中医辨证治疗冠心病合并抑郁症的疗效观察  

Observation on Effects of TCM Syndrome Differentiation in Treating Coronary Heart Disease Accompanied with Depression

作　　者：王颖[1] 郭志[1] 王琪[2] 李凤娥[3] 刘玉洁[3] WANG Ying;GUO Zhi;WANG Qi;LI Feng-e;LIU Yu-jie(Cangzhou Central Hospital, Cangzhou Hebei 061000, China;Gansu Agricultural University, Lanzhou Gansu 730000, China;Tangshan Hospital of Traditional Chinese Medicine, Tangshan Hebei 063000, China)

机构地区：[1]沧州市中心医院,河北沧州061000 [2]甘肃农业大学,甘肃兰州730000 [3]唐山市中医院,河北唐山063000

出　　处：《中医药导报》2018年第10期74-77,共4页Guiding Journal of Traditional Chinese Medicine and Pharmacy

基　　金：河北省中医药管理局科研计划项目(2016117);河北省沧州市科技计划项目(151302047)

摘　　要：目的:观察中医辨证治疗冠心病合并抑郁症的临床疗效。方法:将128例冠心病合并抑郁症患者随机分为治疗组和对照组。对照组采用冠心病基础治疗联合抗抑郁西药治疗,治疗组在西医治疗(基础治疗+抗抑郁治疗)基础上联合中医辨证治疗,2组疗程均为4周,比较两组HAMA量表、HAMD量表评分、临床疗效、心电图疗效。结果:治疗组临床疗效总有效率为85.94%,对照组为78.13%,治疗组优于对照组(P<0.05);治疗组心电图疗效总有效率为87.50%,对照组为78.13%,治疗组优于对照组(P<0.05)。两组患者治疗后HAMD、HAMA评分均显著降低(P<0.05);治疗组治疗后评分低于对照组,差异均有统计学意义(P<0.05)。结论:中医辨证治疗冠心病合并抑郁症疗效显著。Objective： The objective of our present work is to reveal the efficiency of the traditional Chinese medicine（TCM） in treating coronary heart disease accompanied with depression. Methods： We collected 128 patients who suffer coronary heart disease accompanied with depression, and divided the patients into two groups, including control group and treatment group. The patients in the control group were treated by the basic therapy combined with antidepressants（western medicine）. The patients in the treatment group were firstly treated by the basic therapy combined with antidepressants（western medicine）, and then by TCM. For both the control and treatment groups, the treatment was conducted for 4 weeks, and the HAMA scale, HAMD scale, curative efficacy and ECG efficacy were recorded. Results： The efficiency of the curative efficacy for the treatment group is 85.94%, which is higher than that of the control group（78.13%）（P〈0.05）. The efficiencies of the ECG efficacy for the treatment and control groups are 87.50% and 78.13%, respectively, indicating a better ECG efficacy in the treatment group（P〈0.05）. Besides, after the treatment, the HAMA and HAMD scores of the patients in both of the groups decrease significantly, with the scores of the treatment group further lower than those of the control group（P〈0.05）. The difference in the present work are all statistically significant（P〈0.05）. Conclusion：The results from our present work demonstrate that the TCM has a great promotion effect on the recovery of the patients suffering coronary heart disease accompanied with depression.

关 键 词：冠心病 抑郁症 中药 辨证论治 

分 类 号：R256.2[医药卫生—中医内科学]