中西医结合联合心理干预对情绪障碍患儿消化道症状治疗初探  

Exploration on Integrated Chinese and Western Medicine Combined with Psychological Intervention in the Treatment of Gastrointestinal Symptoms in Children with Emotional Disorder

作　　者：胡泊洋[1] 赵一鸣[1] 季敬明 史学[2] 王彦青[1] HU Boyang;ZHAO Yiming;JI Jingming;SHI Xue;WANG Yanqing(Dept.of Pharmacy,National Center for Children’s Health/Beijing Children’s Hospital Affiliated to Capital Medical University,Beijing 100045,China;Dept.of Traditional Chinese Medicine,National Center for Children’s Health/Beijing Children’s Hospital Affiliated to Capital Medical University,Beijing 100045,China)

机构地区：[1]国家儿童医学中心/首都医科大学附属北京儿童医院药学部,北京100045 [2]国家儿童医学中心/首都医科大学附属北京儿童医院中医科,北京100045

出　　处：《中国医院用药评价与分析》2023年第12期1422-1425,共4页Evaluation and Analysis of Drug-use in Hospitals of China

基　　金：国家中医药管理局全国中药特色技术传承人才培训项目(No.T20194828003);北京市中医管理局北京中医药薪火传承“3+3”金世元名老中医工作室北京儿童医院分站建设项目(No.京中医科字[2019]103号)。

摘　　要：目的:探讨史学教授中西医结合联合心理疏导治疗情绪障碍合并消化不良的效果。方法:采用回顾性分析方法,收集整理2021年1月至2022年5月该院因上腹部疼痛、脾胃不和就诊的儿童患者门诊病历资料。史学教授根据儿童的特点,以舒肝解郁、健脾和胃为治则,拟定处方。且注重分辨患者的负面情绪,团队协同在诊疗时对患者进行一定的心理疏导。根据患者的临床诊断,分为单纯消化不良组、合并情绪障碍组。观察患儿的症状积分改善情况和疗效。结果:共纳入44例患者,年龄为3~16岁,其中男性24例,女性20例。患者的主要临床表现为纳差、腹痛、便秘、恶心、呕吐和呃逆等。患者治疗前后各项症状积分的差异均有统计学意义(P<0.05);且治疗后症状总积分明显低于治疗前,差异有统计学意义(P<0.001)。单纯消化不良组患者的症状总积分明显低于合并情绪障碍组,差异有统计学意义(P<0.05)。单纯消化不良组患者心烦症状、多梦症状的出现频率低于合并情绪障碍组,差异均有统计学意义(P<0.05)。结论:本研究治疗方法对情绪障碍患者的躯体症状具有较好效果,值得参考。OBJECTIVE:To explore the efficacy of integrated Chinese and Western medicine combined with psychological counseling in the treatment of children with emotional disorder complicated with indigestion in professor Shi Xue.METHODS:Retrospective analysis was used to collect and collate the outpatient case data in the hospital due to upper abdominal pain,spleen and stomach disorders from Jan.2021 to May 2022.According to the characteristics of children,professor Shi Xue drew up a prescription based on the principles of liver-soothing and depression-relieving,spleen-strengthening and stomach-harmonizing.Psychological counseling during treatment was conducted by emphasizing on the negative emotions of the patients.According to the clinical diagnosis,the patients were divided into the simple dyspepsia group and the combined emotional disorders group.The efficacy and improvement of patients'symptom integral were observed.RESULTS:A total of 44 patients were enrolled,with the age in the range of 3 to 16 years old,including 24 males and 20 females.The main clinical manifestations of the patients were poor appetite,abdominal pain,constipation,nausea,vomiting and eructation.Differences in various symptom integrals in patients before and after treatment were statistically significant(P<0.05);and the total symptom integral after treatment was significantly lower than that before treatment,with statistically significant differences(P<0.001).The total symptom integral of patients in the simple dyspepsia group was significantly lower than that in the combined emotional disorder group,with statistically significant differences(P<0.05).The occurrence frequency of symptoms of distress and dreaminess in patients in the simple dyspepsia group was lower than that in the combined emotional disorder group,with statistically significant differences(P<0.05).CONCLUSIONS:The therapeutic method of the study has significant effect on the somatic symptoms in patients with emotional disorder,which is worthy of reference.

关 键 词：中西结合 消化道躯体症状障碍 情绪障碍 健脾和胃法 儿科学 

分 类 号：R932[医药卫生—生药学] R985[医药卫生—药学]