九味镇心颗粒对经皮冠状动脉介入治疗术后合并焦虑抑郁患者的影响
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R256.22

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国家重点研发计划项目(2016YFC1301300)


Effect of Jiuwei Zhenxin Granules on Patients with Anxiety and Depression After Percutaneous Coronary Intervention
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    摘要:

    目的:观察九味镇心颗粒对经皮冠状动脉介入治疗(PCI) 术后合并焦虑和(或) 抑郁患者的影响。方法:选取106 例PCI 术后合并焦虑和(或) 抑郁患者,按随机数字表法分为对照组及治疗组各53 例。对照组给予心理干预治疗, 治疗组在心理干预治疗基础上给予九味镇心颗粒。比较2 组治疗前后《广泛焦虑问卷7 项》(GAD-7)、《患者健康问卷9 项》(PHQ-9)、中医证候积分的变化,比较2 组治疗前后低密度脂蛋白(LDL)、丙氨酸氨基转移酶(ALT)、天冬氨酸氨基转移酶(AST)、尿素(BUN)、肌酐(SCr)、白细胞计数(WBC)及空腹血糖(FBG)的变化,观察2 组不良反应发生情况。结果:治疗8 周、治疗12 周,2 组GAD-7 评分、PHQ-9 评分均较治疗前下降,差异均有统计学意义(P<0.05)。治疗8 周、治疗12 周,2 组组间比较,差异无统计学意义(P>0.05)。治疗后,2 组各指标比较,差异无统计学意义(P>0.05)。治疗8 周、治疗12 周,2 组中医证候总积分及胸痛、心悸、气短评分较治疗前下降,治疗组中医证候总积分及各项评分均低于同一时间段的对照组,差异均有统计学意义(P<0.05)。经过12 周的治疗,2 组未见明显不良反应发生。结论:九味镇心颗粒在治疗焦虑抑郁方面有一定的效果,能缓解临床症状,用药安全性高。

    Abstract:

    Abstract:Objective:To observe the effect of Jiuwei Zhenxin Granules on patients with anxiety and/or depression after percutaneous coronary intervention(PCI). Methods: A total of 106 patients with postoperative anxiety and/or depression were divided into the control group and the treatment group according to the random number table method. The control group was given psychological intervention, and the treatment group was additionally treated with Jiuwei Zhenxin Granules based on the psychological intervention. The changes of Generalized Anxiety Disorder- 7(GAD- 7), Patient Health Questionnaire- 9 (PHQ- 9) and traditional Chinese medicine(TCM) syndrome scores before and after treatment were compared between the two groups. The changes of low-density lipoprotein(LDL),alanine aminotransferase (ALT), aspartate aminotransferase(AST), blood urea nitrogen(BUN), serum creatinine(SCr), white blood cell count(WBC) and fasting blood glucose(FBG) before and after treatment were compared between the two groups,and the incidence of adverse reactions was observed. Results:After eight weeks and 12 weeks of treatment,the scores of GAD- 7 and PHQ- 9 in the two groups were decreased when compared with those before treatment, differences being significant(P<0.05), and after eight weeks and 12 weeks of treatment,there was no significant difference between the two groups(P>0.05). After treatment,there was no significant difference in the indexes between the two groups(P > 0.05). After eight weeks and 12 weeks of treatment,the total score of TCM syndromes and the scores of chest pain,palpitations and shortness of breath in the two groups were decreased when compared with those before treatment,and the total score and each score of TCM syndromes in the treatment group were lower than those in the control group at the same time, differences being significant(P<0.05). After 12 weeks of treatment, no obvious adverse reactions were observed in the two groups. Conclusion: Jiuwei Zhenxin Granules has a certain effect on patients with anxiety and depression,which can alleviate clinical symptoms and has high medication safety.

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朱晓婧,陶贵周.九味镇心颗粒对经皮冠状动脉介入治疗术后合并焦虑抑郁患者的影响[J].新中医,2022,54(23):79-83

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  • 在线发布日期: 2022-12-11
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