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百合地黄汤治疗阴虚型心理亚健康状态人群100例临床研究(PDF)

《云南中医学院学报》[ISSN:1000-2723/CN:53-1048/R]

期数:
2014年06期
页码:
52-55
栏目:
临床研究
出版日期:
2014-12-25

文章信息/Info

Title:
Clinical Study on Baihe Dihumg Decoction in Treating 100 Cases of Yin Type of Psychological Health Groups
作者:
占明
广西合浦县中医医院,广西合浦 536100
Author(s):
ZHAN Ming
Hepu County Chinese Medicine Hospital of Guangxi, Hepu 536100 China
关键词:
心理亚健康 百合地黄汤 阴虚证
Keywords:
Psychological sub-health condition Baihe Dihumg decoction syndrome of yin deficiency
分类号:
R256.2
DOI:
-
文献标识码:
A
摘要:
目的通过临床随机对照方法研究“百合地黄汤”对阴虚型心理亚健康人群干预的效果,探讨中医经方在心理亚健康方面的预防保健作用。方法将阴虚型心理亚健康状态患者按2∶1比例随机分为治疗组和对照组,填写心理亚健康中医证候临床评估表及症状自评量表(SCL-90);治疗组给予中药免煎颗粒治疗:百合20 g,生地20 g,温水冲服,每日2次,4周为1个疗程;对照组予谷维素20 mg/次,日服3次。4周后比较2组主要症状消除率及SCL-90积分情况,评价疗效结果及不良反应情况。结果①心理亚健康状态症状发生率方面,治疗组在精神不振、疲乏无力、失眠多梦、抑郁寡欢、焦躁不安及急躁易怒等症状的发生率优于对照组(P<0.05); ②阴虚症状中,治疗组在失眠多梦、便秘便干、疲劳乏力、烦躁易怒的症状发生率较对照组下降(P<0.05); ③治疗前后SCL-90评分改变情况:治疗组在躯体化、强迫症状、人际敏感、特别是焦虑、抑郁方面有明显疗效(P<0.05)。结论百合地黄汤对心理亚健康患者的临床症状有明显的缓解作用,可以缓解抑郁焦虑证患者的早期症状,延缓或阻断抑郁焦虑证发生。
Abstract:
Objective With the method of randomized controlled trials, we observed “Baihe Dihumg Decoction” and analyzed its result the intervention of yin-deficiency type of psychological health groups. Methods Determine the diagnostic criterias of Yin type of psychological sub-health. We randomly assigned the qualified and unqualified patients proportionally 2 to 1 into treatment group and comparison group. Patients need to fill Symptom Checklist(SCL-90). The comparison group took 20g free fried particles lily, 20g rehmannia glutinosa mixing with warm water twice a day, a month as a treatment. The treatment group took 20mg oryzanol three times a day, 30 min after meals. To observe the symptom elimination rate, change of SCL-90, efficacy and adverse reactions of these two groups. According to SPSS17. 0 database, we used ANOVA to analyze the groups’ discrepancy, test to compare the average data, chi-square test(χ2) to compare the frequency. Results 1. The frequency of psychological sub-health symptoms, such as lack of energy, fatigue, insomnia, melancholy, anxiety and testiness, P<0.05, this group was difference. 2. the symptoms of yin-deficiency, such as insomnia, constipation, fatigue and testiness, P<0.05. the group was diference. 3. The change of SCL-90 before and after treatment:treatment group had a significant effect on improving somatization, enforcement, interpersonal sensitivity, hostility, especially on anxiety, depression and psychotic. Conclusion Baihe Dihumg Decoction can alleviate significantly the clinical symptoms of psychological sub-health condition patients.

参考文献/References

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备注/Memo

备注/Memo:
收稿日期: 2014 - 05 - 09 作者简介: 占明(1969-),男,广西北海人,中医主治医师,主要从事中西医临床研究工作。
更新日期/Last Update: 2014-12-20