调安汤配合针灸治疗心血管神经症的临床效果

Clinical effect of Combination of Nerves-Soothing Decoction and acupuncture in treatment of cardiovascular neurosis

目的探讨调安汤配合针灸治疗心血管神经症的临床效果。方法将2011年7月~2015年5月在我院中医内科治疗的210例心血管神经症患者随机分为两组,对照组采用调安汤治疗,观察组采用调安汤配合针灸治疗,比较两组患者的治疗效果、中医症候改善情况、汉密尔顿抑郁量表(HAMD)及躯体化症状自评量表(SSS)评分。结果观察组治疗总有效率为97.14%,显著高于对照组的75.24%,差异有统计学意义(P<0.05);观察组治疗后心悸气短、头晕胸闷、头身困重、不寐、汗多乏力等中医症候积分明显低于对照组,差异有统计学意义(P<0.05);观察组治疗后的HAMD及SSS评分明显低于对照组,差异有统计学意义(P<0.05)。结论调安汤配合针灸治疗心血管神经症效果确切,能显著缓解症状,改善身心健康状况,具有积极的临床意义。

Objective To investigate the clinical effect of combination of Nerves-Soothing Decoction and acupuncture in the treatment of cardiovascular neurosis.Methods Altogether 210 patients with cardiovascular neurosis who were treated in department of Traditional Chinese Medicine （TCM） Internal Medicine in our hospital from July 2011 to May 2015 were divided into two groups.Control group was treated with Nerves-Soothing Decoction,while observation group was treated with combination of nerves-soothing decoction and acupuncture;the curative effect,TCM symptom improvement, Hamilton Anxiety and Depression Scale （HAMD） and self-rating symptom scale （SSS） score between two groups were compared.Results The total effective rate of treatment of observation group （97.14%） was significantly higher than that of control group （75.24%）,with statistically significant difference （P〈0.05）.The post-treatment TCM symptom score of observation group in palpitation and shortness of breath,dizziness,head and body heaviness,insomnia and sweating fatigue were significantly lower than those of control group,with statistically significant difference （P〈0.05）.The posttreatment HAMD and SSS score of observation group were significantly lower than those of control group,with statistically significant difference （P〈0.05）.Conclusion Combination of Nerves-Soothing Decoction and acupuncture in the treatment of cardiovascular neurosis achieves good clinical effect and can relieve the symptoms,which can improve patients＇physical and mental health and is of great clinical significance.