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附子饼灸联合耳穴按压治疗新确诊HIV感染者焦虑抑郁的疗效观察:一项随机对照试验

Observation on the efficacy of moxibustion with fuzi cake combined with auricular point pressing in treating anxiety and depression in newly diagnosed people living with HIV: A randomized controlled trial.

作者信息

Meng Yuan, Zhang Jiangyin, Yang Yong, Zhang Ying, Liu Xueli, Guo Lin, Zhang Yanchen, Hong Nengkun, Chen Bocheng

机构信息

Guangxi University of Chinese Medicine, Nanning, Guangxi Zhuang Autonomous Region, China.

Faculty of Chinese Medicine Science, Guangxi University of Chinese Medicine, Nanning, Guangxi Zhuang Autonomous Region, China.

出版信息

Medicine (Baltimore). 2025 Sep 5;104(36):e44437. doi: 10.1097/MD.0000000000044437.

Abstract

BACKGROUND

This study investigated the efficacy of moxibustion with aconite cake combined with earlobe acupressure in alleviating anxiety and depression in newly diagnosed human immunodeficiency virus patients.

METHODS

Ninety eligible patients from the Affiliated Ruikang Hospital of Guangxi University of Chinese Medicine were randomly divided into an intervention group and a control group of 45 each. The control group received conventional care, while the intervention group received the combined therapy. The treatment lasted for 3 months. Efficacy was evaluated using the self-rating anxiety scale (SAS), self-rating depression scale (SDS), and quality-of life scale before and after treatment.

RESULTS

After 3 months, the intervention group's SAS and SDS scores were significantly lower than the control group's (P <.05). Their quality-of-life scores and CD4 + T - lymphocyte counts improved more than the control group's (P <.05). No significant adverse reactions occurred in the intervention group.

CONCLUSION

Moxibustion with aconite cake combined with earlobe acupressure can effectively alleviate anxiety and depression in newly diagnosed human immunodeficiency virus patients, enhance their quality-of-life, and may improve immune function. The treatment is safe and well - tolerated, with good clinical potential for application and promotion.

摘要

背景

本研究探讨附子饼灸联合耳垂按压对新诊断的人类免疫缺陷病毒患者焦虑和抑郁的缓解效果。

方法

将广西中医药大学附属瑞康医院的90例符合条件的患者随机分为干预组和对照组,每组45例。对照组接受常规护理,干预组接受联合治疗。治疗持续3个月。治疗前后采用焦虑自评量表(SAS)、抑郁自评量表(SDS)和生活质量量表评估疗效。

结果

3个月后,干预组的SAS和SDS评分显著低于对照组(P<.05)。其生活质量评分和CD4 + T淋巴细胞计数的改善程度高于对照组(P<.05)。干预组未发生明显不良反应。

结论

附子饼灸联合耳垂按压可有效缓解新诊断的人类免疫缺陷病毒患者的焦虑和抑郁,提高其生活质量,并可能改善免疫功能。该治疗安全且耐受性良好,具有良好的临床应用和推广潜力。

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