西医治疗联合柴胡舒肝散加减治疗肝胃不和型慢性非萎缩性胃炎合并焦虑、抑郁患者的价值

Value of Western Medicine Treatment Combined with Chaihushugan Powder in the Treatment of Patients with Chronic Non-atrophic Gastritis Complicated with Anxiety and Depression

目的:观察西医治疗联合柴胡舒肝散加减治疗肝胃不和型慢性非萎缩性胃炎合并焦虑、抑郁患者的临床疗效。方法:选取2022年2—12月泗洪中西医结合医院收治的肝胃不和型慢性非萎缩性胃炎合并焦虑、抑郁患者85例为研究对象,根据随机数字表法分为常规组(43例)和研究组(42例)。常规组给予常规西医治疗,研究组给予柴胡舒肝散加减联合西药常规治疗,比较两组患者治疗效果。结果:治疗后,两组匹兹堡睡眠质量指数均降低,研究组低于常规组,差异有统计学意义(P<0.001);治疗后,两组焦虑、抑郁评分均降低,研究组低于对照组,差异有统计学意义(P<0.05);治疗后,两组中医证候积分均降低,研究组低于对照组,差异有统计学意义(P<0.05)。结论:西医治疗联合柴胡舒肝散加减治疗肝胃不和型慢性非萎缩性胃炎合并焦虑、抑郁障碍效果显著,能够有效改善患者焦虑、抑郁,控制临床症状,改善睡眠质量。

Objective:To observe the clinical effect of Western medicine treatment combined with Chaihushugan Powder in the treatment of chronic non-atrophic gastritis complicated with anxiety and depression.Methods:A total of eighty-five patients with hepato-gastric disordered chronic non-atrophic gastritis complicated with anxiety and depression admitted to Sihong Hospital of Integrated Traditional Chinese and Western Medicine from February to December 2022 were selected as the study objects,and were divided into the conventional group(43 cases)and the study group(42 cases)according to random number table method.The conventional group was given conventional Western medicine treatment,and the study group was given Chaihushugan powder combined with Western medicine conventional treatment.The therapeutic effect of the two groups was compared.Results:After treatment,the Pittsburgh sleep quality index was lower in both groups,and the difference was statistically significant(P<0.001);After treatment,the scores of anxiety and depression were decreased in both groups,and the study group was lower than the con⁃ventional group,the difference was statistically significant(P<0.05);After treatment,Traditional Chinese Medicine(TCM)syn⁃drome scores of both groups were decreased,and the study group was lower than the conventional group,the difference was statis⁃tically significant(P<0.05).Conclusion:Western medicine treatment combined with Chaihushugan powder has a remarkable ef⁃fect in the treatment of hepato-gastric disharmony chronic non-atrophic gastritis complicated with anxiety and depression disor⁃ders,which can effectively improve patients'anxiety and depression,control clinical symptoms and improve sleep quality.