《中国康复理论与实践》

《中国康复理论与实践》 ›› 2012, Vol. 18 ›› Issue (9): 855-857.

• 论文 • 上一篇    下一篇

腕踝针治疗工伤创伤后应激障碍的疗效

黄丽娟1a，罗文基1b，朱华1a，周邵辉1c，张奎渤1d   

  1. 1.中山大学附属第五医院，a.康复科；b.药学部；c.心理科；d.骨科，广东珠海市519000。
  • 收稿日期:2012-04-01 修回日期:2012-04-25 出版日期:2012-09-25 发布日期:2012-09-25
  • 通讯作者: 罗文基

Effect of Wrist-ankle Acupuncture on Post Traumatic Stress Disorder after Work-related Injury

HUANG Li-juan, LUO Wen-ji, ZHU Hua, et al   

  1. Department of Rehabilitation, the Fifth Hospital Affiliated to Sun Yat-sen University, Zhuhai 519000，Guangdong, China
  • Received:2012-04-01 Revised:2012-04-25 Published:2012-09-25 Online:2012-09-25

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摘要： 目的研究腕踝针治疗工伤所致创伤后应激障碍(PTSD)的疗效及安全性。方法将62 例工伤PTSD 患者分为观察组(n=30)和对照组(n=32)。观察组予腕踝针及口服帕罗西汀治疗，对照组予单纯口服帕罗西汀治疗。在治疗前及治疗6、12 周后，分别进行PTSD 临床监测量表(CAPS)、汉密尔顿抑郁量表(HAMD)及汉密尔顿焦虑量表(HAMA)评定。结果治疗后，两组CAPS、HAMD 和HAMA 评分均明显优于治疗前(P<0.01)，观察组各量表评分减分率大于对照组(P<0.05)。结论腕踝针能提高工伤所致PTSD的疗效。

关键词: 工伤, 创伤后应激障碍, 腕踝针, 帕罗西汀

Abstract: Objective To study the clinical efficacy of wrist-ankle acupuncture on post-traumatic stress disorder (PTSD) after work-related injury. Methods 62 patients were divided into observation group (n=30) and control group (n=32). The observation group accepted wrist-ankle acupuncture combined with Paroxetine, and the control group accepted Paroxetine only. They were assessed with Clinical Administered PTSD Scale (CAPS), Hamilton Depression Rating Scale for Depression (HAMD), and Hamilton Anxiety Scale (HAMA) before, 6 weeks and 12 weeks after treatment. Results The scores of CAPS, HAMD and HAMA reduced in both groups (P<0.01) after treatment, and the reduction rate was greater in the observation group than in the control group (P<0.05). Conclusion Wrist-ankle acupuncture may further relieve PTSD after work-related injury

Key words: work-related injury, post traumatic stress disorder, wrist-ankle acupuncture, Paroxetine