首页|肝豆灵汤联合舍曲林治疗痰瘀互结型Wilson病伴强迫障碍的疗效观察

肝豆灵汤联合舍曲林治疗痰瘀互结型Wilson病伴强迫障碍的疗效观察

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目的:探讨肝豆灵汤联合舍曲林治疗痰瘀互结型Wilson病伴强迫障碍患者的疗效和安全性.方法:选择符合标准的 64 例痰瘀互结型Wilson病伴强迫障碍的患者,随机分为对照组 32 例和观察组 32 例.2 组均接受常规基础排铜治疗,对照组予以舍曲林治疗,观察组予以舍曲林联合肝豆灵汤治疗.治疗周期为 4 个疗程,每个疗程为 8d.评估治疗前后患者的临床疗效.结果:观察组有 4 例退出,对照组有 1 例退出,最终完成研究的共有 59 人.治疗后,观察组总有效率为 85.71%高于对照组的 67.74%(P<0.05).观察组的 24h尿铜水平升高明显大于对照组(P<0.01).观察组的中医证候积分、Y-BOCS评分、HAMA评分、HAMD评分的下降程度显著高于对照组(P<0.01,P<0.05).2 组间不良反应发生率比较无统计学意义(P>0.05).结论:肝豆灵汤联合舍曲林治疗能够更好地改善痰瘀互结型Wilson病伴强迫障碍的临床症状,且安全性高.
Therapeutic Efficacy of Gandouling Decoction Combined with Sertraline in the Treatment of Phlegm and Stasis Interconnected Wilson's Disease with Obsessive-compulsive Disorder
Objective:To explore the efficacy and safety of Gandouling decoction combined with sertraline in the treatment of patients with Wilson's disease of phlegm and blood stasis type and obsessive-compulsive disorder.Meth-ods:A total of 64 patients with Wilson disease of phlegm and blood stasis type and obsessive-compulsive disorder who met the criteria were selected and randomly divided into a control group of 32 cases and an observation group of 32 cases.Both groups received routine basic copper excretion treatment,the control group was treated with sertraline,and the observation group was treated with sertraline combined with Gandouling decoction.The treatment cycle was 4 courses,each course lasting 8 days.The clinical efficacy of the patients before and after treatment was evaluated.Re-sults:There were 4 cases in the observation group and 1 case in the control group,and a total of 59 people completed the study.After treatment,the total effective rate of the observation group was 85.71%,which was higher than 67.74%in the control group(P<0.05).The increase in 24-hour urine copper level in the observation group was significantly greater than that in the control group(P<0.01).The decrease in TCM syndrome score,Y-BOCS score,HAMA score and HAMD score in the observation group was significantly higher than that in the control group(P<0.01,P<0.05).There was no statistically significant difference in the incidence of adverse reactions between the two groups(P>0.05).Con-clusion:Gandouling decoction combined with sertraline can better improve the clinical symptoms of Wilson disease with obsessive-compulsive disorder of phlegm and blood stasis type,and it is highly safe.

Gandouling decoctionSertralinePhlegm and blood stasis typeWilson diseaseObsessive-compulsive disorder

王宏、徐磊、李润泽、陈思宇、赵自豪

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安徽中医药大学第一临床医学院 安徽 合肥 230031

安徽中医药大学第一附属医院 安徽 合肥 230031

肝豆灵汤 舍曲林 痰瘀互结型 Wilson病 强迫障碍

2024

中医药临床杂志
中华中医药学会

中医药临床杂志

影响因子:0.636
ISSN:1672-7134
年,卷(期):2024.36(11)