首页|香砂六君子汤联合度洛西汀治疗焦虑障碍患者的疗效及安全性观察

香砂六君子汤联合度洛西汀治疗焦虑障碍患者的疗效及安全性观察

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目的 探讨香砂六君子汤联合度洛西汀治疗焦虑障碍患者的疗效及安全性.方法 选取63例焦虑障碍患者,随机分为对照组(31例)和观察组(32例).对照组应用度洛西汀进行治疗,观察组在对照组基础上给予香砂六君子汤进行治疗.对比两组治疗效果、不良反应发生率、治疗前后匹兹堡睡眠质量指数(PSQI)评分.结果 观察组治疗总有效率90.63% 高于对照组的70.97%,差异有统计学意义(P<0.05).观察组治疗期间不良反应发生率12.50% 低于对照组的35.48%,差异有统计学意义(P<0.05).治疗后,两组的PSQI中催眠药物、睡眠障碍、日间功能障碍、入睡时间、睡眠时间、睡眠效率、睡眠质量评分及总分均较治疗前显著降低,且观察组催眠药物评分(0.67±0.11)分、睡眠障碍评分(1.53±0.16)分、日间功能障碍评分(1.09±0.13)分、入睡时间评分(1.14±0.18)分、睡眠时间评分(1.50±0.33)分、睡眠效率评分(1.43±0.26)分、睡眠质量评分(1.13±0.12)分及总分(8.49±1.71)分均低于对照组的(0.87±0.13)、(2.00±0.12)、(1.67±0.26)、(1.86±0.17)、(2.19±0.33)、(1.83±0.37)、(1.80±0.33)、(12.22±2.39)分,差异有统计学意义(P<0.05).结论 香砂六君子汤联合度洛西汀治疗焦虑障碍患者的临床疗效显著,有助于提高患者睡眠质量,减轻服用度洛西汀的胃肠道反应.
Observation on efficacy and safety of Xiangsha Liujunzi decoction combined with duloxetine in the treatment of patients with anxiety disorder
Objective To explore the efficacy and safety of Xiangsha Liujunzi decoction combined with duloxetine in the treatment of patients with anxiety disorder. Methods 63 patients with anxiety disorders were selected,and randomly divided into a control group (31 cases) and an observation group (32 cases). The control group was treated with duloxetine,while the observation group was treated with Xiangsha Liujunzi decoction on the basis of the control group. The treatment effect,incidence of adverse reactions,and Pittsburgh Sleep Quality Index (PSQI) score before and after treatment were compared between the two groups. Results The total effective rate of the observation group was 90.63%,which was higher than 70.97% of the control group,and the difference was statistically significant (P<0.05). The incidence of adverse reactions in the observation group was 12.50% during treatment,which was lower than 35.48% in the control group,and the difference was statistically significant (P<0.05). After treatment,the PSQI score for hypnotic drugs,sleep disorders,daytime dysfunction,sleep latency,sleep time,sleep efficiency,sleep quality and total score in both groups were significantly lower than those before treatment;the PSQI score for hypnotic drugs,sleep disorders,daytime dysfunction,sleep latency,sleep time,sleep efficiency,sleep quality and total score were (0.67±0.11),(1.53±0.16),(1.09±0.13),(1.14±0.18),(1.50±0.33),(1.43±0.26),(1.13±0.12) and (8.49±1.71) points,which were lower than (0.87±0.13),(2.00±0.12),(1.67±0.26),(1.86±0.17),(2.19±0.33),(1.83±0.37),(1.80±0.33) and (12.22±2.39) points in the control group;the difference was statistically significant (P<0.05). Conclusion The combination of Xiangsha Liujunzi Decoction and duloxetin has significant clinical efficacy for patients with anxiety disorder,and help improve the sleep quality of patients,and alleviate gastrointestinal adverse reactions caused by taking duloxetine.

Xiangsha Liujunzi decoctionDuloxetine Hydrochoride enteric-coated capsulesAnxiety disorderGastrointestinal reactions

张钰

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100049 航天中心医院中医科

香砂六君子汤 盐酸度洛西汀肠溶胶囊 焦虑障碍 胃肠道反应

2024

中国实用医药
中国康复医学会

中国实用医药

影响因子:0.797
ISSN:1673-7555
年,卷(期):2024.19(23)