中草药园艺疗法联合揿针对广泛性焦虑伴失眠患者的影响*

作者：朱佳欣，颜嘉怡，陈家敏，蔡冬美，阎路达，钟小玲，苏 广

单位：广州中医药大学附属宝安中医院，广东 深圳 518101

引用：引用：朱佳欣，颜嘉怡，陈家敏，蔡冬美，阎路达，钟小玲，苏广.中草药园艺疗法联合揿针对广泛性焦虑伴失眠患者的影响[J].中医药导报,2025,31(2):85-89,111.

DOI：10.13862/j.cn43-1446/r.2025.02.016

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摘要：目的：观察中草药园艺疗法联合揿针对广泛性焦虑伴失眠患者的影响。方法：选取122例广泛性焦虑伴失眠患者作为研究对象，根据随机数字表法分为园艺组（n=41）、揿针组（n=41）、联合组（n=40），园艺组在基础治疗的基础上给予中草药园艺疗法，揿针组给予揿针治疗，联合组给予园艺疗法和揿针治疗，持续治疗8周。比较3组患者治疗前后汉密尔顿焦虑量表（HAMA）评分、匹兹堡睡眠质量指数量表（PSQI）评分、失眠严重程度指数量表（ISI）评分、血清促肾上腺皮质激素释放激素（CRH）、皮质醇（CORT）水平及大脑皮层静息运动阈值（rMT）。结果：园艺组、揿针组均脱落1例。治疗后，3组患者PSQI、ISI、HAMA评分，CRH、CORT水平及rMT值均较治疗前降低，差异均有统计学意义（P＜0.05）。治疗后，联合组患者PSQI评分低于园艺组及揿针组，揿针组患者PSQI评分低于园艺组，差异均有统计学意义（P＜0.05）；联合组患者ISI评分低于园艺组及揿针组，差异有统计学意义（P＜0.05），园艺组患者ISI评分与揿针组比较，差异无统计学意义（P＞0.05）；3组患者HAMA评分比较，差异无统计学意义（P＞0.05）。治疗后，联合组患者血清CRH、CORT水平低于园艺组及揿针组，揿针组患者CRH、CORT水平低于园艺组，差异均有统计学意义（P＜0.05）。治疗后，3组患者rMT值比较，差异无统计学意义（P＞0.05）。结论：中草药园艺疗法联合揿针能有效改善广泛性焦虑伴失眠患者的焦虑状态和睡眠质量，具有良好临床疗效。

关键词：广泛性焦虑；失眠；中草药；园艺疗法；揿针

Abstract：

Objective: To observe the effects of herbal horticultural therapy combined with snap acupuncture on patients with generalized anxiety with insomnia. Methods: A total of 122 patients with generalized anxiety and insomnia were selected as the study objects, and were divided into gardening group (n=41), snap acupuncture group (n=41) and combined group (n=40) according to the random number table method. The gardening group was given Chinese herbal horticulture therapy on the basis of basic treatment, the snap acupuncture group was given snap acupuncture, the combined group was given herbal horticultural therapy combined with snap acupuncture therapy. The intervention lasted for 8 weeks. Hamilton Anxiety Scale (HAMA) score, Pittsburgh Sleep Quality Index Scale (PSQI) score, insomnia Severity Index Scale (ISI) score, serum adrenocorticotrophin releasing hormone (CRH), cortisol (CORT) content and cerebral cortex resting motor threshold (rMT) level were compared before and after intervention in three groups. Results: One case of detachment occurred in both the gardening group and the snap acupuncture group. After treatment, PSQI, ISI, HAMA scores, CRH, CORT content and rMT in the three groups were lower than those before treatment, and the differences were statistically significant (P<0.05). After treatment, the PSQI score of the combined treatment group was lower than that of the gardening group and the snap acupuncture group, and the PSQI score of the snap acupuncture group was lower than that of the gardening group, and the differences were statistically significant (P<0.05). There was no significant difference in ISI scores between the gardening group and the snap acupuncture group (P>0.05). There was no significant difference in HAMA score among the three groups (P>0.05). After treatment, the levels of CRH and CORT in the combined treatment group were lower than those in the gardening group and the snap acupuncture group, and the levels of CRH and CORT in the snap acupuncture group were lower than those in the gardening group, and the differences were statistically significant (P<0.05). After treatment, there was no statistically significant difference in rMT among the three groups (P>0.05). Conclusion: Herbal horticultural therapy combined with snap acupuncture can effectively improve the anxiety state and sleep quality of patients with generalized anxiety with insomnia, and it has good clinical efficacy.

Key words：generalized anxiety disorder; insomnia; Chinese herbs; horticultural therapy; snap-needle

发布时间：2025-12-08

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