加减解郁安神方辅助帕罗西汀治疗精神分裂症后抑郁临床研究
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Clinical Study on Modified Jieyu Anshen Prescription to Assist Paroxetine in the Treatment of Post-Schizophrenia Depression
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    摘要:

    目的:观察加减解郁安神方辅助帕罗西汀治疗精神分裂症后抑郁的临床疗效。方法:选择76 例精神分裂症后抑郁患者,按随机数字表法分为对照组与治疗组各38 例。对照组给予帕罗西汀治疗,治疗组在对照组基础上给予加减解郁安神方辅助治疗。比较2 组临床疗效及药物不良反应,并比较2 组治疗前后中医证候积分、抑郁症状评分、血清炎症因子。结果:治疗组临床总有效率94.74%,高于对照组76.32% (P<0.05)。与同组治疗前比较,治疗后2 组中医证候积分、汉密尔顿抑郁量表(HAMD-17) 评分及血清白细胞介素-6(IL-6)、白细胞介素-1β(IL-1β) 水平均降低(P<0.05);与对照组治疗后比较,治疗组治疗后中医证候积分、HAMD-17 评分及血清IL-6、IL-1β 水平均较低(P<0.05)。治疗组治疗期间不良反应发生率7.89%,低于对照组31.58%(P<0.05)。结论:加减解郁安神方辅助帕罗西汀治疗精神分裂症后抑郁疗效确切,可有效缓解患者临床症状,减轻抑郁情绪和炎症反应,减少药物不良反应。

    Abstract:

    Abstract:Objective:To observe the clinical effect of modified Jieyu Anshen prescription on assisting paroxetine to treat post- schizophrenia depression. Methods: A total of 76 patients with post- schizophrenia depression were selected and divided into the control group and the treatment group by random number table,38 cases in each group. The control group was treated with paroxetine,and the treatment group was additionally treated with modified Jieyu Anshen prescription based on the treatment of the control group. The clinical effect and adverse reactions were compared between the two groups,and Chinese medicine syndrome score,depression symptom score and serum inflammatory factors were compared between the two groups before and after treatment. Results:The total effective rate was 94.74% in the treatment group,higher than that of 76.32% in the control group(P<0.05). Compared with those before treatment, the Chinese medicine syndrome score, score of Hamilton Depression Scale(HAMD- 17),and levels of serum interleukin- 6(IL-6) and interleukin- 1β(IL-1β) in both groups were decreased after treatment(P<0.05); Compared with those in the control group after treatment, the above indexes in the treatment group were lower(P<0.05). The incidence of adverse reactions was 7.89% in the treatment group, lower than that of 31.58% in the control group(P<0.05). Conclusion: Modified Jieyu Anshen prescription is effective in treating post- schizophrenia depression with paroxetine, which can effectively relieve the clinical symptoms of patients, reduce depressive mood and inflammatory reaction,and reduce adverse drug reactions.

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盖琼,何月敏,王志刚.加减解郁安神方辅助帕罗西汀治疗精神分裂症后抑郁临床研究[J].新中医,2021,53(21):92-95

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  • 在线发布日期: 2021-11-12
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