灵宝护心丹联合双心医学模式治疗心身疾病的临床效果

Clinical observation of Lingbao Huxin Pills combined with double-heart medical model in treatment of psychosomatic diseases

目的探讨灵宝护心丹联合双心医学模式治疗心身疾病的临床疗效。方法选择2018年7月—2019年7月上海中医药大学附属曙光医院收治的100例心身疾病患者为研究对象,将所有患者随机分为对照组和治疗组,每组各50例。对照组运用双心医学模式进行护理干预。治疗组在对照组基础上口服灵宝护心丹,3~4丸/次,3~4次/d。两组患者均连续治疗8周。观察两组患者临床疗效,比较两组的中医症状积分、心率和生活质量。结果治疗后,治疗组的总有效率为92.0%,显著高于对照组的总有效率78.0%,差异具有统计学意义(P<0.05)。治疗后,两组患者中医症状积分均显著降低(P<0.05),治疗组中医症状积分明显低于对照组(P<0.05)。治疗后,两组患者的心率均有小幅度降低,差别无统计学意义,并且治疗后两组患者心率比较差异不显著。治疗后,两组患者的生理评分、心理评分、社会关系评分、环境评分均明显升高(P<0.05),并且治疗组患者的心理评分、社会关系评分、环境评分水平均显著高于对照组(P<0.05)。结论灵宝护心丹联合双心医学模式治疗心身疾病具有较好的临床效果,可明显改善患者中医症候总积分和生活质量,值得在临床中应用推广。

Objective To investigate the clinical effect of Lingbao Huxin Pills combined with double-heart medical model in treatment of psychosomatic diseases.Methods Patients(84 cases)with psychosomatic diseases in Shuguang Hospital Affiliated to Shanghai University of Traditional Chinese Medicine from July 2018 to July 2019 were randomly divided into control and treatment groups,and each group had 50 cases.Patients in the control group were given nursing intervention with double-heart medical model.Patients in the treatment group were po administered with Lingbao Huxin Pills on the basis of the control group,3—4 pills/time,three to four times daily.Patients in two groups were treated for 8 weeks.After treatment,the clinical efficacies were evaluated,and Traditional Chinese Medicine syndrome score,heart rate,and quality of life in two groups were compared.Results After treatment,the total effective rate of the treatment group was 92.0%,which was significantly higher than that of the control group(78.0%)(P<0.05).After treatment,the Traditional Chinese Medicine syndrome score in two groups were significantly decreased(P<0.05),and the Traditional Chinese Medicine syndrome scores in the treatment group was significantly lower than those in the control group(P<0.05).After treatment,the heart rates of the two groups were slightly decreased,but the difference was not statistically significant,and there was no significant difference between two groups after treatment.After treatment,the scores of physiology,psychology,social relationship,and environment of two groups were significantly increased(P<0.05),and the scores of physiology,social environment,and environment in the treatment group were significantly higher than those in the control group(P<0.05).Conclusion Lingbao Huxin Pills combined with double-heart medical model has clinical curative effect in treatment of psychosomatic diseases,can significantly improve the total score of Traditional Chinese Medicine symptoms and quality of life of patients,which is worthy of clinical application and promotion.