第1周开始,两组SCL-90评分显示出差异性(P<0.05),研究组下降尤为显著;研究组有效率为85.0%,对照组为69.5%,差异有统计学意义(P<0.05);研究组和对照组脱落病例数分别为2例和9例,差异有统计学意义(P<0.05)。结论 与单用氟西汀相比,氟西汀联合理气通络针法治疗躯体化障碍更有效,起效更迅速,依从性更好。
Abstract
【Abstract】Objective To observe the effect of fluoxetine combined with Liqi Tongluo acupuncture for treatment of somatization disorder,provide reference for clinical treatment of somatization disorders. Methods A total of 130 patients with somatization disorder were randomly divided into study group (n=62,took fluoxetine combined with LiqiTongluo acupuncture) and control group (n=68,did fluoxetine) for 6 weeks.The main acupoints are Baihui, Shenting, Xinshu, Ganshu, Neiguan, Shenmen, Qimen, Taichong, Sanyinjiao, Zusanli, 5time/w, 20min/time.The severity of the disease and curative effect were assessed by the symptom self-rating scale (SCL-90), and each factor in the SCL-90 was divided into secondary indicators.Results Compared with the control group, the SCL-90 score and somatization, depression,anxiety factor scores of the study group were significantly decreased at the end of the treatment(P<0.01 or 0.05).From the first week of treatment, the SCL-90 score of the study group decreased significantly compared with the control group (P<0.05).The results showed that the effective rate was 85.0% on the study group and 69.5% on the control group (P<0.05).During the treatment, the number of cases lost to follow-up in the study group was 2, while that in the control group was 9(P<0.05).Conclusion Compared with single fluoxetine, fluoxetine combined with Liqi Tongluo acupuncture is more effective on the treatment of somatoform disorders, with faster onset and better compliance.
关键词
理气通络针法;氟西汀;躯体化障碍
KeyWord
Liqi Tongluo Acupuncture;Fluoxetine;Somatization Disorders
基金项目
页码 473-476
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马元业*,王芳. 氟西汀联合理气通络针法治疗躯体化障碍患者的临床观察 [J]. 国际精神病学杂志. 2023; 50; (3). 473 - 476.

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