化痰解郁安神汤联合中医情志疗法治疗失眠伴抑郁症的临床疗效评价

Clinical Efficacy Evaluation of Resolving Phlegm,Relieving Depression and Anshen Decoction Combined with Traditional Chinese Medicine Emotion Therapy for Insomnia with Depression

目的:探讨化痰解郁安神汤联合中医情志疗法治疗失眠伴抑郁症的临床疗效。方法:选取2016年1月至2018年12月到福建省漳州龙海市中医院接受治疗的失眠伴抑郁症患者192例为研究对象,随机分为对照组(常规西医治疗)与观察组(化痰解郁安神汤联合中医情志疗法),每组96例。比较2组中医证候总积分、HAMD(汉密尔顿抑郁量表)评分、PSQI(匹兹堡睡眠质量指数量表)评分、不良反应发生率及复发率指标。结果:治疗结束,观察组在中医证候总积分、HAMD评分、PSQI评分、不良反应发生率及复发率指标上均低于对照组(P <0. 05)。结论:化痰解郁安神汤联合中医情志疗法方法可有效改善失眠伴抑郁症患者预后,值得推广使用。

Objective: To explore the clinical efficacy of huatan jieyu anshen decoction combined with traditional Chinese medicine emotional therapy in the treatment of insomnia with depression. Methods: Selected from January 2016 to December 2016 to our hospital for treatment of 192 patients with insomnia associated with depression,96 cases were randomly divided into control group(conventional western medicine therapy)and observation group 96 cases(phlegm resolve depression anshen decoction combined modern therapy of traditional Chinese medicine),compare two groups of TCM syndrome integral,HAMD total,Hamilton depression rating scale score,PSQI(Pittsburgh sleep quality index scale)score,incidence of adverse reactions and the recurrence rate index. Results: After treatment,the total score of TCM syndromes,HAMD score,PSQI score,incidence of adverse reactions and recurrence rate in the observation group were all lower than those in the control group( P <0.05). Conclusion: The combination of phlegm-clearing-yu-tranquilizing decoction and traditional Chinese medicine emotion therapy can effectively improve the prognosis of patients with insomnia and depression.