【摘要】 目的 观察基于肠-脑轴理论，以腹部推拿为主治疗心脾两虚型广泛性焦虑症（GAD）的临床效果。方法 选取山东中医药大学附属医院推拿科门诊及病房的60例心脾两虚型GAD患者为研究对象，随机分成2组，每组30例，治疗组采用腹部推拿作为主治疗，对照组采用常规针刺治疗，治疗4周后采用中医证候积分量表和汉密尔顿焦虑量表（HAMA）评定疗效。结果治疗前，2组中医证候积分与HAMA积分差异无统计学意义（P>0.05）。治疗后，2组症状和HAMA积分均有所改善（P<0.05），且治疗组情绪不宁、心悸胆怯、失眠健忘与多思善疑的改善情况明显优于对照组，HAMA量表积分改善亦优于对照组，差异均有统计学意义（P<0.01）。治疗组的总有效率为96.67%(29/30)，高于对照组的86.67%(26/30)，差异有统计学意义（P<0.05）。结论 以腹部推拿为主治疗心脾两虚型GAD效果更好，值得临床推广。更多还原

【Abstract】 Objective To observe the clinical effect of abdominal massage based on intestinal-brain axis theory in the treatment of generalized anxiety disorder(GAD) of deficiency of both heart and spleen type. Methods Sixty patients with GAD of deficiency of both heart and spleen type in Affiliated Hospital of Shandong University of Chinese Medicine were selected as the study subjects and randomly divided into 2 groups, with 30 cases in each group. Abdominal massage was used as the main treatment in the treatment group,and routine acupuncture was used in the control group. After 4 weeks of treatment, TCM syndrome score scale and Hamilton Anxiety Scale(HAMA) were used to evaluate the efficacy. Results There was no statistical difference between the scores of TCM syndromes and HAMA scores between the two groups before treatment(P>0.05). After treatment, the symptoms of both groups were improved(P<0.05), and the improvement of emotional instability, palpitations and timidity insomnia, forgetfulness and suspicious thinking in the treatment group was significantly better than that in the control group(P<0.01), and the improvement of HAMA scale scores in the treatment group was better than that in the control group(P<0.01). The total effective rate of treatment group was 96.67%(29/30),while that of control group was 86.67%(26/30), and the difference was statistically significant(P<0.05). Conclusion Abdominal massage is more effective in treating GAD of deficiency of both heart and spleen type, and is worthy of clinical promotion.更多还原