炙甘草汤联合移精变气法治疗心脏神经官能症临床研究  

Clinical Study on Zhigancao Tang Combined with Method of Moving Spirit and Changing Qi for Cardiac Neurosis

作　　者：程善廷 杨钦河 CHENG Shanting;YANG Qinhe

机构地区：[1]暨南大学医学院附属黄埔中医院,广东广州510700 [2]暨南大学中医学院,广东广州510632

出　　处：《新中医》2019年第1期59-62,共4页New Chinese Medicine

基　　金：第六批全国名老中医药专家学术经验师承项目(国中医药人教发[2017] 29号)

摘　　要：目的:观察炙甘草汤联合移精变气法治疗心脏神经官能症的疗效。方法:将60例心脏神经官能症患者随机分为治疗组和对照组各30例。2组均给予酒石酸美托洛尔片联合谷维素片治疗,治疗组在此基础上加予炙甘草汤联合移精变气法。2组均治疗2周。对比2组临床疗效,观察2组治疗前后汉密尔顿抑郁量表(HAMD)评分的变化。结果:治疗组总有效率90.0%,对照组总有效率56.7%,2组比较,差异有统计学意义(P <0.05)。治疗前,2组HAMD评分比较,差异无统计学意义(P> 0.05)。治疗后,2组HAMD评分均较治疗前下降,差异均有统计学意义(P <0.05);治疗组HAMD评分低于对照组,差异有统计学意义(P <0.05)。结论:在常规西药基础上加用炙甘草汤联合移精变气法治疗心脏神经官能症,能提高治疗效果,进一步减轻患者的抑郁程度。Objective:To observe the curative effect of Zhigancao Tang combined with method of moving spirit and changing qi for cardiac neurosis.Methods:Divided 60 cases of patients with cardiac neurosis into the treatment group and the control group randomly,30 cases in each group.The two groups received metoprolol tartrate tablets for treatment,and the treatment group additionally received Zhigancao Tang combined with method of moving spirit and changing qi.The treatment in the two groups lasted for two weeks.Compared the clinical effect and observed the changes in scores of Hamilton depression scale(HAMD)before and after treatment in the two groups.Results:The total effective rate was 90.0%in the treatment group and 56.7%in the control group,the difference being significant(P<0.05).Before treatment,compared with scores of HAMD in the two groups,there was no significance in the differences(P>0.05).After treatment,scores of HAMD in the two groups were decreased when compared with those before treatment,differences being significant(P<0.05).Score of HAMD in the treatment group was lower than that in the control group,the difference being significant(P<0.05).Conclusion:Based on the western medicine treatment,the therapy of Zhigancao Tang combined with method of moving spirit and changing qi for cardiac neurosis can improve the curative effect and further relieve the depression degree of patients.

关 键 词：心脏神经官能症 中西医结合疗法 炙甘草汤 移精变气法 疗效 汉密尔顿抑郁量表(HAMD) 

分 类 号：R541[医药卫生—心血管疾病] R749.7[医药卫生—内科学]