柴胡桂枝干姜汤加减治疗广泛性焦虑症33例

Thirty-Three Cases of Generalized Anxiety Disorder Treated with Modified Bupleurum and Cinnamon Twig and Dried Ginger Decoction

目的:观察柴胡桂枝干姜汤加减治疗广泛性焦虑症的临床疗效。方法:将66例广泛性焦虑症患者随机分为中药组和西药组,每组各33例。西药组口服抗焦虑药,中药组给予柴胡桂枝干姜汤加减治疗。观察两组患者的临床疗效,比较两组患者治疗前后汉密尔顿焦虑量表(HAMA)积分情况。结果:中药组有效率为90.91%,西药组有效率为72.73%,两组患者临床疗效比较,差异有统计学意义(P<0.05)。两组患者治疗后HAMA积分低于治疗前,且中药组低于西药组,差异具有统计学意义(P<0.05)。结论:柴胡桂枝干姜汤加减治疗广泛性焦虑症疗效肯定,可改善患者的临床症状,提高患者的生存质量。

Objective：To observe the clinical curative effect of Bupleurum and Cinnamon Twig and Dried Ginger Decoction on gen- eralized anxiety disorder （GAD）. Methods： Sixty patients with GAD were randomly divided into Chinese medicine group and Western medicine group,with 33 cases in each group. The ones in Western medicine group was given oral anti anxiety drugs,white the ones in Chinese medicine group were treated with Bupleurum and Cinnamon Twig and Dried Ginger Decoction. Then the clini- cal efficacies of the two groups of patients were observed and the Hamihon Anxiety Scale （HAMA） scores were compared between the two groups before and alter the treatment. Results： The effective rate of Chinese medicine group was 90.91% , while that of Western medicine group was 72.73%. The difference between the two groups was statistically significant （P 〈 0.05）. After the treatment,the HAMA scores of the two groups were lower than those befbt~ the treatment, and the Chinese medicine group was lower than the Western medicine group. The difference was statistically significant （ P 〈 0. 05 ）. Conclusion ： Bupleurum and Cin- namon Twig and Dried Ginger Decoction has a remarkable clinical curative effect onGAD ,can improve not only the clinical symp- toms of patients and but also the quality of life of the patients.