九味镇心颗粒辅助盐酸舍曲林治疗广泛性焦虑症临床研究
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Clinical Study on Jiuwei Zhenxin Granules Assisting Sertraline Hydrochloride for Generalized Anxiety Disorder
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    摘要:

    目的:观察九味镇心颗粒辅助盐酸舍曲林治疗广泛性焦虑症(GAD) 的疗效及对血清超氧化物歧化酶(SOD)、丙二醛(MDA) 的影响。方法:选取110 例GAD 患者为研究对象,按随机数字表法分为观察组和对照组各55 例。对照组给予盐酸舍曲林治疗,观察组在对照组基础上给予九味镇心颗粒治疗。疗程结束后评估2 组临床疗效及汉密尔顿焦虑量表(HAMA) 评分,检测血清SOD、MDA 水平。结果:观察组与对照组总有效率分别为92.73%、76.36%,组间比较,差异有统计学意义(P<0.05)。治疗前,2 组HAMA 评分比较,差异无统计学意义(P>0.05)。治疗4 周、8 周、12 周,2 组HAMA 评分逐渐降低(P<0.05),且观察组各时间段HAMA 评分均低于对照组(P<0.05)。治疗前,2 组SOD、MDA 水平比较,差异无统计学意义(P>0.05)。治疗后,观察组SOD 水平高于治疗前及对照组(P<0.05),MDA 水平低于治疗前及对照组(P<0.05)。观察组与对照组不良反应发生率分别为5.45%、9.09%,组间比较,差异无统计学意义(χ2=0.539,P=0.463)。结论:九味镇心颗粒辅助盐酸舍曲林片治疗GAD 疗效确切,可增强SOD 活性,降低MDA 含量,有效缓解焦虑状态,药物安全性高。

    Abstract:

    Abstract: Objective: To observe the curative effect of Jiuwei Zhenxin granules assisting sertraline hydrochloride for generalized anxiety disorder(GAD) and its effect on superoxide dismutase(SOD) and malonaldehyde(MDA) in serum. Methods:A total of 110 cases of GAD patients were selected as the research object and divided into the observation group and the control group according to the random number table method,55 cases in each group. The control group was treated with sertraline hydrochloride,and the observation group was additionally treated with Jiuwei Zhenxin granules based on the treatment of the control group. After treatment,the clinical effect and the scores of Hamilton Anxiety Scale(HAMA) in the two groups were evaluated;the levels of SOD and MDA in serum were detected. Results:The total effective rate was 92.73% in the observation group and 76.36% in the control group,the difference being significant(P<0.05). Before treatment,there was no significant difference being found in the comparison of HAMA scores between the two groups(P>0.05). After 4, 8 and 12 weeks of treatment respectively, HAMA scores in the two groups were decreased gradually(P<0.05), and the HAMA score at each time period in the observation group was lower than that in the control group(P<0.05). Before treatment,there was no significant difference being found in the comparison of the levels of SOD and MDA between the two groups(P>0.05). After treatment,SOD level in the observation group was higher than that before treatment and that in the control group(P<0.05),and MDA level was lower(P<0.05). The incidence of adverse reactions was 5.45% in the observation group and 9.09% in the control group, there being no significant difference between the two groups(χ2=0.539, P=0.463). Conclusion:The therapy of Jiuwei Zhenxin granules assisting sertraline hydrochloride tablets has a definite curative effect in treating GAD, which can enhance the activity of superoxide dismutase, reduce the contents of malonaldehyde, and effectively relieve the state of anxiety with high medication safety.

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郑利锋,祝玲俐,杨志,王梦欣,江培杰,毛芝芳.九味镇心颗粒辅助盐酸舍曲林治疗广泛性焦虑症临床研究[J].新中医,2021,53(19):74-77

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  • 在线发布日期: 2021-10-09
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