甘麦大枣汤联合认知疗法治疗考试焦虑症临床观察
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摘要
目的探讨甘麦大枣汤联合认知疗法治疗考试焦虑症的临床疗效。方法选取2017年1月—12月收治的考试焦虑症患者68例,将其随机分为2组,研究组和对照组各34例。对照组患者采用艾司唑仑配合贝克(A. T. Beck)认知转变法进行治疗,研究组患者采用甘麦大枣汤联合认知疗法进行治疗。对比2组患者的治疗效果、治疗前后的焦虑自评量表(SAS)和考试焦虑量表(TAS)的变化。结果研究组患者的治疗效果显著优于对照组(P <0. 05);治疗前研究组和对照组患者的SAS和TAS评分无显著差异(P> 0. 05),治疗后研究组患者的SAS和TAS评分优于对照组(P <0. 05)。结论考试焦虑症患者采用甘麦大枣汤联合认知疗法治疗,提高临床治疗效果,有利于降低SAS和TAS评分,提高患者的生活质量,值得在临床上进一步推广和应用。
Objective To explore the clinical effect of Ganmai Dazao decoction combined with cognitive therapy in the treatment of examination anxiety. Methods 68 test anxiety patients admitted to our hospital from January 2017 to December 2017 were randomly divided into two groups,with 34 in the study group and 34 in the control group. The control group was treated with Estazolam combined with cognitive transformation of A. T. Beck. The study group was treated with Ganmai Dazao decoction combined with cognitive therapy. The therapeutic effects of the two groups were compared,and the changes of self-rating anxiety scale(SAS) and test anxiety scale(TAS) before and after treatment were compared between the two groups. Results The treatment effect of the study group was significantly better than that of the control group(P < 0. 05). There was no significant difference in SAS and TAS between the study group and the control group before treatment(P > 0. 05). SAS and TAS scores of the study group were better than that of the control group after treatment(P < 0. 05).Conclusion Ganmai Dazao decoction combined with cognitive therapy can improve the clinical therapeutic effect,reduce the SAS and TAS scores and improve the quality of life of test anxiety patients,which is worthy of further promotion and application in clinic.
Objective To explore the clinical effect of Ganmai Dazao decoction combined with cognitive therapy in the treatment of examination anxiety. Methods 68 test anxiety patients admitted to our hospital from January 2017 to December 2017 were randomly divided into two groups,with 34 in the study group and 34 in the control group. The control group was treated with Estazolam combined with cognitive transformation of A. T. Beck. The study group was treated with Ganmai Dazao decoction combined with cognitive therapy. The therapeutic effects of the two groups were compared,and the changes of self-rating anxiety scale(SAS) and test anxiety scale(TAS) before and after treatment were compared between the two groups. Results The treatment effect of the study group was significantly better than that of the control group(P < 0. 05). There was no significant difference in SAS and TAS between the study group and the control group before treatment(P > 0. 05). SAS and TAS scores of the study group were better than that of the control group after treatment(P < 0. 05).Conclusion Ganmai Dazao decoction combined with cognitive therapy can improve the clinical therapeutic effect,reduce the SAS and TAS scores and improve the quality of life of test anxiety patients,which is worthy of further promotion and application in clinic.
引文
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[9]陈桂芬.甘麦大枣汤合越鞠汤对乳癌术后抑郁状态及生活质量的影响[J].海峡药学,2017,29(11):107-109.
[10]许亚兵,陈有明.芍药甘草汤联合甘麦大枣汤加减治疗功能性腹痛综合征临床观察[J].新中医,2016,48(4):50-52.
[2]许蒙.中西医结合治疗脑梗死后焦虑症临床观察[J].光明中医,2017,32(5):724-726.
[3]朱文娴,王群松,季向东,等. 5-羟色胺再摄取抑制剂合并甘麦大枣汤治疗抑郁症的随机对照研究[J].临床精神医学杂志,2017,27(3):171-174.
[4]吴越,吴永强,高秀飞,等.柴胡疏肝散合甘麦大枣汤加减治疗乳腺增生症的临床疗效研究[J].浙江中医药大学学报,2016,40(6):434-438.
[5]钱汝莲.甘麦大枣汤加减在配合精神药物治疗精神疾病中的应用[J].大家健康(学术版),2016,10(4):49.
[6]郑锡军,位磊.孙宏新运用柴胡加龙骨牡蛎合甘麦大枣汤治疗肿瘤性抑郁经验[J].亚太传统医药,2016,12(17):83-84.
[7]李宝华,李志焕,马阳春.胡思荣应用经方治疗初产妇产后抑郁经验[J].河南中医,2016,36(11):1183-1184.
[8]李薇薇,夏征,姬卫国,等.《金匮要略》甘麦大枣汤现代临床配伍应用[J].河南中医,2017,37(6):943-945.
[9]陈桂芬.甘麦大枣汤合越鞠汤对乳癌术后抑郁状态及生活质量的影响[J].海峡药学,2017,29(11):107-109.
[10]许亚兵,陈有明.芍药甘草汤联合甘麦大枣汤加减治疗功能性腹痛综合征临床观察[J].新中医,2016,48(4):50-52.