补中益气汤加减治疗乳糜尿共病抑郁障碍30例

Clinical observation of the modified Buzhong Yiqi decoction in the treatment of 30 cases of chyluria combined with depression

目的观察补中益气汤治疗乳糜尿共病抑郁障碍的疗效。方法选取2014年6月至2019年2月阜阳市人民医院门诊的乳糜尿共病抑郁的农村留守老年病人30例,采用补中益气汤加减治疗,30 d为1疗程,观察总有效率,采用汉密尔顿抑郁量表(HAMD)评分和中医证候积分量表评估疗效。结果治疗乳糜尿的总有效率96.67%,抑郁障碍总有效率93.33%,治疗前后HAMD评分[(31.47±4.24)分比(12.13±2.02)分]、中医证候评分[(22.13±2.87)分比(5.36±1.22)分],差异有统计学意义(P<0.05)。结论补中益气汤加减治疗乳糜尿共病抑郁障碍的疗效确切。

Objective To observe the clinical effects of modified Buzhong Yiqi decoction on chyluria combined with depression in the elderly left behind in rural areas.Methods Thirty patients of chyluria combined with depression in the department of outpatient,Fuyang City People’s Hospital from June 2014 to February 2019 were treated with Buzhong Yiqi decoction for 30 days as a course of treatment.The Hamilton’s depression scale(HAMD)and TCM Syndrome Integral Scale were used to evaluate the therapeutic effects before and after treatment.Results The total effective rate of chyluria treatment was 96.67%,the total effective rate of depression treatment was 93.33%.There were significant differences in HAMD score[(31.47±4.24)cases vs.(12.13±2.02)cases]and TCM syndrome score[(22.13±2.87)cases vs.(5.36±1.22)cases]before and after treatment(P<0.05).Conclusion The modified Buzhong Yiqi decoction has definite curative effect on depressive disorder of comorbidity.