| Research Background:The rapid pace of life in modern society, work, relationships, increased economic pressure, anxiety is the most common emotional reaction, but also various types of central symptoms of neurosis. It is predicted that neuropsychiatric disorders will be second only to ischemic heart disease ranked first in the global spectrum of diseases. In recent years, anxiety gradually by the medical profession seriously, and its extensive and in-depth research, but so far not fully understand its pathogenesis. Even in terms of treatment, many anti-anxiety medicine to emerge, such as SSRI drugs, although effective, but side effects may also vary widely and gradually discovered, for example, anxiety, cognitive function, improve somatization symptoms was not obvious, on the central nerve, autonomic, gastrointestinal side effects. Taking a long time there will be tolerance, efficacy weakened situation occurs. But anxiety disorders are multi-sexual disease, relapse rate, hard to be cured, to be a stable and long-term treatment. Therefore, taking western medicine although convenient, have a certain effect, but because of side effects, affect patient adherence to treatment, is not conducive to clinical efficacy. TCM treatment of anxiety disorders has its unique advantages, and has done research acupuncture treatment of anxiety, and achieved certain results.Objective:This issue is under the guidance of traditional Chinese medicine theory, research methods randomized controlled clinical trials of the system, observe Magic Act to bring the cause of generalized anxiety disorder conditioning, fast acting, easy to operate and characterized therapy commonly used in clinical medicine clinical efficacy of therapy for anxiety disorders, seeking widely used clinically safe and effective anxiolytic therapy provide strong clinical evidence for the disease to explore more effective treatment options and methods to alleviate the suffering of patients, improve patient health, improve the efficiency of patients, quality of life is of great significance.Method:This subject between April 2012 to April 2014, in Hong Kong clinic collected 60 cases of patients with generalized anxiety disorder, the method of randomization design will meet the diagnostic criteria of the cases included as subjects, according to 1:1 randomly assigned to acupuncture group and western medicine group, n= 30, respectively, through the use of acupuncture to bring Magic and western medicine.Western diagnostic criteria for generalized anxiety disorder using our establishment in April 2001, published by themselves, the Chinese Medical Association diagnostic criteria for mental branch editor, China Classification and diagnostic criteria for mental disorders Third Edition (CCMD-3) in generalized anxiety disorder. TCM diagnostic criteria with reference to 1995 the Central Drug Administration announced the implementation of the People’s Republic of China pharmaceutical industry standard "TCM Syndrome Diagnostic efficacy of the standard·Melancholia" generalized anxiety disorder relating to relevant content. TCM classification criteria refer to "TCM Syndrome Diagnostic efficacy of the standard · Melancholia" in TCM typing related generalized anxiety disorder.A total of two courses of treatment, every other day, every thirty minutes, four weeks of continuous therapy for treatment. Efficacy chosen Hamilton Anxiety Scale and Quality of Life Scale score were evaluated. Evaluation includes former age, duration, and after treatment, a course of treatment after two courses of treatment, Hamilton Anxiety Scale and Quality of Life Scale Comparison and total score. Hamilton Anxiety Scale and Quality of Life Scale Evaluation of specialized medical personnel to fill. Respectively, before the first treatment, after a course of treatment and two treatment regimens evaluated. According to the 1994 evaluation standard published by Nanjing University Press, in the People’s Republic of China Administration of Traditional chapter "TCM Syndrome Diagnostic efficacy of the standard" in the "depression evaluation standard, " Hamilton Anxiety Scale and Quality of Life Scale comprehensive assessment.Results:Acupuncture group and western medicine group the patient’s age and severity index after composing statistical tests, no significant difference (P> 0.05), comparable. Hamilton Anxiety Scale score and total score after statistical tests were no significant differences (P> 0.05), comparable. Quality of Life Scale through statistical tests, no significant difference (P> 0.05), comparable.After two courses of treatment, in which the western group, the clinical cure two cases,10 cases markedly effective in 10 cases,8 cases, the total effective rate was 73.33%; acupuncture group were clinically cured 10 cases, 14 cases markedly effective in 4 cases,2 cases, the total effective rate was 93.33%. Statistical analysis showed no significant difference between the two groups (P> 0.05), prompted two patients had a definite effect.After two courses of treatment, acupuncture group and western medicine group Hamilton Anxiety Scale score and total scores before and after treatment were compared. The first two groups in the first and second course after course after the score was significantly superior to treatment, the difference was statistically significant (P<0.01). The mean scores between the two groups, showing more efficacy of acupuncture group improved significantly, significantly better than western medicine group, the difference was statistically significant (P<0.05).In addition, the acupuncture group and the quality of life in western medicine group before and after treatment of various dimensions and scale total score mean after t test, get the results significantly better than before treatment, the difference was statistically significant (P<0.05); and after treatment scores between groups were, after t test, the results of acupuncture group horizontal dimensions reflect different:general health and total score on the difference obvious, no significant difference (P> 0.05) effect. Physical function, bodily pain, social function of the horizontal dimension and emotional function and total scores on the clear differences between the difference was statistically significant (P<0.05). Physiological function, energy levels and mental health dimensions and total scores on the more obvious difference, the difference was statistically significant (P<0.01). Tip Magic method with the use of transfer can relieve anxiety medicine, and better than western medicine group effect.Conclusion:The results of this study tips:Regardless of Magic method combined transfer or western medicine treatment of generalized anxiety disorder have a clear effect, can effectively relieve anxiety, improve patient health, improve work efficiency and quality of life of patients. Magic method combined with the use of adjusted effective than western medicine group, indicating that the use of tone Magic method combined with Western medicine is more effective mitigation of generalized anxiety disorder caused by anxiety symptoms. |
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