CAJ | 학술논문

目的：探讨中医综合治疗对门诊抑郁症患者的疗效，为抑郁症的防治研究提供临床依据。方法方便抽样法选取2012-03-01-2013-04-30来某疗养院门诊就诊的抑郁症患者174例为研究对象，随机分成研究组和对照组，每组各87例，研究组接受中药治疗联合中医综合治疗，而对照组只接受单独的中药治疗和常规的药物指导和护理，观察8周。在治疗前、治疗4、8周末分别对两组患者进行汉密顿抑郁量表( HAMD )和症状自评量表( SCL-90)自评。结果①两组治疗后4周末和8周末HAMD总分较治疗前均显著下降，研究组下降更明显(P＜0.01)，治疗后4周末和8周末研究组低于对照组(P＜0.01)。根据减分率评定疗效，两组痊愈率和进步率比较差异有统计学意义(P＜0.05)。②治疗后4周末，研究组与对照组相比，强迫症状、人际关系敏感、抑郁、焦虑、敌对因子分和均分均有显著下降，差异有高度统计学意义(t＝5.643、3.6842、3.584、2.604、3.672、3.187，P＜0.01)，干预后8周末两组相比，各因子分均有显著下降，差异有高度统计学意义(t＝3.784、9.347、6.618、4.147、3.786、3.643、3.159、2.614、4.157、6.134，P＜0.01)。结论中医综合治疗能有效提高门诊抑郁症患者的疗效，有效改善抑郁症患者的心理健康状况，促进患者心身康复。
목적：탐토중의종합치료대문진억욱증환자적료효，위억욱증적방치연구제공림상의거。방법방편추양법선취2012-03-01-2013-04-30래모요양원문진취진적억욱증환자174례위연구대상，수궤분성연구조화대조조，매조각87례，연구조접수중약치료연합중의종합치료，이대조조지접수단독적중약치료화상규적약물지도화호리，관찰8주。재치료전、치료4、8주말분별대량조환자진행한밀돈억욱량표( HAMD )화증상자평량표( SCL-90)자평。결과①량조치료후4주말화8주말HAMD총분교치료전균현저하강，연구조하강경명현(P＜0.01)，치료후4주말화8주말연구조저우대조조(P＜0.01)。근거감분솔평정료효，량조전유솔화진보솔비교차이유통계학의의(P＜0.05)。②치료후4주말，연구조여대조조상비，강박증상、인제관계민감、억욱、초필、활대인자분화균분균유현저하강，차이유고도통계학의의(t＝5.643、3.6842、3.584、2.604、3.672、3.187，P＜0.01)，간예후8주말량조상비，각인자분균유현저하강，차이유고도통계학의의(t＝3.784、9.347、6.618、4.147、3.786、3.643、3.159、2.614、4.157、6.134，P＜0.01)。결론중의종합치료능유효제고문진억욱증환자적료효，유효개선억욱증환자적심리건강상황，촉진환자심신강복。
Objective To probe into the curative effect of comprehensive treatment of traditional Chinese medicine on out-patients with depression so as to provide the clinical basis for the prevention and treatment of depression .Methods 174 cases with depression coming to a certain sanatoriumfor out-patient service fromMarch 1 ,2012 to April 30 ,2013 to a sanatoriumwere selected by sampling method and randomly divided into the research group and the control group with 87 cases in each group .The research group received traditional Chinese medicine therapy and combined treatment of traditional Chinese medicine,while the control group were only treated with traditional Chinese medicine therapy and regular drug guidance and care for 8 weeks. Both groups were assessed with Symptom Checklist(SCL-90) and HAMDscale (HAMD) before treatment,the end of four weeks and eight weeks during treatment.Results ①At the end of 4 weeks and 8 weeks during the treatment,the total scores of HAMDobviously decreased ,and the score of the research group decreased more significantly than that of the control group (P<0 .01 ),the total scores of HAMDof the research group was lower than the control group at the end of 4 weeks and 8 weeks during the treatment(P<0 .01 ).The comparison of cure rate and progress rate between the two groups was of statistical significance(P<0.05).②At the end of 4 weeks during the treatment,comparison between the two groups showed the scores of obsession, interpersonal sensitivity,depression,anxiety,and hostility factor and the average score significantly decreased,and the differences were of great statistical significance(t=5.643,3.684 2,3.584,2.604,3.672,3.187,P<0.01).At the end 8 weeks during the treatment,each factor score significantly decreased ,and the differences were of great statistical significance (t=3 .784 ,9 .347 ,6 .618 ,4 .147 ,3 .786 ,3 .643 ,3 .159 , 2 .614 ,4 .157 ,6 .134 ,P<0 .01 ).Conclusion Comprehensive treatment of traditional Chinese medicine can effectively improve the clinic therapeutic effect and the mental health status of out-patients with depression and promote their physical and psychological rehabilitation .