柴胡桂枝龙骨牡蛎汤加减治疗心脏神经症临床研究  

The Clinical Research on Modified Treatment with Chaihuguizhi Longgumuli Tang on Cardiacneurosis

作　　者：姜伟超[1] 周亚滨[1] 

机构地区：[1]黑龙江省哈尔滨市急救中心,黑龙江哈尔滨150056

出　　处：《中国中医急症》2015年第7期1146-1148,共3页Journal of Emergency in Traditional Chinese Medicine

基　　金：教育部春晖计划资助项目(Z2010019)

摘　　要：目的观察柴胡桂枝龙骨牡蛎加减治疗治疗心脏神经症的疗效。方法将55例心脏神经症患者随机分为两组,治疗组30例给予对柴胡桂枝龙骨牡蛎汤加减,每日1剂,早晚分服。对照组25例予倍他乐克,每次25 mg口服,每日1次。以上两组均15 d为1个疗程,观察2个疗程进行疗效评定。两组治疗前后分别应用Zung氏抑郁量表和焦虑量表评分,观察治疗前后两组的临床疗效。结果治疗后,治疗组在心律改善上与对照组比较无显著差异(P>0.05);治疗组中医证候改善上与对照组比较有显著差异(P<0.05)。治疗组在早搏改善上与对照组无显著差异(P>0.05)。两组Zung抑郁量表评分、焦虑量表评分差异具有统计学意义(P<0.05)。结论柴胡桂枝龙骨牡蛎汤加减治疗心脏神经症能明显减慢心率,缓解心悸等临床症状,且无明显不良反应。Objective： To observe the effectiveness of modified treatment with Chaihuguizhi Longgumuli Tang on cardiacneurosis. Methods： 55 sufferers were randomly divided into two groups. 30 cases of the treatment group received modified treatment with Chaihuguizhi Longgumuli Tang,a dose per day,an average of two,one taking in the morning and one in the evening. 25 cases of the control group were given Betaloc,25 mg orally,once a day. Both groups were treated for two 15 day courses. After it,the effects were evaluated. Zung-SDS and Anxiety Scale score were made to observe the clinical effect, before and after treatment. Results： After treatment, there was no significant difference in Cardiac rhythm improvement and Beats improvement between the two groups （P〉 0.05）. There were obvious differences in syndrome of traditional Chinese medicine（P〈 0.05）. Zung-SDS score and Anx- iety Scale score had significant difference （P〈 0.05）. Conclusion： Modified treatment with Chaihuguizhi Longgu- muli Tang on cardiacneurosis can significantly slow the heart rate and help to ease the symptoms of palpitation and other clinical symptoms ,with no obvious side effects.

关 键 词：柴胡桂枝龙骨牡蛎汤 朱砂 心脏神经症 

分 类 号：R541[医药卫生—心血管疾病]