首页|四生饮加减治疗老年抑郁症的效果评估

四生饮加减治疗老年抑郁症的效果评估

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目的 研究老年抑郁症患者采用中药方剂四生饮加减治疗的效果.方法 选择2022年1月—2024年6月泉州市第三医院收治的70例老年抑郁症患者为研究对象,依照治疗方案不同分为两组,每组35例.对照组以舒肝解郁胶囊治疗,观察组在对照组基础上联合四生饮加减治疗,均治疗8周.比较两组的治疗效果、中医证候积分、抑郁自评量表(Self-rating Depression Scale,SDS)评分、神经递质水平及不良反应发生率.结果 观察组的治疗有效率为97.14%(34/35),高于对照组的77.14%(27/34),差异有统计学意义(χ2=4.590,P=0.032).治疗8周后,观察组中医证候评分和SDS评分均低于对照组,差异均有统计学意义(P均<0.05).治疗8周后,观察组神经递质水平高于对照组,差异有统计学意义(P<0.05).两组不良反应发生率比较,差异无统计学意义(P>0.05).结论 老年抑郁症患者以四生饮加减进行治疗能够提高临床疗效,提高患者神经递质水平,减轻中医证候及抑郁症状,安全性较好.
Effect Evaluation of Modified Sishengyin in the Treatment of Senile De-pression
Objective To study the effect of modified Sishengyin in the treatment of elderly patients with depression.Methods A total of 70 elderly patients with depression admitted to the Quanzhou Third Hospital from January 2022 to June 2024 were selected as the research objects.They were divided into two groups according to different treatment plans,with 35 cases in each group.The control group was treated with Shugan Jieyu Capsule,and the observation group was treated with modified Sishengyin on the basis of the control group.Both groups were treated for 8 weeks.The therapeutic effect,traditional Chinese medicine syndrome score,Self-rating Depression Scale(SDS)score,neu-rotransmitter level and incidence of adverse reactions were compared between the two groups.Results The effective rate of treatment in the observation group was 97.14%(34/35),which was higher than 77.14%(27/34)in the control group,and the difference was statistically significant(χ2=4.590,P=0.032).After 8 weeks of treatment,the scores of traditional Chinese medicine syndromes and SDS in the observation group were lower than those in the control group,and the differences were statistically significant(all P<0.05).After 8 weeks of treatment,the neurotransmitter level in the observation group was higher than that in the control group,and the difference was statistically significant(P<0.05).There was no significant difference in the incidence of adverse reactions between the two groups(P>0.05).Con-clusion The treatment of elderly patients with depression with modified Sishengyin can improve the clinical efficacy,improve the level of neurotransmitters,reduce traditional Chinese medicine syndromes and depressive symptoms,and have good safety.

Senile depressionModified SishengyinTraditional Chinese medicine syndromeNeurotransmitter

陈雪云、高炳宗、苏彩明、黄春晖

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福建中医药大学,福建 福州 350122

泉州市第三医院,福建 泉州 362121

老年抑郁症 四生饮加减 中医证候 神经递质

2024

中外医疗
卫生部医院管理研究所 二十一世纪联合创新医药科学研究院

中外医疗

影响因子:0.909
ISSN:1674-0742
年,卷(期):2024.43(34)