CAJ | 학술논문

目的：观察电针联合帕罗西汀治疗创伤后应激障碍（ PTSD）的辅助疗效。方法将53例创伤后应激障碍患者随机分为研究组（盐酸帕罗西汀联合电针治疗）23例及对照组（盐酸帕罗西汀治疗）30例，两组患者均治疗4周。于治疗前及治疗后第4周末采用创伤后应激障碍检查表（ PCL）及汉密尔顿焦虑量表（ HAMA）评定。结果治疗后第4周末两组PCL总分及各因子评分和HAMA评分较各自治疗前均降低（P＜0．05），研究组治疗后第4周末PCL总分及重现、警觉性因子评分和HAMA评分均低于对照组（P＜0．05）。两组间总不良反应发生率比较差异无统计学意义（P＞0．05）。结论电针联合帕罗西汀可安全有效地治疗PTSD。
목적：관찰전침연합파라서정치료창상후응격장애（ PTSD）적보조료효。방법장53례창상후응격장애환자수궤분위연구조（염산파라서정연합전침치료）23례급대조조（염산파라서정치료）30례，량조환자균치료4주。우치료전급치료후제4주말채용창상후응격장애검사표（ PCL）급한밀이돈초필량표（ HAMA）평정。결과치료후제4주말량조PCL총분급각인자평분화HAMA평분교각자치료전균강저（P＜0．05），연구조치료후제4주말PCL총분급중현、경각성인자평분화HAMA평분균저우대조조（P＜0．05）。량조간총불량반응발생솔비교차이무통계학의의（P＞0．05）。결론전침연합파라서정가안전유효지치료PTSD。
Objective To explore the effects of electric acupuncture combined with paroxetine in treatment of patients with post-traumatic stress disorder (PTSD).Methods A total of 59 patients with PTSD were randomly divided into study group (23 cases)treated with electric acupuncture combined with paroxetine for 4 weeks and control group(30 cases) treated with paroxetine monotherapy for 4 weeks.They were assessed with the PTSD Checklist ( PCL) and Hamilton Anxiety Rating Scale ( HAMA) at the baseline and the end of the 4th week of treatment.Results At the end of the 4th week of treatment, the total scores of PCL and HAMA as well as all factor scores of PCL in two groups were all significantly lower than those before treatment (P<0.05). Total scores of PCL and HAMA as well as the factor scores of re-experiencing and hyperarousal in study group were all significantly lower than those in control group at the end of the 4th week of treatment(P<0.05).After treatment, there was no difference for the total incidence of side effects between two groups ( P >0.05 ) .Conclusion It ’s effective for electric acupuncture combined with paroxetine to treat the patients with PTSD.