摘要
目的探讨冠心病支架术后并发抑郁症患者抗焦虑治疗的中西医疗效对照研究。方法随机抽取我院80例冠心病支架术后并发抑郁症患者,时间范围在2017年7月~2018年7月,按照随机数字表法分为观察组和对照组,每组40例。观察组实施中医治疗,对照组实施西医治疗,对比两组中医证候积分、心理状况改善情况。结果治疗前两组中医证候积分比较无统计学差异(P>0.05);治疗后观察组各项积分均低于对照组(P<0.05);治疗前两组抑郁自评量表(Self-rating depression scale,SDS)、焦虑自评量表(Self-rating anxiety scale,SAS)评分比较无统计学差异(P>0.05);治疗后观察组显著低于对照组(P<0.05);治疗前两组视觉模拟评分法(Visual analogue scale,VAS)、舒适状况量表(General comfort questionnaire,GCQ)评分比较无统计学差异(P>0.05);治疗后组间、组内对比差异显著(P<0.05)。结论冠心病支架术后并发抑郁症患者抗焦虑治疗中,给予中西医治疗均有较好效果,但中医治疗效果更佳,可根据患者实际情况选择。
Objective To conduct a comparative study of the efficacy of anti-anxiety therapy in traditional Chinese and western medicine for the patients with coronary artery disease(CAD)complicated by major depressive disorder(MDD)after coronary stent implantation(CSI).Methods 80 patients admitted to our hospital from July 2017 to July 2018 whose disease was complicated by depression after coronary stent implantation were randomly selected and divided into observation group and control group according to random number table method,with 40 cases in each group.The observation group was treated with traditional Chinese medicine,while the control group was treated with western medicine.The TCM syndrome scores and improvement of psychological status of the two groups were compared.Results There was no statistically significant difference in TCM syndrome scores between the two groups before treatment(P>0.05).After treatment,all the scores of observation group were lower than those of control group(P<0.05).Before treatment,there was no statistically significant difference in self-rating depression scale(SDS)and self-rating anxiety scale(SAS)scores between the two groups(P>0.05).After treatment,the scores of the observation group were significantly lower than the scores of the control group(P<0.05).Before treatment,there was no statistically significant difference in the scores of visual analogue scale(VAS)and general comfort questionnaire(GCQ)between the two groups(P>0.05).After treatment,there were significant differences between the two groups and within each group(P<0.05).Conclusion In the anti-anxiety treatment for the patients with CAD complicated by MDD after CSI,traditional Chinese medicine and western medicine both have good effect,but the efficacy of traditional Chinese medicine therapy is better.In practice,a choice can be made according to the actual situation of the patients.
作者
章志娟
ZHANG Zhijuan(Department of Somnus,the Third People's Hospital of Ganzhou City in Jiangxi Province,Ganzhou341000,China)
出处
《中国现代医生》
2020年第16期21-24,共4页
China Modern Doctor
关键词
冠心病支架术
抑郁症
中医
西医
Coronary stent implantation(CSI)
Major depressive disorder(MDD)
Traditional Chinese medicine
Western medicine
