柴胡疏肝散加减联合耳穴压丸治疗肝郁气滞型抑郁症临床观察

Chaihu Shugan Powder Combined with Auricular Point Pressing Pills in the Treatment of Depression of Liver Depression and Qi Stagnation Type

目的研究柴胡疏肝散加减联合耳穴压丸治疗肝郁气滞型抑郁症的临床疗效。方法将60例肝郁气滞型抑郁症患者随机分为对照组和治疗组,各30例。对照组口服氟哌噻吨美利曲辛片治疗,治疗组在对照组基础上给予柴胡疏肝散加减联合耳穴压丸治疗,疗程共4周。观察并记录2组患者治疗前后评分,评估患者治疗后抑郁程度、睡眠质量。结果治疗后,治疗组疗效优于对照组(P<0.05)。2组治疗后抑郁量表评分、睡眠量表评分、中医证候积分均较治疗前降低(P<0.05),且治疗组评分降低幅度大于对照组(P<0.05)。结论在口服氟哌噻吨美利曲辛片基础上,给予柴胡疏肝散加减联合耳穴压丸治疗肝郁气滞型抑郁症患者可增强疗效,有助于改善患者临床症状、抑郁程度及睡眠质量。

Objective To study the clinical efficacy of Chaihu Shugan powder combined with auricular point pressing pills in the treatment of depression of liver depression and qi stagnation type.Methods A total of 60 cases of depression of liver depression and qi stagnation type were randomly divided into control group and treatment group,with 30 cases in each group.The control group was treated with fluperthixol melitracen tablets,and the treatment group was treated with Chaihu Shugan powder combined with auricular point pressing pills on the basis of the control group.The course of treatment was 4 weeks.The scores of the two groups were observed and recorded before and after treatment,and the degree of depression and sleep quality were evaluated.Results After treatment,the curative effect of treatment group was better than that of control group(P<0.05).After treatment,the scores of depression scale,sleep scale and TCM syndrome scores of both groups were lower than those before treatment(P<0.05),and the score of the treatment group was lower than that of the control group(P<0.05).Conclusion On the basis of the oral flupentixol melitripen tablets,Chaihu Shugan powder combined with auricular point pressing pills in the treatment of depression of liver depression and qi stagnation type can enhance the therapeutic effect,and help to improve depression,sleep quality and quality of life.