首页|大剂量舒肝解郁胶囊对冠心病PCI术后患者抑郁焦虑的疗效及血清单胺类神经递质的影响

大剂量舒肝解郁胶囊对冠心病PCI术后患者抑郁焦虑的疗效及血清单胺类神经递质的影响

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目的 观察大剂量舒肝解郁胶囊对冠心病经皮冠状动脉介入治疗(Percutaneous coronary intervention,PCI)术后患者抑郁共病焦虑的疗效及对血清单胺类神经递质的影响.方法 按随机数字表法将纳入的90例患者分成观察组(45例)和对照组(45例),观察组给予大剂量舒肝解郁胶囊治疗,对照组给予常规剂量舒肝解郁胶囊治疗.比较两组的治疗效果.结果 治疗前观察组和对照组基线情况无显著差异;经治疗8周后,观察组较对照组汉密尔顿抑郁量表-24、汉密尔顿焦虑量表评分有显著差异(P<0.05),多巴胺、5羟色胺、去甲肾上腺素水平有显著差异(P<0.05),两组不良反应发生率比较无显著差异(P<0.05).结论 大剂量舒肝解郁胶囊能更有效调节冠心病PCI术后抑郁共病焦虑患者的单胺类神经递质水平,更大程度改善抑郁焦虑症状,不良反应少.
Effect of large dose Shuganjieyu capsule on depression and anxiety and serum monoamine neurotrans-mitters in patients with coronary heart disease after PCI
Objective To observing the therapeutic effect of high-dose Shugan Jieyu capsules on postoperative depression comorbidity anxiety and serum monoamine neurotransmitters in patients with coronary heart disease undergo-ing percutaneous coronary intervention(PCI).Methods According to the random number table method,the 90 pa-tients included were divided into an observation group(45 cases)and a control group(45 cases).The observation group was treated with high-dose Shuganjieyu Capsules,while the control group was treated with conventional dose Shugan-jieyu Capsules.Compare the treatment effects of the two groups.Results There was no significant difference in baseline conditions between the observation group and the control group before treatment.After 8 weeks of treatment,there was a significant difference in the Hamilton Depression Scale 24 and Hamilton Anxiety Scale scores between the observation group and the control group(P<0.05).There was a significant difference in the levels of dopamine,serotonin,and norepinephrine(P<0.05),and there was no significant difference in the incidence of adverse reactions between the two groups(P<0.05).Conclusion High dose Shugan Jieyu Capsules can more effectively regulate the levels of mono-amine neurotransmitters in patients with comorbid depression and anxiety after coronary heart disease PCI,improve symptoms of depression and anxiety to a greater extent,and have fewer adverse reactions.

High-dose Shuganjieyu capsulePost-PCI coronary heart diseaseDepressionAnxietyMono-amine neurotransmitter

陈平、赵虎、曲军民

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烟台市莱州荣军医院精神科(莱州,261400)

大剂量舒肝解郁胶囊 冠心病PCI术后 抑郁 焦虑 单胺类神经递质

2024

国际精神病学杂志
中南大学

国际精神病学杂志

CSTPCD
影响因子:1.426
ISSN:1673-2952
年,卷(期):2024.51(5)