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化痰解郁汤对首发抑郁症患者的影响

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目的:探究化痰解郁汤对首发抑郁症(FED)患者的影响。方法:选取 2020 年 3 月—2022 年 3 月北京市健宫医院收治的 77 例FED患者。根据随机数表法将其分为对照组(n=39)和观察组(n=38)。对照组给予盐酸舍曲林片,观察组在对照组基础上给予化痰解郁汤治疗。比较两组治疗前后中医症状评分、神经递质、睡眠质量,临床疗效及不良反应。结果:治疗后,两组主症、次症评分及总分均降低,观察组主症、次症评分及总分均低于对照组,差异有统计学意义(P<0。05)。观察组治疗总有效率为 92。11%(35/38),高于对照组的 74。36%(29/39),差异有统计学意义(P<0。05)。治疗后,两组多巴胺(DA)、5-羟色胺(5-HT)及去甲肾上腺素(NE)水平均升高,观察组DA、5-HT及NE水平均高于对照组,差异有统计学意义(P<0。05)。治疗 2 周、4 周时,两组匹兹堡睡眠质量指数(PSQI)评分降低,观察组PSQI评分低于对照组,差异有统计学意义(P<0。05)。两组不良反应发生率比较,差异无统计学意义(P>0。05)。结论:化痰解郁汤能够提高FED患者的临床疗效,改善临床症状及患者睡眠质量,增加神经递质的分泌,安全有效。
Effects of Huatan Jieyu Decoction on Patients with First Episode Depression
Objective:To explore the effects of Huatan Jieyu Decoction on patients with first episode depression(FED).Method:A total of 77 FED patients admitted to Beijing Jiangong Hospital from March 2020 to March 2022 were selected.They were divided into control group(n=39)and observation group(n=38)according to random number table method.The control group was given Sertraline Hydrochloride Tablets,the observation group was given Huatan Jieyu Decoction on the basis of the control group.Chinese medicine symptom score,neurotransmitter,sleep quality before and after treatment,clinical efficacy and adverse reactions were compared between the two groups.Result:After treatment,the main disease,secondary disease scores and total scores of the two groups were decreased,and the main disease,secondary disease scores and total scores of the observation group were lower than those of the control group,the differences were statistically significant(P<0.05).The total effective rate of the observation group was 92.11%(35/38),which was higher than 74.36%(29/39)of the control group,the difference was statistically significant(P<0.05).After treatment,the levels of dopamine(DA),5-hydroxytryptamine(5-HT)and norepinephrine(NE)in both groups were increased,and the levels of DA,5-HT and NE in observation group were higher than those in control group,the differences were statistically significant(P<0.05).At 2 weeks and 4 weeks of treatment,the Pittsburgh sleep quality index(PSQI)scores of the two groups were decreased,and the PSQI scores of the observation group were lower than those of the control group,the differences were statistically significant(P<0.05).There was no significant difference in the incidence of adverse reactions between the two groups(P>0.05).Conclusion:Huatan Jieyu Decoction can improve the clinical efficacy of FED patients,improve clinical symptoms and sleep quality of patients,increase the secretion of neurotransmitter,safe and effective.

First episode depressionHuatan Jieyu DecoctionLiver Qi depression stagnationSleep qualityNeurotransmitter

张岩

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北京市健宫医院 北京 100054

首发抑郁症 化痰解郁汤 肝气郁结 睡眠质量 神经递质

2024

中外医学研究
中国医院管理杂志社

中外医学研究

影响因子:1.149
ISSN:1674-6805
年,卷(期):2024.22(1)
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