CAJ | 학술논문

目的：研究慢性酒精中毒性周围神经病(CAPN)患者神经心理因素与针刺治疗得气及疗效三者之间的关系。方法55例男性CAPN患者采用随机抽样法分为手法组(n=30)和非手法组(n=25)。分别进行针刺治疗，行下肢神经损害评分(NIS-LL)及神经系统症状评分(NSS)评价其症状程度及疗效，采用针刺主观感受得气量表(得气量表)评价针刺得气状态，采用卡特尔人格因素测试(16PF)、汉密尔顿焦虑量表(HAMA)、汉密尔顿抑郁量表(HAMD)评价其神经心理状态。结果治疗后7、14、21、28 d，手法组得气量表评分及平均值均高于非手法组(P<0.05)。乐群性、聪慧性、兴奋性、敏感性、独立性因子分高的人群较为容易得气。治疗14 d、28 d时，同时间点抑郁组、焦虑组得气量表评分低于正常组(P<0.05)。治疗28 d时抑郁组和焦虑组NIS-LL及NSS评分高于正常组(P<0.05)；手法组NIS-LL及NSS评分低于非手法组(P<0.05)。结论针刺治疗是CAPN治疗中的有效手段，神经心理因素在CAPN针刺得气与疗效中发挥重要作用。
목적：연구만성주정중독성주위신경병(CAPN)환자신경심리인소여침자치료득기급료효삼자지간적관계。방법55례남성CAPN환자채용수궤추양법분위수법조(n=30)화비수법조(n=25)。분별진행침자치료，행하지신경손해평분(NIS-LL)급신경계통증상평분(NSS)평개기증상정도급료효，채용침자주관감수득기량표(득기량표)평개침자득기상태，채용잡특이인격인소측시(16PF)、한밀이돈초필량표(HAMA)、한밀이돈억욱량표(HAMD)평개기신경심리상태。결과치료후7、14、21、28 d，수법조득기량표평분급평균치균고우비수법조(P<0.05)。악군성、총혜성、흥강성、민감성、독립성인자분고적인군교위용역득기。치료14 d、28 d시，동시간점억욱조、초필조득기량표평분저우정상조(P<0.05)。치료28 d시억욱조화초필조NIS-LL급NSS평분고우정상조(P<0.05)；수법조NIS-LL급NSS평분저우비수법조(P<0.05)。결론침자치료시CAPN치료중적유효수단，신경심리인소재CAPN침자득기여료효중발휘중요작용。
Objective To study the relationship among neuropsychological factors, De Qi, and efficacy of acupuncture on chronic alco-holic peripheral neuropathy (CAPN) patients. Methods 55 male patients with CAPN were randomized into acupuncture manipulation group (n=25) and non-manipulation group (n=25). The degree of symptoms and clinical efficacy in patients were evaluated with Neuropathy Im-pairment Score in the Lower Limbs (NIS-LL) and Neurological Severity Score (NSS). The levels of De Qi for patients and acupuncturists were assessed by Subjective Acupuncture Sensation Scale (SASS), the psychological factors in patients were tested with Sixteen Personality Factor Questionnaire (16PF), Hamilton Depression Scale (HAMD) and Hamilton Anxiety Scale (HAMA). Results 7, 14, 21, 28 days after treatment, the scores of De Qi and the average score were significantly higher in the manipulation group than in the non-manipulation group (P<0.05). The higher the scores of warmth, independence, intelligence, irritability and sensitivity, the more susceptible to SASS. 14, 28 days after treatment, the scores of SASS were lower in the depression group and anxiety group than in the healthy group (P<0.05). 28 days after treatment, the scores of NIS-LL and NSS were higher in the depression group and anxiety group than in the healthy group (P<0.05), and were lower in the acupuncture manipulation group than in the non-manipulation group (P<0.05). Conclusion Acupuncture is effective on CAPN. The neuropsychological factors play important role in De Qi and the efficacy.