中国医学创新
中國醫學創新
중국의학창신
Medical Innovation of China
2015年
26期
116-120
,共5页
中药%针灸%心脏神经官能症
中藥%針灸%心髒神經官能癥
중약%침구%심장신경관능증
Chinese medicine%Acupuncture%Cardiac neurosis
目的：观察中药联合针灸治疗心脏神经官能症的临床疗效。方法：选取本科2012年10月-2015年1月接收的门诊及住院CN患者157例作为研究对象，所有患者均接受心理干预治疗，将其随机分为对照组（黛力新组）68例和治疗组（中医组）89例，治疗组采用中药联合针灸治疗，对照组采用口服黛力新治疗，疗程均为8周。观察两组患者的临床疗效、治疗前后中医症状积分及心理情绪，包括汉密顿焦虑量表（HAMA）、汉密顿抑郁量表（HAMD）评分。结果：经治疗后，治疗组的治疗总有效率50.56%明显高于对照组的29.41%，比较差异有统计学意义（字2=7.1075，P=0.0077）。两组治疗后的中医症状积分均明显低于治疗前（P<0.001），且治疗组中医症状积分明显低于对照组，差异有统计学意义（P<0.01）。两组治疗后的HAMD、HAMA评分均明显降低，且治疗组较对照组均明显降低，差异均有统计学意义（P<0.01或P<0.001）。结论：中药联合针灸对心脏神经官能症有较好的临床疗效，值得推广使用。
目的：觀察中藥聯閤針灸治療心髒神經官能癥的臨床療效。方法：選取本科2012年10月-2015年1月接收的門診及住院CN患者157例作為研究對象，所有患者均接受心理榦預治療，將其隨機分為對照組（黛力新組）68例和治療組（中醫組）89例，治療組採用中藥聯閤針灸治療，對照組採用口服黛力新治療，療程均為8週。觀察兩組患者的臨床療效、治療前後中醫癥狀積分及心理情緒，包括漢密頓焦慮量錶（HAMA）、漢密頓抑鬱量錶（HAMD）評分。結果：經治療後，治療組的治療總有效率50.56%明顯高于對照組的29.41%，比較差異有統計學意義（字2=7.1075，P=0.0077）。兩組治療後的中醫癥狀積分均明顯低于治療前（P<0.001），且治療組中醫癥狀積分明顯低于對照組，差異有統計學意義（P<0.01）。兩組治療後的HAMD、HAMA評分均明顯降低，且治療組較對照組均明顯降低，差異均有統計學意義（P<0.01或P<0.001）。結論：中藥聯閤針灸對心髒神經官能癥有較好的臨床療效，值得推廣使用。
목적：관찰중약연합침구치료심장신경관능증적림상료효。방법：선취본과2012년10월-2015년1월접수적문진급주원CN환자157례작위연구대상，소유환자균접수심리간예치료，장기수궤분위대조조（대력신조）68례화치료조（중의조）89례，치료조채용중약연합침구치료，대조조채용구복대력신치료，료정균위8주。관찰량조환자적림상료효、치료전후중의증상적분급심리정서，포괄한밀돈초필량표（HAMA）、한밀돈억욱량표（HAMD）평분。결과：경치료후，치료조적치료총유효솔50.56%명현고우대조조적29.41%，비교차이유통계학의의（자2=7.1075，P=0.0077）。량조치료후적중의증상적분균명현저우치료전（P<0.001），차치료조중의증상적분명현저우대조조，차이유통계학의의（P<0.01）。량조치료후적HAMD、HAMA평분균명현강저，차치료조교대조조균명현강저，차이균유통계학의의（P<0.01혹P<0.001）。결론：중약연합침구대심장신경관능증유교호적림상료효，치득추엄사용。
Objective:To observe the clinical curative effect of traditional Chinese medicine(TCM) combined with acupuncture in the treatment of cardiac neurosis.Method:157 outpatients and inpatients with cardiac neurosis admitted to our department from October 2012 to January 2015 were selected as research objects.They were treated with psychological intervention and randomly divided into the control group(the Deanxit group) for 68 cases and the treatment group(the Chinese medicine group) for 89 cases.The treatment group was treated with traditional Chinese medicine (TCM) combined with acupuncture,the control group was treated with oral Deanxit, the course of treatment was 8 weeks.The clinical curative effect,TCM symptom score and psychological mood before and after treatment between the two groups were observed,the psychological mood including Hamilton anxiety scale (HAMA) and Hamilton depression scale (HAMD)scores.Result:After treatment,the total effective rate of the treatment group was 50.56%,which was significantly higher than 29.41% of the control group,the difference was statistically significant( χ2=7.1075,P=0.0077).The TCM symptom score of the two groups after treatment were significantly lower than before treatment(P<0.001),and the TCM symptom score of the treatment group was significantly lower than the control group,the difference was statistically significant(P<0.01).The HAMA and HAMD scores of the two groups after treatment were significantly lower than before treatment,and those of the treatment group were significantly lower than the control group,the differences were statistically significant(P<0.01 orP<0.001).Conclusion:Traditional Chinese medicine combined with acupuncture on cardiac neurosis has good clinical curative effect,is worthy of promotion.
