加味酸枣仁汤与劳拉西泮对高中生焦虑症的疗效以及安全性比较  

Comparisons of the Efficacy and Safety Between Jiawei Suanzaoren Decoction and Lorazepam for Anxiety Disorder Treatment in Senior High School Students

作　　者：李桂萍[1] 宋明芬[2] 王泽民[3] 丁凯景[4] 叶发 邵琼琰[5] 张永华[5] LI Guiping;SONG Mingfen;WANG Zemin;DING Kaijing;YE Fa;SHAO Qiongyan;ZHANG Yonghua(Hangzhou Seventh People’s Hospital,Department of Psychiatry,Hangzhou 310013,China;Hangzhou Seventh People’s Hospital,Molecular Biology Laboratory,Hangzhou 310013,China;Hangzhou Seventh People’s Hospital,Department of Pharmacy,Hangzhou 310013,China;Hangzhou Seventh People’s Hospital,Department of Pediatrics,Hangzhou 310013,China;The Third Institute of Clinical Medicine,Zhejiang Chinese Medical University,Hangzhou 310053,China)

机构地区：[1]杭州市第七人民医院精神科,杭州310013 [2]杭州市第七人民医院分子生物学实验室,杭州310013 [3]杭州市第七人民医院药剂科,杭州310013 [4]杭州市第七人民医院儿少科,杭州310013 [5]浙江中医药大学第三临床学院,杭州310053

出　　处：《中国现代应用药学》2021年第11期1363-1367,共5页Chinese Journal of Modern Applied Pharmacy

基　　金：浙江省中医药科技计划项目(2018ZA101);杭州市科技发展计划项目重点专病专科科研攻关专项(20160533B28)。

摘　　要：目的比较加味酸枣仁汤与劳拉西泮治疗高中生焦虑症的疗效以及安全性。方法高中生焦虑症患者68例随机分为加味酸枣仁汤组和劳拉西泮组,并给予相应的治疗。于0,1,2周测定汉密尔顿焦虑量表(Hamilton Anxiety Scale,HAMA)得分评价其疗效,第2周测定副反应量表(Treatment Emergent Symptom Scale,TESS)评价其不良反应。比较2组间HAMA减分率、治疗有效率、起效时间、不良反应发生率的差异。结果1,2周,2组HAMA得分均显著下降(P<0.001)。虽然2组总有效率无统计学差异(90.91%vs 90.63%),但是加味酸枣仁汤组疗效显著的比例(57.58%)明显高于对照组(31.25%)(P<0.05),且HAMA得分(10.82±5.80)显著低于对照组(14.88±5.50)(P<0.05)。加味酸枣仁汤组起效时间(3 d)则稍晚于对照组(1 d)(P<0.01)。加味酸枣仁汤组乏力和头痛的反应发生率显著低于劳拉西泮组(P<0.05)。结论在高中生焦虑症的治疗中,加味酸枣仁汤比劳拉西泮更安全、有效。OBJECTIVE To compare the efficacy and safety between Jiawei Suanzaoren decoction and lorazepam for anxiety disorder treatment in senior high school students.METHODS The 68 cases of senior high school students with anxiety disorder were randomly assigned to the Jiawei Suanzaoren decoction group and the lorazepam group,and then given the corresponding treatments.The scores of Hamilton Anxiety Scale(HAMA)in week 0,1,2 were measured for determining the treatment efficacy,and Treatment Emergent Symptom Scale(TESS)in week 2 was tested for assessing the adverse effects.HAMA score reduction rates,effectiveness rates,onset time and adverse effect incident rates were compared between two groups.RESULTS The HAMA scores in week 1,2 were both obviously decreased in both two groups(P<0.001).Although the total effectiveness rates had no statistically different between two groups(90.91%vs 90.63%),the Jiawei Suanzaoren decoction group had a higher marked effectiveness rate(57.58%)and a lower HAMA score(10.82±5.80)than those of the control group(31.25%,14.88±5.50)(P<0.05).The onset time in the Jiawei Suanzaoren decoction group(3 d)was longer than the control group(1 d)(P<0.01).The fatigue and headache incident rates in the Jiawei Suanzaoren decoction group were significantly lower than those of the lorazepam group(P<0.05).CONCLUSION Jiawei Suanzaoren decoction is safer and more effective than lorazepam for the anxiety disorder treatment in senior high school students.

关 键 词：加味酸枣仁汤 高中生 焦虑症 疗效 安全性 

分 类 号：R285.6[医药卫生—中药学]