腹针疗法治疗冠心病介入术后合并焦虑抑郁障碍患者疗效及对患者焦虑、躯体症状的影响

摘要 目的：探讨腹针疗法治疗冠心病介入术后合并焦虑抑郁障碍患者疗效及对焦虑、躯体症状的影响。方法：选择2021年8月-2022年5月在广东省中医院诊治的冠心病介入术后合并焦虑抑郁障碍患者120例作为研究对象，根据1:1平行对照原则把患者分为试验组与对照组各60例。对照组给予常规治疗，试验组在对照组治疗的基础上给予腹针疗法治疗，试验组与对照组都治疗观察4周。结果：试验组与对照组治疗后的焦虑与抑郁评分明显低于治疗前，试验组明显低于对照组（P<0.05）。试验组与对照组治疗后的心绞痛积分明显高于治疗前，试验组明显高于对照组（P<0.05）。治疗后，两组中医症候积分较治疗前低，试验组也明显低于对照组（P<0.05）。试验组治疗期间的便秘、嗜睡、头晕、心动过速等不良反应发生率为3.3 %，对照组为21.7 %，试验组与对照组对比有明显差异（P<0.05）。结论：腹针疗法治疗冠心病介入术后合并焦虑抑郁障碍患者能促进缓解焦虑抑郁症状还可减少不良反应，改善心绞痛症状，降低中医症候积分。

Curative Effects of Abdominal Acupuncture on Patients with Anxiety and Depression after Coronary Heart Disease Intervention and Its Effect on Anxiety and Somatic Symptoms

ABSTRACT Objective: To investigate the therapeutic effects of abdominal acupuncture on patients with anxiety and depression after coronary heart disease intervention and its effect on anxiety and somatic symptoms. Methods: From August 2021 to May 2022, A total of 120 cases of patients with anxiety and depression after coronary heart disease intervention who were diagnosed and treated in Guangdong Provincial Hospital of Traditional Chinese Medicine were selected as the research objects, and the patients were equally divided into the experimental group and the matched group accorded to the 1:1 parallel control principle. The matched group were given routine treatment, and the experimental group were given abdominal acupuncture therapy on the basis of the treatment of the matched group. Both groups were treated and observed for 4 weeks. Results: The anxiety and depression scores of the two groups after treatment were lower than those before treatment, and the experimental group were lower than the matched group (P<0.05). The angina scores of the two groups after treatment were higher than those before treatment, and the experimental group were higher than the matched group (P<0.05). The TCM symptom scores of the experimental group and the matched group after treatment were lower than those before treatment (P<0.05), and the experimental group was also lower than the matched group(P<0.05). The incidence rates of constipation, drowsiness, dizziness, tachycardia and other adverse reactions during the treatment period in the combined group were 3.3 %, compared with 21.7 % in the experimental group, and there were difference compared between the two groups(P<0.05). Conclusion: Abdominal acupuncture in the treatment of patients with anxiety and depression after coronary heart disease intervention can promote the relief of anxiety and depression symptoms, improve the cognitive function of the patients, reduce the occurrence of adverse reactions, improve angina symptoms and reduce TCM symptom scores.