| 摘要: |
| [目的]验证腹部推拿治疗广泛性焦虑症的有效性和安全性，同时进一步探索其治疗机制。[方法]纳入广泛性焦虑症心脾两虚型患者60例，随机分为腹部推拿治疗组30例、西药对照组30例。腹部推拿治疗组运用腹部推拿法治疗，西药对照组按照临床最普遍采用的丁螺环酮治疗。通过应用汉密尔顿焦虑量表评分，对两组受试者治疗前、疗程结束后、疗程结束后3个月的心理健康状况进行量化对照比较；同时，通过检测受试者治疗前、疗程结束后经颅多普勒及红外热像的前后变化。[结果]腹部推拿组的有效率为66.67%，西药对照组的有效率为34.78%，腹部推拿组疗效优于西药对照组（P<0.05）。同时，腹部推拿可以改善左、右侧椎动脉峰值平均血流速度和左右侧额部温度，但是组内和组间比较并无差异。[结论]腹部推拿为广泛性焦虑症患者提供了一种更为有效、安全、绿色的治疗方法及临床治疗方案。 |
| 关键词: 腹部推拿 广泛性焦虑症 安全性 |
| DOI：10.11656/j.issn.1673-9043.2017.06.11 |
| 分类号:R749.72 |
| 基金项目:国家自然科学基金面上项目（81473793）；天津市高等学校科技发展基金计划项目（20120210）。 |
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| A randomized controlled research on the treatment of generalized anxiety disorder of abdominal massage |
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ZHANG Wei, LI Hua-nan, ZHAO Na, HAI Xing-hua, DONG Hua, SUN Qing
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The First Affiliated Hospital of Tianjin University of Traditional Chinese Medicine, Tianjin 300193, China
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| Abstract: |
| [Objective] To verify the efficacy and safety of abdominal massage in the treatment of generalized anxiety disorder.[Methods] A total of 60 patients with generalized anxiety disorder deficiency, were randomly divided two groups, the treatment group of abdominal massage 30 cases, the control group of western medicine 30 cases. Abdominal massage treatment group was treated with abdominal massage therapy, western medicine control group in accordance with the most commonly used buspirone treatment. Through the application of the Hamilton Anxiety Scale scores of two subjects over before and after treatment, treatment of mental health status of 3 months after the end of quantitative comparison; at the same time, through the detection of the subjects end before and after treatment by TCD and infrared thermography before and after the change.[Results] The effective rate of abdominal massage group was 66.67%, the effective rate of western medicine group was 34.78%, and the effect of abdominal massage group was better than that of western medicine group. At the same time, abdominal massage can improve the peak blood flow velocity of left and right vertebral artery and the left and right frontal temperature, but there was no difference between the two groups;abdominal massage can improve the peak blood flow velocity of left and right vertebral artery and the left and right frontal temperature, but there is no difference between the two groups.[Conclusion] Abdominal massage is a more effective, safe and green treatment and clinical treatment. |
| Key words: abdominal massage generalized anxiety disorder security |
