柴胡龙牡汤治疗肺癌患者焦虑状态的临床观察  

Clinical observation on treating anxiety of patients with lung cancer with the Chaihu Longmu decoction

作　　者：彭涛 欧阳喻璐 李志丹 朱伟伟 左芬 孙锦茂 童康尔 Peng Tao

机构地区：[1]绍兴市中西医结合医院,浙江绍兴312030

出　　处：《中医临床研究》2020年第14期82-84,共3页Clinical Journal Of Chinese Medicine

摘　　要：目的:观察柴胡加龙骨牡蛎汤对具有焦虑症的肺恶性肿瘤患者的临床疗效。方法:将我院肺癌伴焦虑状态的患者100例,随机分为治疗组与对照组,每组50例。两组患者均给予肺癌常规治疗。治疗组给予柴胡加龙骨牡蛎汤为主的汤剂,并根据患者情况辨证论治进行加减,对照组仅给予对症支持治疗,观察30天。患者入组后治疗前开始及结束时对患者进行观察,记录一般情况,汉密尔顿焦虑量表(Hamilton Anxiety Scale,HAMA)及卡氏体力状况评分量表(KPS)评分情况。结果:治疗组治疗后HAMA评分较治疗前降低,差异有统计学意义(P<0.05)。对照组治疗后HAMA评分较治疗前降低,差异无统计学意义。治疗组治疗后HAMA评分与同期对照组比较,差异有统计学意义(P<0.05)。两组治疗后KPS评分与治疗前比较,差异无统计学意义。结论:柴胡加龙牡汤可以降低患者HAMA评分,调畅肺癌患者情志,调节全身气机,改善患者焦虑状态。Objective:To observe clinical efficacy of the Chaihu Longmu decoction(柴胡龙牡汤)on anxiety of patients with lung cancer.Methods:100 cases were randomly divided into two groups of 50 cases in each.Both groups were given conventional treatment of lung cancer.The treatment group was given the Chaihu Longmu decoction,while the control group was given symptomatic supportive treatment,for 30 days.Results:After treatment,the HAMA score in the treatment group was lower than before treatment,and the difference was statistically significant(P<0.05).The HAMA score in the control group was lower than that before treatment(P>0.05).After treatment,the HAMA score in the treatment group was compared with the control group(P<0.05).There was no significant difference in KPS score in two groups between before and after treatment(P>0.05).Conclusion:The Chaihu Longmu decoction can reduce HAMA score,regulate mood and improve anxiety.

关 键 词：柴胡龙牡汤 肺癌 焦虑 

分 类 号：R256.19[医药卫生—中医内科学]