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柴胡加龙骨牡蛎汤治疗冠心病合并抑郁的临床效果

The Clinical Efficacy of Chaihu Plus Longgu Muli Decoction in the Treatment of Coronary Heart Disease Complicated with Depression

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目的:探讨柴胡加龙骨牡蛎汤治疗冠心病(CHD)合并抑郁的临床效果.方法:选取 2021 年 8 月至 2023 年 6 月尤溪县中医医院确诊为CHD合并抑郁的患者 84 例,按随机数表法归为对照组与观察组,各 42 例.对照组患者予以常规西医治疗,观察组患者在对照组的基础上予以柴胡加龙骨牡蛎汤治疗,疗程12 周.比较两组患者疗效、治疗前后中医证候、心功能以及炎症指标.结果:观察组患者的治疗总有效率为 95.24%,高于对照组的78.57%,差异具有统计学意义(P<0.05);治疗后观察组患者中医证候(胸痛、胸闷及心烦气躁)均低于对照组,差异具有统计学意义(P<0.05);治疗后观察组患者心输出量(CO)、左心室射血分数(LVEF)评分均高于对照组,差异具有统计学意义(P<0.05);治疗后观察组患者血清白细胞介素-6(IL-6)、C反应蛋白(CRP)水平均低于对照组,差异具有统计学意义(P<0.05).结论:柴胡加龙骨牡蛎汤用于CHD合并抑郁患者的辅助治疗效果显著,可加快缓解患者的症状,促进其机体炎症清除及心功能恢复.
Objective To investigate the clinical efficacy of Chaihu Plus Longgu Muli decoction in the treatment of coronary heart disease(CHD)complicated with depression.Methods A total of 84 patients diagnosed with CHD complicated with depression from August 2021 to June 2023 at Youxi Hospital of Traditional Chinese Medicine were selected and divided into a control group and an observation group according to the random number table method,with 42 cases in each group.Patients in the control group were given conventional Western medical treatment,while patients in the observation group were treated with Chaihu Plus Longgu Muli decoction in addition to the treatment of the control group,with a course of 12 weeks.The efficacy,traditional Chinese medicine syndromes,cardiac function,and inflammatory indicators before and after treatment were compared between the two groups.Results The total effective rate in the observation group was 95.24%,which was higher than the 78.57%in the control group,and the difference was statistically significant(P<0.05);after treatment,the scores of traditional Chinese medicine syndromes(chest pain,chest tightness,and irritability)in the observation group were lower than those in the control group,and the differences were statistically significant(P<0.05);after treatment,the cardiac output(CO)and left ventricular ejection fraction(LVEF)in the observation group were higher than those in the control group,and the differences were statistically significant(P<0.05);after treatment,the levels of serum interleukin-6(IL-6)and C-reactionprotein(CRP)in the observation group were lower than those in the control group,and the differences were statistically significant(P<0.05).Conclusion Chaihu Plus Longgu Muli decoction has a significant adjuvant effect in the treatment of CHD patients complicated with depression,and it can accelerate the relief of symptoms,promote the clearance of inflammation,and restore cardiac function in these patients.

Coronary Heart DiseaseDepressionChaihu Plus Longgu Muli decoction

杨贞美、陈宏淡、阮受涌

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尤溪县中医医院,福建 尤溪 365100

冠心病 抑郁 柴胡加龙骨牡蛎汤

2024

深圳中西医结合杂志
深圳市中西医结合临床研究所

深圳中西医结合杂志

影响因子:0.692
ISSN:1007-0893
年,卷(期):2024.34(13)