[1]张民英,韩萍.归脾汤加减联合电针治疗心脏神经官能症的效果观察[J].西部中医药,2020,33(08):123-125.[doi:10.12174/j.issn.1004-6852.2020.08.33]
　ZHANG Minying,HAN Ping.Clinical Observation on Modified Guipi Tang Combined with Acusector in Treating Cardiac Neurosis[J].Western Journal of Traditional Chinese Medicine,2020,33(08):123-125.[doi:10.12174/j.issn.1004-6852.2020.08.33]
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归脾汤加减联合电针治疗心脏神经官能症的效果观察
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《西部中医药》[ISSN:2096-9600/CN:62-1204/R]

卷:
33
期数:
2020年08期
页码:
123-125
栏目:
出版日期:
2020-08-15

文章信息/Info

Title:
Clinical Observation on Modified Guipi Tang Combined with Acusector in Treating Cardiac Neurosis
文章编号:
1004-6852(2020)08-0123-03
作者:
张民英1,韩萍2
1 西安市第九医院,陕西 西安 710054; 2 青岛市海慈医疗集团肺病科
Author(s):
ZHANG Minying1, HAN Ping2
1 Ninth Hospital of Xi′an, Xi′an 710054, China; 2 Department of Pulmonary Disease, Qingdao City Haici Medical Group
关键词:
归脾汤; 针刺; 心脏神经官能症; 焦虑; 抑郁; 炎症因子
Keywords:
Guipi Tang;  acupuncture;  cardiac neurosis;  anxiety;  depression;  inflammatory foctor cytokine
分类号:
R541
DOI:
10.12174/j.issn.1004-6852.2020.08.33
文献标志码:
B
摘要:
目的：观察归脾汤加减联合电针治疗心脏神经官能症(cardiac neurosis，CN)的临床疗效。方法：将86例患者随机分为观察组(42例)和对照组(44例)，两组患者均给予美托洛尔进行治疗，对照组同时给予电针进行治疗，观察组在对照组基础上予以归脾汤加减治疗，两组均连续治疗2个月。比较两组临床疗效及治疗前后焦虑、抑郁评分和炎症因子水平的变化情况。结果：总有效率观察组为88.10%(37/42)，对照组为72.73%(32/44)，两组比较差异有统计学意义(P＜0.05)。汉密尔顿抑郁量表(hamilton depression scale，HAMD)、汉密顿焦虑量表(hamilton anxiety scale，HAMA)评分治疗前两组比较，差异无统计学意义(P＞0.05)，治疗后两组比较及治疗前后组内比较差异有统计学意义(P＜0.05)；血清肿瘤坏死因子α(tumor necrosis factor α，TNF-α)和超敏C反应蛋白(high-sensitivity C-reactive protein，hs-CRP)水平治疗前两组比较，差异无统计学意义(P＞0.05)，治疗后两组比较及治疗前后组内比较差异有统计学意义(P＜0.05)。结论：归脾汤加减联合电针治疗CN可有效改善患者的焦虑、抑郁情绪，同时还可降低炎症因子水平。
Abstract:
Objective: To observe clinical effects of modified Guipi Tang in combination with acusector in the treatment for cardiac neurosis. Methods: All 86 patients were randomized into the observation group (n=42) and the control group (n=44), both groups were treated by metoprolol, the control group were treated with acusector simultaneously, the observation group took modified Guipi Tang, both groups were treated for two months consecutively, to compare clinical effects of both groups, HAMD, HAMA and the levels of inflammatory cytokines before and after treating. Results: Total effective rate of the observation group was 88.10% (37/42), higher than 72.73% (32/44) of the control group, and the difference had statistical meaning between both groups (P＜0.05). The difference showed no statistical meaning in HAMD and HAMA before treating between both groups (P＞0.05); the difference was statistically significant between both groups after treating, the difference showed statistical meaning within two groups before and after treating (P＜0.05). The difference showed no statistical meaning in the levels of TNF-α and hs-CRP between both groups before treating (P＞0.05); the difference had statistical meaning between both groups after treating; the difference was statistically significant before and after treating within two groups (P＜0.05). Conclusion: Modified Guipi Tang joined with acusector could obtain notable effects in the treatment of CN, and the method could effectively relieve anxiety and depression of the patients, simultaneously, adjust the levels of inflammatory cytokines.

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备注/Memo

备注/Memo:
收稿日期：2019-07-02*基金项目：青岛市2017年度中医药科研计划(2017-ZYX009)。作者简介：张民英(1975—)，女，主治医师。研究方向：内科疾病的中医药及针灸治疗。
更新日期/Last Update: 2020-08-15