首页|黄连温胆汤对伴焦虑抑郁的慢性萎缩性胃炎患者的效果

黄连温胆汤对伴焦虑抑郁的慢性萎缩性胃炎患者的效果

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目的 探讨黄连温胆汤治疗慢性萎缩性胃炎(CAG)伴焦虑抑郁状态疗效及对中医症候评分、焦虑抑郁量表评分的影响.方法 选取 2019 年1 月至 2022 年1 月安徽阜阳市肿瘤医院收治的 104 例CAG伴焦虑抑郁患者,按照随机数字表法将其分为观察组(西药基础上增加黄连温胆汤,52 例)和对照组(常规西药治疗,52 例)两组,对比两组患者临床疗效以及中医症候评分、焦虑抑郁评分、胃黏膜功能相关指标水平.结果 治疗后,观察组临床治疗有效率显著高于对照组(P<0.05),观察组胃脘胀痛等中医症候评分显著低于对照组(P<0.05),观察组焦虑量表、抑郁量表评分均低于对照组(P均<0.05),观察组胃蛋白酶原(PG)Ⅰ、PGⅠ/PGⅡ比值较对照组高(P<0.05),PGⅡ与对照组比较无显著差异(P>0.05).结论 黄连温胆汤治疗CAG伴焦虑抑郁的疗效较好,可有效改善临床症状、焦虑抑郁情况及胃黏膜功能.
Effect of Huanglian Wendan decoction on chronic atrophic gastritis patients with anxiety and depression
Objective To explore the therapeutic effect of Huanglian Wendan decoction on chronic atrophic gastritis(CAG)patients with anxiety and depression,and its impact on traditional Chinese medicine syndrome score and anxiety and depression scale score.Methods A total of 104 CAG patients with anxiety and depression admitted to Fuyang Cancer Hospital in Anhui Province from January 2019 to January 2022 were selected and randomly divided into the observation group(52 cases treated with conventional Western medicine)and the control group(52 cases treated with Huanglian Wendan decoction on the basis of Western medicine).The clinical efficacy,traditional Chinese medicine syndrome score,anxiety and depression score and gastric mucosa function related indexes were compared between the two groups.Results After treatment,the clinical treatment effectiveness rate of the observation group was significantly higher than that of the control group(P<0.05),and the traditional Chinese medicine syndrome scores such as epigastric distension and pain in the observation group were significantly lower than those of the control group(P<0.05).The anxiety scale(Hamilton Anxiety Scale,HAMA)and depression scale(Hamilton Depression Scale,HAMD)scores of the observation group were lower than those of the control group(P<0.05),and the pepsinogen(PG)Ⅰ and PGⅠ/PGⅡ ratio of the observation group were higher than those of the control group(P<0.05).There was no significant difference in PGⅡ between the observation group and the control group(P>0.05).Conclusion Huanglian Wendan decoction is effective in the treatment of CAG patients with anxiety and depression,and can effectively improve the clinical symptoms,anxiety and depression and gastric mucosa function.

Chronic atrophic gastritisHuanglian Wendan decoctionAnxietyDepressionScoring of Traditional Chinese medicine syndrome score

王亚飞、邓婷、许江涛、耿聃聃、王小梅

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236000 安徽省,阜阳市肿瘤医院中医科

慢性萎缩性胃炎 黄连温胆汤 焦虑 抑郁 中医症候评分

2024

中华消化病与影像杂志(电子版)
中华医学会

中华消化病与影像杂志(电子版)

CSTPCD
影响因子:0.641
ISSN:2095-2015
年,卷(期):2024.14(2)
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