腕踝针配合耳穴贴压治疗考前紧张综合征疗效观察

摘要

目的：观察腕踝针配合耳穴贴压治疗考前紧张综合征的疗效。方法将60例考前紧张综合征患者随机分为腕踝针配合耳穴贴压组(治疗组,30例,退出11例)和耳穴贴压组(对照组,30例,退出1例)。治疗组取腕踝针针刺双侧上1,并且取耳穴心、神门、内分泌、肾上腺和皮质下进行贴压；对照组只取上述耳穴进行贴压。两组均在考前1星期进行治疗,3 d为1个疗程,连续治疗2个疗程观察疗效。治疗前后采用Sarason考试焦虑量表评分(TAS)和植物神经功能检测进行评定。结果治疗组总有效率为84.2%(16/19),对照组总有效率为82.8%(24/29),两组比较差异无统计学意义(P＞0.05)。对照组治疗后TAS评分显著下降(P＜0.01)。结论腕踝针配合耳穴贴压与单纯耳穴贴压均可显著改善考前紧张综合征的症状。%ObjectiveTo observe the efficacy of wrist-ankle acupuncture plus auricular point sticking in treating pre-exam anxiety syndrome.MethodSixty patients with pre-exam anxiety syndrome were randomized into a treatment group to receive wrist-ankle acupuncture plus auricular point sticking (30 cases, 11 cases dropped out) and a control group to receive auricular point sticking (30 cases, 1 dropped out). In the treatment group, the bilateral Upper 1 zones were punctured regarding the wrist-ankle acupuncture, and for the auricular point sticking, Heart (CO 15), ear Shenmen (TF 4), Endocrine (CO 18), Adrenal Gland (TG 2p), Subcortex (AT 4) were selected. In the controlgroup, the same auricular points were treated. For both groups, the intervention began from 1 week prior to the exam, 3 d as a treatment course, and the therapeutic efficacy was evaluated after 2 successive courses. The Sarason Test Anxiety Scale (TAS) and autonomic function test were used to assess the anxiety severity before and after treatment. ResultThe total effective rate was 84.2% (16/19) in the treatment group versus 82.8% (24/29) in the control group, and the difference was statistically insignificant (P>0.05). The TAS score dropped significantly in the control group after intervention (P<0.01).ConclusionWrist-ankle acupuncture plus auricular point sticking and auricular point sticking alone both can effectively improve the symptoms of pre-exam anxietysyndrome.