首页|宁神温胆汤联合针刺治疗精神分裂症幻听临床研究

宁神温胆汤联合针刺治疗精神分裂症幻听临床研究

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目的:观察宁神温胆汤联合针刺治疗精神分裂症幻听的疗效。方法:选择2021年4月—2023年4月绍兴市第七人民医院精神科病区收治的106例精神分裂症幻听患者,按随机数字表法分为对照组及观察组各53例。对照组给予常规无抽搐电休克治疗,观察组在对照组基础上给予宁神温胆汤联合针刺治疗。比较2组临床疗效及不良反应发生情况,比较2组治疗前后中医证候积分、阳性症状量表(SAPS)评分、MILLER幻觉量表评分的变化。结果:观察组临床疗效总有效率为96。23%(51/53),对照组为79。25%(42/53),2组比较,差异有统计学意义(P<0。05)。治疗后,2组SAPS评分及中医证候积分均较治疗前下降(P<0。05),观察组SAPS评分及中医证候积分均低于对照组(P<0。05)。治疗后,2组MILLER幻觉量表评分均较治疗前下降(P<0。05),观察组MILLER幻觉量表评分低于对照组(P<0。05)。2组均未见严重不良反应。结论:宁神温胆汤联合针刺治疗精神分裂症幻听临床疗效较好,可缓解精神分裂症及幻听相关临床症状。
Clinical Study on Ningshen Wendan Decoction Combined with Acupuncture for Schizophrenic Auditory Hallucinations
Objective:To observe the curative effect of Ningshen Wendan Decoction combined with acupuncture on schizophrenic auditory hallucinations.Methods:A total of 106 cases of patients with schizophrenic auditory hallucinations admitted to the Psychiatric Ward of Shaoxing Seventh People's Hospital from April 2021 to April 2023 were selected and divided into the control group and the observation group according to the random number table method,with 53 cases in each group.The control group was treated with conventional electroconvulsive therapy(ECT),and the observation group was additionally treated with Ningshen Wendan Decoction combined with acupuncture based on the treatment of the control group.Clinical effects and adverse reactions were compared between the two groups.Changes in traditional Chinese medicine syndrome scores,Scale for Assessment of Positive Symptoms(SAPS)scores,and MILLER Hallucination Scale scores in the two groups were compared before and after treatment.Results:The total effective rate was 96.23%(51/53)in the observation group and 79.25%(42/53)in the control group,with a significant difference between the two groups(P<0.05).After treatment,SAPS scores and traditional Chinese medicine syndrome scores in the two groups were decreased when compared with those before treatment(P<0.05),and the SAPS score and traditional Chinese medicine syndrome score in the observation group were lower than those in the control group(P<0.05).MILLER Hallucination Scale scores in the two groups were reduced when compared with those before treatment(P<0.05),and the MILLER Hallucination Scale score in the observation group was lower than that in the control group(P<0.05).No severe adverse reaction was observed in either group.Conclusion:Ningshen Wendan Decoction combined with acupuncture has a good curative effect in treating schizophrenic auditory hallucinations,which can alleviate clinical symptoms related to schizophrenia and auditory hallucinations.

SchizophreniaAuditory hallucinationsNingshen Wendan DecoctionAcupunctureMILLER Hallucination ScaleScale for Assessment of Positive Symptoms

沈妃、王龙、付康

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绍兴市第七人民医院精一病区,浙江 绍兴 312000

精神分裂症 幻听 宁神温胆汤 针刺 MILLER幻觉量表 阳性症状量表

2025

新中医
广州中医药大学 中华中医药学会

新中医

影响因子:0.595
ISSN:0256-7415
年,卷(期):2025.57(1)