火龙罐疗法联合柴胡疏肝散改善更年期女性焦虑障碍躯体化症状的效果评价OA
Effects of Fire Dragon Cupping Therapy Combined with Chaihu Shugan Powder on Somatic Symp-toms of Anxiety Disorder in Menopausal Women
目的 探讨火龙罐疗法联合柴胡疏肝散在更年期女性焦虑障碍躯体化症状中的应用,旨在为临床护理提供参考依据.方法 2024年7月至2025年7月,采用方便抽样方法选取赣州市第三人民医院收治的78例更年期焦虑障碍躯体化症状女性患者作为研究对象,采用随机数字表法将其分为对照组(n=39)和观察组(n=39).对照组予以常规护理,观察组在对照组的基础上采用火龙罐疗法联合柴胡疏肝散干预.两组均连续干预2个疗程,每个疗程4周.比较两组临床疗效以及干预前、1个疗程后、2个疗程后中医证候积分、焦虑自评量表(SAS)评分、躯体化症状量表(SSS)评分,以及干预前与2个疗程后的健康调查简表(SF-36)评分,同时记录不良反应发生率.结果 重复测量方差分析显示,两组患者在中医证候积分、SAS及SSS评分上,其时间、组间及交互效应均具有统计学意义(均P<0.05).干预前,两组评分指标的组间基线水平均具有可比性(均P>0.05);在干预1、2个疗程后均有所改善,且观察组的中医证候积分、SSS评分、SAS评分均低于对照组(均P<0.05);2个疗程后的SF-36评分[(78.42±8.16)分]高于对照组(P<0.05).两组不良反应发生率比较,差异无统计学意义(P>0.05).结论 火龙罐疗法联合柴胡疏肝散,可有效改善女性更年期焦虑障碍躯体化症状,缓解焦虑情绪,提升患者生活质量,且安全性良好,可作为该病症的优选干预方案之一.
Objective To explore the effects of fire dragon cupping therapy combined with Chaihu Shugan Powder on somatic symptoms of anxiety disorder in menopausal women,aiming to provide a reference for clinical nursing.Methods From July 2024 to July 2025,78 menopausal women with somatic symptoms of anxiety disorder treated at the Third People's Hospital of Ganzhou were selected as subjects by convenience sampling.They were divided into a control group(n=39)and an observation group(n=39)according to a random number table.The control group received conventional treatment,while the observation group additionally received fire dragon cupping therapy combined with Chaihu Shugan Powder.Both groups were treated for 2 consecutive courses,with each course lasting 4 weeks.The following indicators were compared between the two groups:clinical efficacy;TCM syndrome scores,Self-Rating Anxiety Scale(SAS)scores,and Somatic Symptom Scale(SSS)scores before treatment,after 1 course and after 2 courses;36-Item Short Form Survey(SF-36)scores before treatment and after 2 courses;incidence of adverse reactions.Results Repeated-measures analysis of variance revealed statistically significant time,between-group,and time×group interaction effects on TCM syndrome scores,SAS scores,and SSS scores in both groups(P<0.05 for all).Before treatment,the baseline levels of all scoring indicators were comparable between the two groups(P>0.05 for all);after 1 and 2 courses of treatment,all indicators improved,and the observation group showed lower TCM syndrome scores,SSS scores,and SAS scores than the control group(P<0.05 for all);after 2 courses of treatment,the observation group showed higher SF-36 scores[(78.42±8.16)points]than the control group(P<0.05).There was no statistically significant difference in the incidence of adverse reactions between the two groups(P>0.05).Conclusion Fire dragon cupping therapy combined with Chaihu Shugan Powder can effectively alleviate somatic symptoms of anxiety disorder in menopausal women,relieve their anxiety,and enhance their quality of life,with a favorable safety profile.It may therefore serve as one of the preferred treatment options for this condition.
申春;吴仰琴;许晨曦;刘三妹;鄢骏
赣州市第三人民医院,江西 赣州 341000赣州市第三人民医院,江西 赣州 341000赣州市第三人民医院,江西 赣州 341000赣州市第三人民医院,江西 赣州 341000赣州市第三人民医院,江西 赣州 341000
医药卫生
火龙罐疗法柴胡疏肝散女性更年期焦虑障碍躯体化症状
Fire dragon cupping therapyChaihu Shugan PowderMenopausal womenAnxiety disorderSo-matic symptoms
《上海护理》 2026 (10)
18-22,5
赣州市2025年指导性科技计划项目(2025ZSFCE0234).
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