化痰解郁安神汤联合中医情志疗法治疗失眠伴抑郁症的临床疗效评价
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摘要
目的:探讨化痰解郁安神汤联合中医情志疗法治疗失眠伴抑郁症的临床疗效。方法:选取2016年1月至2018年12月到福建省漳州龙海市中医院接受治疗的失眠伴抑郁症患者192例为研究对象,随机分为对照组(常规西医治疗)与观察组(化痰解郁安神汤联合中医情志疗法),每组96例。比较2组中医证候总积分、HAMD(汉密尔顿抑郁量表)评分、PSQI(匹兹堡睡眠质量指数量表)评分、不良反应发生率及复发率指标。结果:治疗结束,观察组在中医证候总积分、HAMD评分、PSQI评分、不良反应发生率及复发率指标上均低于对照组(P <0. 05)。结论:化痰解郁安神汤联合中医情志疗法方法可有效改善失眠伴抑郁症患者预后,值得推广使用。
Objective: To explore the clinical efficacy of huatan jieyu anshen decoction combined with traditional Chinese medicine emotional therapy in the treatment of insomnia with depression. Methods: Selected from January 2016 to December 2016 to our hospital for treatment of 192 patients with insomnia associated with depression,96 cases were randomly divided into control group( conventional western medicine therapy) and observation group 96 cases( phlegm resolve depression anshen decoction combined modern therapy of traditional Chinese medicine),compare two groups of TCM syndrome integral,HAMD total,Hamilton depression rating scale score,PSQI( Pittsburgh sleep quality index scale) score,incidence of adverse reactions and the recurrence rate index. Results:After treatment,the total score of TCM syndromes,HAMD score,PSQI score,incidence of adverse reactions and recurrence rate in the observation group were all lower than those in the control group( P < 0. 05). Conclusion: The combination of phlegm-clearingyu-tranquilizing decoction and traditional Chinese medicine emotion therapy can effectively improve the prognosis of patients with insomnia and depression.
Objective: To explore the clinical efficacy of huatan jieyu anshen decoction combined with traditional Chinese medicine emotional therapy in the treatment of insomnia with depression. Methods: Selected from January 2016 to December 2016 to our hospital for treatment of 192 patients with insomnia associated with depression,96 cases were randomly divided into control group( conventional western medicine therapy) and observation group 96 cases( phlegm resolve depression anshen decoction combined modern therapy of traditional Chinese medicine),compare two groups of TCM syndrome integral,HAMD total,Hamilton depression rating scale score,PSQI( Pittsburgh sleep quality index scale) score,incidence of adverse reactions and the recurrence rate index. Results:After treatment,the total score of TCM syndromes,HAMD score,PSQI score,incidence of adverse reactions and recurrence rate in the observation group were all lower than those in the control group( P < 0. 05). Conclusion: The combination of phlegm-clearingyu-tranquilizing decoction and traditional Chinese medicine emotion therapy can effectively improve the prognosis of patients with insomnia and depression.
引文
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[2]张韬,雷雪飞,冯美果.加味五花解郁汤联合百乐眠胶囊治疗肝气郁结型抑郁症临床研究[J].实用肝脏病杂志,2016,19(2):225-226.
[3]王敦建,陈卓伟.加味疏肝解郁汤联合醒脑开窍针法治疗产后抑郁症临床研究[J].四川中医,2017,35(12):184-187.
[4]杨媛,胡明,葛红敏,等.伴有失眠症状的抑郁症患者神经肽Y和P物质水平的变化研究[J].国际精神病学杂志,2016,43(5):781-783.
[5]张清清,孟焱.养心汤加减联合草酸艾司西酞普兰片治疗抑郁症临床研究[J].中医学报,2017,32(6):1011-1014.
[6]平晶,林小东.消郁安神汤联合疏肝解郁胶囊治疗青少年抑郁症的疗效研究[J].中华中医药学刊,2016,34(6):1476-1478.