首页|葛根二陈汤结合针刺对痰湿阻滞型精神分裂症患者的疗效分析

葛根二陈汤结合针刺对痰湿阻滞型精神分裂症患者的疗效分析

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目的:观察葛根二陈汤结合针刺对痰湿阻滞型精神分裂症患者的疗效.方法:选择2021 年 2 月—2023 年 2 月于福清市第八医院就诊的精神分裂症患者 82 例,采用随机数字表法分为对照组(n=41)与联合组(n=41).两组均给予奥氮平口服治疗,对照组另给予针刺治疗,联合组在对照组基础上给予葛根二陈汤口服治疗.观察两组临床疗效、精神症状、中医症候积分、认知功能与不良反应.结果:治疗后,联合组阳性和阴性精神症状评定量表(PANSS)各项评分均较对照组低,差异均有统计学意义(P<0.05);联合组治疗总有效率较对照组高,差异有统计学意义(P<0.05);治疗后,联合组主症与次症积分均低于对照组,差异均有统计学意义(P<0.05);治疗后,联合组威斯康星卡片分类测验(WCST)中正确应答数(RC)、完成分类数(CC)与正确应答百分比(RCP)均高于对照组,非持续性错误(NRPE)、持续性错误数(RPE)、持续性错误的百分数(RPEP)均低于对照组,差异均有统计学意义(P<0.05);两组不良反应总发生率比较,差异无统计学意义(P>0.05).结论:葛根二陈汤结合针刺应用于痰湿阻滞型精神分裂症治疗中可以改善患者精神症状,提高认知功能,疗效确切,安全性较高.
Analysis of Curative Effect of Gegen Erchen Decoction Combined with Acupuncture on Patients with Schizophrenia with Syndrome of Stagnation and Blockade of Phlegm-damp
Objective:To observe the curative effect of Gegen Erchen Decoction combined with acupuncture on patients with schizophrenia with syndrome of stagnation and blockade of phlegm-damp.Method:A total of 82 patients with schizophrenia treated in the Eighth Hospital of Fuqing City from February 2021 to February 2023 were selected and divided into control group(n=41)and combination group(n=41)according to random number table method.Both groups were given Olanzapine oral treatment,the control group was also given acupuncture treatment,and the combination group was given Gegen Erchen Decoction oral treatment on the basis of the control group.The clinical efficacy,psychiatric symptoms,TCM symptoms integrations,cognitive function and adverse reactions in the two groups were observed.Result:After treatment,each scores of positive and negative syndrome scale(PANSS)in combination group were lower than those in control group,the differences were statistically significant(P<0.05).The total effective rate of combination group was higher than that of control group,the difference was statistically significant(P<0.05).After treatment,the scores of main symptoms and secondary symptoms in combination group were lower than those in control group,the differences were statistically significant(P<0.05).After treatment,the responses correct(RC),categories completed(CC)and responses correct percentage(RCP)in the Wisconsin card sorting test(WCST)in the combination group were higher than those in the control group,and the no responses perseverative errors(NRPE),responses perseverative errors(RPE)and the responses perseverative errors percentage(RPEP)were lower than those in the control group,the differences were statistically significant(P<0.05).There was no significant difference in the total incidence of adverse reactions between the two groups(P>0.05).Conclusion:The application of Gegen Erchen Decoction combined with acupuncture in the treatment of schizophrenia with syndrome of stagnation and blockade of phlegm-damp can improve the psychiatric symptoms of patients,improve the cognitive function,the curative effect is accurate,and the safety is high.

Gegen Erchen DecoctionAcupunctureSchizophreniaSyndrome of stagnation and blockade of phlegm-damp

朱娟、胡裕家

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福清市第八医院精神科 福建 福清 350300

葛根二陈汤 针刺 精神分裂症 痰湿阻滞证

2024

中国医学创新
中国保健协会

中国医学创新

影响因子:1.706
ISSN:1674-4985
年,卷(期):2024.21(11)
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