乌灵胶囊联合西药治疗冠心病合并心肾不交型抑郁症临床研究
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R541.4;R749.4

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Clinical Study on Wuling Capsules Complicated with Western Medicine for Depression of Heart-Kidney Noninteraction Type
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    摘要:

    目的:观察乌灵胶囊对冠心病合并心肾不交型抑郁症的疗效以及对血清去甲肾上腺素(NE)、5-羟色胺(5-HT) 水平的影响。方法:选取110 例冠心病合并抑郁症患者,按随机数字表法分为对照组及观察组,每组55 例。2 组均给予现代医学常规治疗措施,对照组给予劳拉西泮片,观察组在对照组基础上给予乌灵胶囊,2 组疗程均为8 周。比较2 组治疗前后汉密尔顿抑郁量表(HAMD-17)、症状自评量表(SCL-90) 评分以及血清NE、5-HT 水平。比较2 组的临床疗效。结果:治疗8 周后,观察组临床疗效总有效率为94.55%,对照组为80.00%,2 组比较,差异有统计学意义(P<0.05)。2 组HAMD-17 及SCL-90 评分均较治疗前降低(P<0.01),观察组2 项评分均低于对照组(P<0.01)。2 组血清NE 及5-HT 水平均较治疗前升高(P<0.01),观察组2 项水平均高于对照组(P<0.01)。结论:乌灵胶囊可改善大脑神经信号传导功能,有效缓解冠心病合并心肾不交型抑郁症患者的临床症状,减轻抑郁程度。

    Abstract:

    Abstract: Objective: To observe the curative effect of Wuling capsules for coronary heart disease complicated with depression of heart-kidney noninteraction type and its effect on the levels of noradrenaline(NE) and 5-hydroxytryptamine(5-HT) in serum. Methods: A total of 110 cases of patients with coronary heart disease complicated with depression were selected and divided into the control group and the observation group according to the random number table method, 55 cases in each group. Both groups were given routine treatment measures in modern medicine; the control group was given lorazepam tablets, and the observation group was additionally given Wuling capsules based on the treatment of the control group. Both groups were treated for eight weeks. Before and after treatment,the changes in the scores of Hamilton Depression Scale(HAMD- 17) and Symptom Check List(SCL- 90) as well as the levels of NE and 5- HT in serum in the two groups were compared. The clinical effect was compared between the two groups. Results: After eight weeks of treatment, the total effective rate was 94.55% in the observation group and 80.00% in the control group, the difference being significant(P<0.05); the scores of HAMD- 17 and SCL- 90 in the two groups were decreased when compared with those before treatment(P<0.01),and the above two scores in the observation group were lower than those in the control group(P<0.01). The levels of NE and 5- HT in serum in the two groups were increased when compared with those before treatment(P<0.01), and the above two indexes in the observation group were higher than those in the control group(P< 0.01). Conclusion: Wuling capsules can improve the brain nerve signal transduction function, reduce the degree of depression and effectively relieve the clinical symptoms of coronary heart disease complicated with depression of heartkidney noninteraction type.

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郑飞霞.乌灵胶囊联合西药治疗冠心病合并心肾不交型抑郁症临床研究[J].新中医,2021,53(16):66-69

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  • 在线发布日期: 2021-08-23
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