中药联合心理干预治疗产后抑郁疗效研究

Study on the efficacy of traditional Chinese medicine combined with psychological intervention in the treatment of postpartum depression

目的探讨中药联合心理干预治疗产后抑郁的临床疗效。方法 112例产后抑郁患者,根据治疗方法不同分为研究组(采用中药联合心理干预治疗,60例)和对照组(采用心理干预治疗,52例)。比较两组患者治疗前后爱丁堡产后抑郁量表(EPDS)、焦虑自评量表(SAS)及抑郁自评量表(SDS)评分及治疗效果。结果研究组和对照组治疗前EPDS评分分别为(18.7±3.8)、(18.6±3.8)分,治疗后EPDS评分分别为(9.4±2.1)、(11.2±2.5)分,治疗后两组患者EPDS评分均较治疗前显著下降,且研究组低于对照组,差异具有统计学意义(P<0.05)。研究组患者治疗总有效率为95.0%,高于对照组的84.6%,差异具有统计学意义(P<0.05)。两组患者治疗后SDS评分及SAS评分均较治疗前显著下降,且研究组患者SDS评分及SAS评分均低于对照组,差异具有统计学意义(P<0.05)。结论在心理干预的基础上,给予中药治疗产后抑郁,能够显著改善焦虑、抑郁症状,提高临床疗效。

Objective To investigate the clinical efficacy of traditional Chinese medicine combined with psychological intervention in the treatment of postpartum depression.Methods A total of 1112 postpartum depression patients were divided by different treatment methods into research group（receiving traditional Chinese medicine combined with psychological intervention,60 cases） and control group（receiving psychological intervention,52 cases）.Comparison were made on Edinburgh postnatal depression scale（EPDS）,self-rating anxiety scale（SAS） and self-rating depression scale（SDS） score before and after treatment and treatment effect in two groups.Results The research group and control group had EPDS score before treatment respectively as（18.7±3.8） and（18.6±3.8） points,which were（9.4±2.1） and（11.2±2.5） points after treatment.After treatment,both groups had obviously lower EPDS score than before treatment,and the research group was lower than the control group.Their difference had statistical significance（P〈0.05）.The research group had higher total treatment effective rate as 95.0% than 84.6% in the control group,and the difference had statistical significance（P〈0.05）.Both groups had obviously lower SDS score and SAS score after treatment than before treatment,and the research group had lower SDS score and SAS score than the control group.Their difference had statistical significance（P〈0.05）.Conclusion On the basis of psychological intervention,traditional Chinese medicinecan significantly improve anxiety and depression symptoms,and improve clinical efficacy in treating postpartum depression.