摘要
目的 :观察温阳宣肺疏肝法治疗抑郁性神经症的临床疗效。方法 :180例抑郁性神经症患者随机分为治疗组98例和对照组82例,治疗组口服基于温阳宣肺疏肝法的中药解郁汤,对照组口服盐酸帕罗西汀片,4周为1个疗程,共治疗3个疗程。观察两组治疗前后抑郁自评量表(SDS)、匹兹堡睡眠质量指数(PSQI)评定量表分值的变化,评价临床疗效。结果:治疗组治疗后SDS评分及临床总有效率与对照组比较差异无统计学意义(P>0.05);治疗组治疗后的PSQI总分与对照组比较,差异无统计学意义(P>0.05),但睡眠质量、日间功能评分均优于对照组,差异有统计学意义(P<0.05)。结论:基于温阳宣肺疏肝法的解郁汤治疗抑郁性神经症的疗效与西药相当,但其改善睡眠质量、日间功能的效果优于对照组。
Objective：To observe the clinical curative effect of warming Yang,diffusing lung and soothing liver method on treatment of depressive neurosis. Methods：A total of 180 cases of depressive neurosis were randomly divided into two groups. The 98 cases in the treatment group orally took Jieyu decoction based on warming Yang,diffusing lung and soothing liver method and the other 82 cases in the control group orally took paroxetine hydrochloride tablets. One treatment course lasted for 4 weeks and the patients were treated for 3 courses. The scores of self- rating depression scale（SDS） and the Pittsburgh sleep quality index（PSQI）rating scale of the two groups were observed and the clinical curative effects were evaluated. Results：After treatment,the SDS score and total effective rate of the treatment group was not sta tistically different from those of the control group（P〉0.05）. The difference of the total score of PSQI between the treatment group and the control group was not statistically significant（P〉0.05）,but the scores of sleep quality and daytime function of the treatment group was better than those of the control group,with statistical significance（P〈0.05）. Conclusion：The curative effect of Jieyu decoction based on warming Yang,diffusing lung and soothing liver method on depressive neurosis was equal to that of the western medicine,but its effect on improving sleep quality and daytime function was better than that of the control group.
出处
《山东中医杂志》
2016年第6期504-506,共3页
Shandong Journal of Traditional Chinese Medicine
基金
河北省科技支撑计划项目(编号:14277773D)
关键词
抑郁性神经症
温阳宣肺疏肝法
解郁汤
睡眠质量
depressive neurosis
warming Yang
diffusing lung and soothing liver method
Jieyu decoction
sleep quality
