中医情志疗法联合草酸艾司西酞普兰治疗抑郁症临床研究
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R749.4

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Clinical Study on Chinese Medicine Emotional Nursing Combined with Escitalopram Oxalate for Depression
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    摘要:

    目的:观察中医情志疗法联合草酸艾司西酞普兰片治疗抑郁症的临床疗效。方法:将 78 例抑郁症患者按照信封法随机分为 2 组。对照组 39 例采用草酸艾司西酞普兰片治疗,观察组 39 例在对照组的基础上加用中医情志疗法,疗程均为 6 个月。比较 2 组治疗前后汉密尔顿抑郁量表 (HAMD) 评分、汉密尔顿焦虑量表 (HAMA) 评分,以及 T 淋巴细胞亚群 (CD3+、CD4+、CD8+、CD4+/CD8+) 水平变化。结果:治疗后,2 组 HAMA、HAMD 评分均较治疗前明显降低 (P<0.05);且观察组 HAMA、HAMD 评分明显低于对照组 (P<0.05)。治疗后,2 组 CD3+、CD4+、CD4+/CD8+水平均较治疗前升高 (P<0.05),CD8+水平较治疗前降低(P<0.05);且观察组上述各项指标改善较对照组更显著(P<0.05)。结论:中医情志疗法联合西医基础治疗可显著改善抑郁症患者焦虑、抑郁症状,提高免疫力,有利于病情康复。

    Abstract:

    Abstract:Objective:To observe the clinical effect of Chinese medicine emotional nursing combined with escitalopram oxalate for depression. Methods:A total of 78 cases of patients with depression were divided into two groups according to the envelope method,39 cases in each group. The control group was treated with escitalopram oxalate tablets,and the observation group was additionally treated with Chinese medicine emotional nursing based on the treatment of the control group. Both groups were treated for six months. The changes in scores of Hamilton Depression Scale (HAMD) and Hamilton Anxiety Scale (HAMA) as well as levels of T lymphocyte subsets including CD3+,CD4+,CD8+ and CD4+/CD8+ before and after treatment in the two groups were compared. Results:After treatment,the scores of HAMA and HAMD in the two groups were significantly decreased when compared with those before treatment(P<0.05); the scores in the observation group were significantly lower than those in the control group(P<0.05). After treatment,the levels of CD3+,CD4+ and CD4+ /CD8+ inthe two groups were increased when compared with those before treatment(P<0.05),and the CD8+ levels were decreased (P<0.05);the improvement of the above indexes in the observation group was more significant than that in the control group (P<0.05). Conclusion: Chinese medicine emotional nursing combined with basic treatment of western medicine can significantly improve the symptoms of anxiety and depression and immunity of patients with depression,which is helpful to the prognosis of the disease.

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蔡子耀,支英豪,林小东,陈策,土文珍.中医情志疗法联合草酸艾司西酞普兰治疗抑郁症临床研究[J].新中医,2021,53(4):73-76

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  • 在线发布日期: 2021-02-27
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