[1]刘付萍,刘中艳,汪丽,等.养血舒肝汤加味联合耳穴压豆对终末期肾病血液透析合并抑郁患者的影响[J].西部中医药,2025,38(11):140-143.[doi:10.12174/j.issn.2096-9600.2025.11.25]
　LIU Fuping,LIU Zhongyan,WANG Li,et al.Influence of Modified Blood-nourishing Liver-calming Decoction and Auricular Point Sticking on Depression in ESRD Patients Undergoing Hemodialysis[J].Western Journal of Traditional Chinese Medicine,2025,38(11):140-143.[doi:10.12174/j.issn.2096-9600.2025.11.25]
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养血舒肝汤加味联合耳穴压豆对终末期肾病血液透析合并抑郁患者的影响()

《西部中医药》[ISSN:2096-9600/CN:62-1204/R]

卷:
38
期数:
2025年11期
页码:
140-143
栏目:
特色医疗
出版日期:
2025-11-15

文章信息/Info

Title:
Influence of Modified Blood-nourishing Liver-calming Decoction and Auricular Point Sticking on Depression in ESRD Patients Undergoing Hemodialysis
作者:
刘付萍1, 刘中艳1, 汪丽1, 卢腾祥2
1.阜阳市妇女儿童医院，安徽 阜阳 236700
2.临泉县人民医院，安徽 临泉 236700
Author(s):
LIU Fuping1, LIU Zhongyan1, WANG Li1, LU Tengxiang2
1.Fuyang Women and Children’s Hospital, Fuyang 236700, China
2.Linquan County People’s Hospital, Linquan 236700, China
关键词:
终末期肾病; 抑郁; 养血舒肝汤; 耳穴压豆; 肝郁脾肾气虚证
Keywords:
ESRD; depression; blood-nourishing liver-calming decoction; auricular point sticking; liver depression;  spleen-kidney deficiency pattern
分类号:
R277
DOI:
10.12174/j.issn.2096-9600.2025.11.25
文献标志码:
B
摘要:
目的探讨养血舒肝汤加味联合耳穴压豆对终末期肾病血液透析合并抑郁患者的影响。 方法选取行维持性血液透析治疗的86例终末期肾病患者，采用随机数字表法分为对照组和观察组，每组43例。两组均予常规干预措施，对照组予氟哌噻吨美利曲辛片治疗，观察组在对照组基础上予养血舒肝汤加味联合耳穴压豆治疗，两组均连续治疗8周。比较两组汉密顿抑郁量表（Hamilton depression scale，HAMD）-17评分、肝郁脾肾气虚证评分及临床疗效。 结果治疗后，两组HAMD-17评分、肝郁脾肾气虚证评分均较治疗前降低（P＜0.01），且观察组两项评分降低幅度均大于对照组（P＜0.01）；总有效率观察组［93.02％（40/43）］高于对照组［74.42％（32/43）］（P＜0.05）。 结论在西医常规干预基础上，予终末期肾病血液透析合并抑郁患者养血舒肝汤加味联合耳穴压豆治疗，可有效缓解抑郁症状、改善肝郁脾肾气虚证，提高临床疗效。
Abstract:
ObjectiveTo discuss the influence of modified blood-nourishing liver-calming decoction and auricular point sticking on depression in ESRD patients undergoing hemodialysis. MethodsAltogether 86 ESRD patients undergoing maintenance hemodialysis were chosen, and allocated to the control group and the observation group using random number table method with 43 cases in each. Both groups adopted conventional intervention measures, flupentixol and melitracen tablets were given to the control group, and the observation group received modified blood-nourishing liver-calming decoction and auricular point sticking based on the control group, and both groups were treated for eight consecutive weeks. To compare the scores of HAMD-17, the scales of liver depression, spleen-kidney Qi deficiency pattern and clinical effects between the two groups. ResultsAfter the treatment, the scores of HAMD-17, the scales of liver depression, spleen-kidney Qi deficiency pattern were decreased in the two groups than before treatment (P<0.01), and the decrease in the two items of the observation group was greater than that of the control group (P<0.01); total effective rate of the observation group was [93.02%(40/43)], higher than [74.42%(32/43)] of the control group (P<0.05). ConclusionBased on conventional Western medicine intervention, modified blood-nourishing liver-calming decoction and auricular point sticking given to patients with ESRD and depression undergoing hemodialysis could effectively relieve depression, improve the syndrome of liver depression, spleen-kidney Qi deficiency and enhance clinical effects.

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备注/Memo

备注/Memo:
阜阳市科学技术局科技项目（FK202081076）。刘付萍（1985—），女，主治医师。研究方向：中西医结合血液净化。
更新日期/Last Update: 2025-11-15